Orthodontics: Costs and Impact of Gum Disease and Wisdom Teeth

Orthodontics?

I went to an outpatient clinic to consult a doctor about orthodontics, and she mentioned that I have periodontal disease and that my wisdom teeth have not erupted yet.
She suggested extracting one of my molars.
I am considering getting full orthodontic treatment.
I would like to inquire about the cost of this procedure and how periodontal disease and the absence of erupted wisdom teeth might affect orthodontic treatment.
Thank you.

che ling, 10~19 year old female. Ask Date: 2005/08/15

Dr. Yang Hui reply Dentistry

To create space for crowded or protruding teeth, tooth extraction is often necessary during orthodontic treatment.
If the teeth require minimal space or if an external device is used to move the teeth backward, it may be possible to avoid extraction.
The average cost of orthodontic treatment is around NT$60,000, and the duration typically ranges from 1 to 2 years, depending on the individual.
Periodontal disease is usually caused by inadequate oral hygiene, and maintaining oral hygiene can be challenging while wearing braces, which may exacerbate periodontal issues.
It is also advisable to remove wisdom teeth if possible.

Reply Date: 2005/08/15

More Info

When considering orthodontic treatment, especially in the context of existing gum disease and unerupted wisdom teeth, several factors come into play that can significantly influence both the treatment process and the associated costs.

Costs of Orthodontic Treatment
The cost of orthodontic treatment can vary widely based on several factors, including the complexity of the case, the type of braces used (metal, ceramic, lingual, or clear aligners), and the duration of treatment. On average, full orthodontic treatment can range from $3,000 to $7,000 in the United States. More complex cases, especially those requiring additional procedures like tooth extractions or surgery, can push costs higher. It’s essential to consult with an orthodontist to get a personalized estimate based on your specific needs.

Impact of Gum Disease on Orthodontics
Gum disease, or periodontal disease, can significantly affect orthodontic treatment. If you have active gum disease, it is crucial to address this condition before starting orthodontic treatment. Gum disease can lead to bone loss around the teeth, which may compromise the stability of the teeth during and after orthodontic treatment. Additionally, wearing braces can make it more challenging to maintain oral hygiene, potentially exacerbating gum disease.

Before beginning orthodontic treatment, your orthodontist may recommend a thorough cleaning and possibly periodontal treatment to ensure your gums are healthy. This step is vital for the success of the orthodontic treatment and the long-term health of your teeth and gums.

Wisdom Teeth and Orthodontics
The presence of unerupted wisdom teeth can also impact orthodontic treatment. If your wisdom teeth are likely to erupt and cause crowding or misalignment of your other teeth, your orthodontist may recommend their removal before or during your orthodontic treatment. This is particularly important if the wisdom teeth are impacted, as they can lead to complications such as infection or further misalignment.

In some cases, orthodontic treatment may proceed without removing wisdom teeth, especially if there is sufficient space in the dental arch and the wisdom teeth are not expected to cause issues. However, your orthodontist will evaluate your specific situation and make recommendations based on the position of your wisdom teeth and the overall alignment of your teeth.

Tooth Extraction Considerations
In your case, the recommendation to extract a back molar may be necessary to create space for the remaining teeth to align properly. This is a common practice in orthodontics, especially when there is overcrowding. The extraction can help facilitate better alignment and improve the overall outcome of your orthodontic treatment.

Conclusion
In summary, before embarking on orthodontic treatment, it is essential to address any existing gum disease and evaluate the status of your wisdom teeth. The costs associated with orthodontics can vary, and it is advisable to consult with an orthodontist for a comprehensive evaluation and treatment plan tailored to your needs. By ensuring that your gums are healthy and addressing any potential issues with your wisdom teeth, you can set the stage for a successful orthodontic experience that leads to a healthier and more aligned smile.

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