My front teeth?
Dear Doctor,
Currently, my dental situation is as follows: I have one lower molar that hasn't been filled, and my two upper front teeth are larger, making me look like a rabbit.
Although my friends don't perceive me as having protruding teeth, I want to undergo orthodontic treatment.
Today, I visited an orthodontic clinic, and the doctor mentioned that aside from my two front teeth, my other teeth have a normal occlusion.
However, the cost of orthodontics would be at least NT$100,000.
He suggested that I undergo root canal treatment for my front teeth and then have them reduced in size, followed by placing two to four dental prostheses, which would be quicker and less expensive.
I'm unsure how to choose between orthodontics and dental prostheses.
Some say that dental prostheses can lead to unhealthy gums over time, and that artificial teeth can never compare to natural ones.
I would appreciate your advice.
Thank you.
karen, 30~39 year old female. Ask Date: 2004/08/02
Dr. Chen Yingfang reply Dentistry
Your condition can basically be considered for root canal treatment followed by dental prosthesis, and orthodontics can also be considered depending on your needs.
Whether you choose to get dentures or not, it is important to maintain proper oral hygiene; otherwise, you may experience issues with gum inflammation.
Reply Date: 2004/08/02
More Info
When considering whether to get braces or dental implants for your front teeth, it's important to weigh the pros and cons of each option based on your specific dental situation, aesthetic goals, and financial considerations.
Understanding Your Options
1. Braces:
- Purpose: Braces are primarily used to correct misaligned teeth and improve bite issues. They can help in repositioning your front teeth to enhance your smile and overall dental alignment.
- Duration and Cost: The treatment duration can vary but typically lasts from 1 to 3 years, depending on the severity of the misalignment. The cost can be significant, often ranging from $5,000 to $10,000 or more, depending on the complexity of the case and the type of braces chosen (metal, ceramic, lingual, etc.).
- Benefits: Braces can provide a permanent solution to alignment issues, improving both function and aesthetics. They can also help prevent future dental problems associated with misalignment, such as uneven wear on teeth and jaw pain.
- Considerations: The process requires regular visits to the orthodontist for adjustments, and there may be dietary restrictions during treatment.
2. Dental Implants:
- Purpose: Dental implants are used to replace missing teeth. If your front teeth are structurally compromised (e.g., due to decay or trauma), implants can provide a strong, aesthetic solution.
- Duration and Cost: The process can take several months, as it involves surgical placement of the implant, healing time, and then placement of the crown. Costs typically range from $3,000 to $7,000 per implant, depending on various factors, including the need for bone grafting.
- Benefits: Implants look and function like natural teeth and can last a lifetime with proper care. They also help maintain jawbone density, preventing the bone loss that can occur with missing teeth.
- Considerations: The surgical nature of implants means there are risks involved, such as infection or implant failure. Additionally, if you have underlying dental issues, such as gum disease, these must be addressed before proceeding with implants.
Evaluating Your Situation
Given your current dental condition, where you have larger front teeth that you feel resemble a "bunny" appearance, and the recommendation from your dentist for root canal treatment followed by crowns, you should consider the following:
- Aesthetic Goals: If your primary concern is the appearance of your front teeth, braces may be the better option to achieve a more natural alignment without the need for artificial replacements. However, if the teeth are severely compromised and require extraction, implants may be necessary.
- Health of Your Teeth: If your front teeth are healthy enough to be treated with root canals and crowns, this could be a less invasive and more cost-effective solution than implants. However, if they are beyond saving, implants might be the only viable option.
- Long-term Considerations: While dental implants can provide a permanent solution, they require a healthy jawbone and gums. If you have any underlying health issues (like SLE, as mentioned), this could affect healing and the success of implants.
Conclusion
Ultimately, the decision between braces and dental implants should be made in consultation with your dentist or orthodontist, who can provide personalized advice based on a thorough examination of your dental health. It may also be beneficial to seek a second opinion if you're uncertain about the recommendations provided. Remember, maintaining your natural teeth is generally preferable, so if braces can achieve your aesthetic goals without the need for extraction or implants, they may be the best route to take.
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