Orthodontics: Is It Right for Your Dental Health?

Orthodontics

Hello, I have some dental concerns and would like to ask:
1.
I had severe periodontal issues in May of this year, resulting in the loss of a tooth on each side of the upper jaw's second-to-last teeth.
I underwent full-mouth periodontal surgery, and subsequently, the last three teeth on the lower right side underwent periodontal regeneration.
They are now less mobile.
However, I have a significant gap between my front teeth, and some root exposure, so I was advised to undergo periodontal regeneration again.
I consulted another clinic, and the doctor suggested orthodontic treatment instead, as the three teeth that underwent regeneration, along with the adjacent teeth (five in total), are tilted forward by about 15 degrees.
Additionally, he mentioned that orthodontic treatment would make it easier to maintain oral hygiene.

Questions:
1.
I am 48 years old; am I a suitable candidate for orthodontic treatment? Is it worth pursuing, or should I give up?
2.
I had periodontal regeneration in July; can I start orthodontic treatment now? If not, how long should I wait?
3.
After completing orthodontic treatment, how should I address the issue of root exposure in my front teeth? I lacked knowledge in the past, which has led to my current situation, and I genuinely want to have healthy teeth.
Thank you for your response.

Mr. Zhang, 40~49 year old female. Ask Date: 2013/12/24

Dr. Cui Chongji reply Dentistry

This issue is quite broad, encompassing basic periodontal care, orthodontics, periodontal regeneration surgery, and alveolar reconstruction.
Without X-rays and an understanding of the current oral condition, it is difficult to make an overall assessment and provide recommendations, which could mislead patients regarding their oral health and even lead to incorrect diagnoses.
Therefore, from the patient's perspective, it is still advisable to visit a medical center to seek a second or third opinion in order to enhance their oral health.

Reply Date: 2013/12/24

More Info

When considering orthodontic treatment, especially after experiencing significant periodontal issues, it's essential to weigh the benefits and potential challenges involved. Your situation, particularly with a history of severe periodontal disease and tooth loss, requires careful evaluation by dental professionals. Here’s a comprehensive response to your questions based on the information provided.

1. Is Orthodontics Suitable for You at 48?
Yes, orthodontic treatment can be suitable for adults, including those who are 48 years old. Many adults seek orthodontic care for various reasons, including improving dental aesthetics, correcting bite issues, and enhancing overall oral health. Age is not a barrier to orthodontic treatment; however, the condition of your periodontal health is crucial. Since you have had significant periodontal issues, it is vital to ensure that your gums and bone structure are stable before proceeding with orthodontics. Orthodontic treatment can help align your teeth properly, which may improve your ability to maintain oral hygiene and reduce the risk of further periodontal problems.

2. Timing of Orthodontic Treatment After Periodontal Regeneration:
After undergoing periodontal regeneration, it is generally advisable to wait until your gums and bone have healed adequately before starting orthodontic treatment. This healing period can vary based on individual circumstances, but typically, a waiting period of at least three to six months is recommended. During this time, your dental professional will monitor your healing process and assess the stability of your periodontal condition. Once your gums are healthy and stable, you can discuss the timing of orthodontic treatment with your dentist or orthodontist.

3. Addressing Exposed Tooth Roots Post-Orthodontics:
If orthodontic treatment is successful and your teeth are properly aligned, you may still need to address the issue of exposed tooth roots. This condition can occur due to gum recession, which may be exacerbated by previous periodontal disease. Treatment options for exposed roots may include:
- Gum Grafting: This surgical procedure involves taking tissue from another part of your mouth or using donor tissue to cover the exposed roots, helping to restore gum tissue and protect the roots.

- Desensitizing Agents: If sensitivity is an issue, your dentist may recommend desensitizing toothpaste or treatments to alleviate discomfort.

- Regular Monitoring: After orthodontic treatment, regular dental check-ups will be crucial to monitor your gum health and ensure that any issues are addressed promptly.

In conclusion, pursuing orthodontic treatment at your age is entirely feasible, especially if it can enhance your oral health and hygiene. However, it is essential to prioritize your periodontal health first. Collaborate closely with your dental care team, including your periodontist and orthodontist, to create a comprehensive treatment plan that addresses both your orthodontic needs and the health of your gums. This collaborative approach will help ensure that you achieve the best possible outcomes for your dental health. Remember, maintaining good oral hygiene practices and attending regular dental check-ups will be vital in supporting your overall dental health moving forward.

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