How can I get orthodontic treatment with dentures? I want to have all my teeth extracted..?
Hello Doctor: My front teeth are very protruding and slightly crooked, and the left one is fake, which I broke when I was 15.
The previous doctor said it couldn't be corrected until I was 18, and since then, I haven't actively changed my teeth.
In the past two years, I feel like they have become even more protruding, possibly because my wisdom teeth are pushing my front teeth further out.
What should I do now? I want to extract all of them and get implants.
I've heard that implants, if well cared for, can last a lifetime, unlike regular dentures.
I've had my front tooth denture for so many years, and my gums have become darker, and there is some tissue loss at the junction of the tooth and gum, which looks very unattractive.
I'm really afraid that one day it will fall out while I'm eating.
Also, my teeth are somewhat yellow, so I really want to extract all of them...
Additionally, my innermost wisdom teeth are not fully erupted, and the one in front of it is also not complete.
There are no cavities, but I don't understand why there is a gap in the middle.
A few years ago, the doctor filled it (the doctor said there were no cavities), but the wisdom teeth are still not fully erupted...
How could this happen? What should I do? Is it still possible to get braces now? Will it take a long time? I'm getting married soon, and I want to get everything done in the shortest time possible...
I hope to look beautiful in my wedding photos.
Wawa, 20~29 year old female. Ask Date: 2005/02/22
Dr. Chen Yingfang reply Dentistry
Hello! Given the current situation, it's best to consult a dentist first.
Of course, orthodontic treatment or dental implants can be options for improvement, but it's advisable to visit a clinic for an evaluation first.
Thank you!
Reply Date: 2005/02/22
More Info
When it comes to dental aesthetics and functionality, especially in preparation for significant life events like a wedding, it’s essential to approach the situation with a comprehensive understanding of your options. Based on your description, it sounds like you have several concerns regarding your teeth, including protruding front teeth, a history of dental trauma, and the presence of dentures. Here’s a structured approach to address your situation.
Understanding Your Current Dental Situation
1. Protruding and Misaligned Teeth: Your concern about your front teeth being protruded and slightly misaligned is common. This can be exacerbated by the growth of wisdom teeth, which can push adjacent teeth out of alignment.
2. Fake Tooth: The fact that you have a fake tooth from an injury at 15 years old means that you may have underlying issues with your gums and bone structure, especially if the area has changed over time.
3. Gum Health: You mentioned that your gums appear darker and that there is some tissue loss at the junction of your gums and the fake tooth. This could indicate gum recession or other periodontal issues that need to be addressed.
4. Wisdom Teeth: The incomplete eruption of your wisdom teeth can lead to complications, including crowding and potential infections.
Options for Treatment
1. Consultation with an Orthodontist: Given your desire to correct the alignment of your teeth, a consultation with an orthodontist is crucial. They can assess whether braces or other orthodontic treatments are suitable for you, especially considering your existing dentures.
2. Dental Implants: If you are considering removing all your teeth for implants, it’s important to understand that dental implants can indeed provide a more permanent solution compared to dentures. They are designed to last a lifetime with proper care. However, the process involves several steps, including bone grafting if your jawbone is insufficient, which can take time.
3. Gum Health Treatment: Before any cosmetic procedures, it’s essential to ensure your gums are healthy. This may involve deep cleaning or other periodontal treatments to address any issues with gum recession or inflammation.
4. Wisdom Teeth Extraction: If your wisdom teeth are causing issues, it may be advisable to have them extracted. This can help alleviate some of the pressure on your other teeth and may improve alignment.
5. Timeline Considerations: Since you are getting married soon, it’s important to discuss your timeline with your dental professionals. Orthodontic treatments can take several months to years, but there are options like clear aligners that may expedite the process.
Final Recommendations
- Comprehensive Dental Evaluation: Schedule a thorough evaluation with both an orthodontist and a periodontist. They can work together to create a treatment plan that addresses both alignment and gum health.
- Discuss All Options: Be open about your concerns regarding aesthetics and functionality. Discuss the possibility of temporary solutions, such as veneers or cosmetic bonding, that can improve your smile in the short term while you undergo longer-term treatments.
- Follow-Up Care: Ensure that you have a follow-up plan in place for maintaining your dental health post-treatment. Regular check-ups will be crucial to ensure the longevity of any dental work done.
In conclusion, while it is possible to get braces with dentures, the best course of action is to consult with dental professionals who can provide tailored advice based on your specific situation. With the right treatment plan, you can achieve the smile you desire in time for your wedding.
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