Should I get more braces or go ahead with dental implant without braces? (teeth, implants)

[success_ent]

I need an implant for my side tooth at the top. I've been through so much getting to this point and just want it to be done and over because its affecting my self esteem.

I wore invisalign for seven months and my teeth are straight.

Problem is now the oral surgeon who placed the implant and dentist says that the space is tiny.

The dentist offered me two options

1--Shave a sides of the other teeth beside to get a little space--still will be small
2---wear braces for about a year to get a little more space and bigger cap so the teeth will match the other opposite teeth.

He says no one will mostly noticed if I got it shaved and have it a lottle smaller.
But still I'm extremely worried and don't want to be self conscious. Has anyone else been through this...any advice??

[bart0323]

I would have a consultation with your orthodontist before deciding. If the crown is not sized and contoured properly, it will create not only an esthetic problem, but also a problem with cleansability which could affect the health of the implant.

[KilliaanFinne]

It's good to hear that you care about your dental health, before going to implant teeth, you must also consult with other doctor's. And than decide what you want to do. To get help you can visit here too drkeithgilbert.com

[bart0323]

Originally Posted by KilliaanFinne

It's good to hear that you care about your dental health, before going to implant teeth, you must also consult with other doctor's. And than decide what you want to do. To get help you can visit here too drkeithgilbert.com

Maybe read the original post before spamming it with your advertising


(Although I'm probably talking to a robot).




To the OP and anyone else reading - the reason this problem occurred is because of communication breakdown between the doctors. There should have been 3 doctors involved in this patient's treatment:


1) General dentist/Prosthodontist - the one who places the crown on the implant
2) Oral Surgeon/Periodontist - the one who places the actual titanium dental implant screw into the bone
3) Orthodontist - the one who moves the teeth around


In this case, your general dentist is the "quarterback". Implants are a restoratively-driven procedure i.e. they must be planned with the end result (crown) in mind. Your general dentist should have known before anything went down exactly where he/she wanted the crown to go and how big it should be. Then they should have conveyed that to your orthodontist so that they moved the teeth appropriately and created the desired space. The orthodontist should also have verified with the surgeon that there was enough space between the tooth roots for the implant. Finally, once the appropriate space was created, your general dentist should have provided your surgeon with a guide that tells them exactly where to place the implant so that the crown will be correct.


I see this happen all the time, sometimes so bad that the implants have to be removed and the whole case redone. If you are getting dental implants, make sure there is good communication between all your doctors.

[toofache32]

As always, good advice from Bart. Teeth are more complex than most people realize.