Orthodontics: Your Questions on Braces, Implants, and More - Dentistry

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Orthodontics


I am currently 25 years old, and I have one crooked front tooth and one normal front tooth.
I would like to ask about orthodontics:
1.
My uncle had his teeth straightened around the age of 25, and now in his 40s, he can no longer bite into hard foods.
Is this because he started orthodontic treatment too late? (My mother mentioned that since his teeth had fully developed, the treatment might have loosened them, but I'm not sure about that.)
2.
Are ceramic crowns the same as dental implants? If they are different, what are the differences? Which one is better for my situation with one crooked front tooth?
3.
What is the lifespan of ceramic crowns? What about dental implants? When their lifespan is over, do they need to be replaced? Is there a risk of bacterial growth with either option?
4.
Given my dental condition, which option would be more suitable for me: braces, ceramic crowns, or dental implants? (If braces are suitable, will I end up like my uncle at 40?)

Guai Guai, 20~29 year old female. Ask Date: 2014/12/04

Dr. Cui Chongji reply Dentistry


The question you posed is quite complex, involving the mechanics of dental implants, orthodontic aesthetics, and the science of occlusion, which encompasses three different aspects.
Additionally, without photographs or X-ray evidence, there is a high risk of misdiagnosis due to potential misinterpretation.
Therefore, the best approach is to visit a medical center for a thorough examination and to seek opinions from multiple physicians.
I believe this will help clarify any doubts you may have!

Reply Date: 2014/12/04

More Info


Understanding orthodontics and dental treatments can be quite complex, especially when considering various options for correcting misaligned teeth or replacing missing ones. Let's address your questions one by one.

1. Late Orthodontic Treatment: Your uncle's experience with orthodontics at the age of 25 may have contributed to his current dental issues, but it is not solely the age at which he received treatment that matters. Orthodontic treatment can be effective at any age, but the timing and the condition of the teeth and jaw play crucial roles. If teeth are moved after they have fully developed, there is a risk that they may not stabilize as well, leading to potential issues with bite and function later in life. This is particularly true if the treatment was not followed by proper retention (like wearing retainers). It’s essential to have a thorough evaluation by an orthodontist to determine the best course of action for your specific case.

2. Ceramic Crowns vs. Implants: Ceramic crowns and dental implants serve different purposes. A ceramic crown is a cap placed over a damaged or decayed tooth to restore its shape, size, and function. It is typically used when the natural tooth is still present but needs reinforcement. On the other hand, a dental implant is a titanium post surgically placed into the jawbone to serve as a replacement root for a missing tooth. An artificial tooth (crown) is then placed on top of the implant. In your case, if the misaligned tooth is still healthy, orthodontic treatment (braces) may be more appropriate. If the tooth is damaged or missing, then a crown or implant could be considered.

3. Longevity of Dental Treatments: The lifespan of ceramic crowns can vary but typically lasts between 10 to 15 years with proper care. Dental implants, however, can last much longer, often 15 years or more, and sometimes even a lifetime, depending on factors like oral hygiene and bone health. When the lifespan of these treatments is reached, they may need to be replaced. Both crowns and implants can harbor bacteria if not maintained properly, leading to issues like decay (in the case of crowns) or peri-implantitis (in the case of implants). Regular dental check-ups and good oral hygiene practices are crucial to prolonging the life of these treatments.

4. Best Treatment Option for You: Given your situation with one crooked tooth, orthodontic treatment (braces) is likely the most suitable option. Braces can effectively realign your teeth and improve your bite. Concerns about future issues similar to your uncle's can be mitigated by following your orthodontist's recommendations closely, including wearing retainers after treatment. If your teeth are significantly misaligned or if there are other underlying issues, your orthodontist may recommend a combination of braces and other treatments, such as crowns or even implants if necessary.

In summary, it's essential to consult with an orthodontist who can provide a personalized assessment based on your dental health and goals. They will help you understand the best options available to you, considering both your current dental alignment and your long-term oral health. Remember, early intervention often leads to better outcomes, so seeking advice sooner rather than later is advisable.

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