Dental X-rays: Do You Need Surgery Before Orthodontics?

X-ray findings reveal

Over two years ago, an X-ray taken at the dentist revealed that I have one tooth on each side of my front teeth that has not erupted since childhood.
The doctor mentioned that there is insufficient space in the jaw for these teeth to grow, and there are no visible abnormalities.
I am now considering orthodontic treatment.
Do I necessarily need to undergo oral surgery before proceeding with orthodontics? How does oral surgery differ from general dentistry? Is it covered by health insurance? Additionally, I would like to inquire about the treatment process.
Thank you!

Yu En, 20~29 year old female. Ask Date: 2004/11/19

Dr. Zhuang Suhui reply Dentistry

If you want to correct your teeth, you should consult an orthodontist.
First, X-rays and dental molds will be analyzed to determine whether the impacted teeth (which you mentioned are not erupting) can be utilized or if they need to be extracted.
If you will need these teeth in the future, they should not be extracted initially.
Therefore, you should see an orthodontist first, rather than an oral surgeon.
Oral surgery may be covered by health insurance, but orthodontic treatment typically requires out-of-pocket expenses.

Reply Date: 2004/11/19

More Info

When considering orthodontic treatment, particularly with options like Invisalign, it is essential to understand the role of dental X-rays and any necessary surgical interventions. Based on your situation, where two teeth have not erupted due to insufficient space in the dental arch, there are several factors to consider before proceeding with orthodontics.

Firstly, dental X-rays are a crucial diagnostic tool in orthodontics. They provide a comprehensive view of your dental structure, including the position of teeth, the health of the surrounding bone, and any potential issues that may not be visible during a clinical examination. In your case, since you have previously had X-rays that indicated the absence of two teeth, it is advisable to have updated imaging. This is particularly important because the dental arch may have changed since your last X-ray, and new images can help your orthodontist assess the current situation accurately.

Regarding the need for surgery, it is not always necessary to undergo surgical procedures before starting orthodontic treatment. However, if the lack of space is significant and is preventing teeth from erupting, your orthodontist may recommend a surgical consultation. Oral surgeons specialize in surgical interventions related to the mouth and jaw, and they can provide options such as tooth extraction or jaw expansion to create the necessary space for orthodontic treatment. The decision for surgery will depend on the severity of the space issue and the specific treatment plan devised by your orthodontist.

Oral surgery and general dentistry do differ significantly in terms of training and procedures. Oral surgeons undergo additional years of specialized training after dental school, focusing on surgical techniques, anesthesia, and managing complex dental issues. In terms of insurance coverage, many health insurance plans, including those under Taiwan's National Health Insurance (NHI), may cover certain oral surgical procedures, but coverage can vary widely. It is essential to check with your insurance provider to understand what is covered under your plan.

As for the treatment timeline, it can vary based on the complexity of your case. If surgery is required, it may extend the overall treatment duration. Typically, orthodontic treatment can last anywhere from several months to a few years, depending on the individual’s dental needs and the specific orthodontic techniques used.

In summary, while surgery may not be a prerequisite for orthodontic treatment, it could be necessary depending on your specific dental situation. Consulting with both an orthodontist and an oral surgeon will provide you with a clearer understanding of your options and the best course of action. Regular communication with your dental care providers will ensure that you are well-informed and prepared for your treatment journey.

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