July 7th, 2021
HOW DID WE GET HERE
The most common treatment in Orthodontics is for an increased overbite (Class II). It is also the most unpredictable because of the need for increased patient cooperation, (i.e. wearing rubber bands) the above patient had a unilateral Class II which we used braces and a TAD (Temporary Anchorage Device) to correct. The TAD takes the unpredictability out of the treatment because of the patient cooperation and the direct mechanics
Placing a TAD requires topical anesthetics. We can place one in 3 to 5 minutes. TAD’s are the way to go for predictable Class II treatment.
Also, we did some enamelplasty to smooth the rough edges on the upper front teeth (Centrals) and enamel reduction between these teeth to resolve the “black triangle.
April 14th, 2021
Preteens Or Teens With Missing Front Teeth
How did we get here?
Do you have a child with a missing upper front tooth? If you do, this blog will provide useful information to help you decide what to do.
There are 3 options.
1) If there is a baby tooth in the position of the missing tooth, keep it . This is not a long term proposition because the baby tooth will be lost (you’ll be lucky if the tooth last 15 years).
2) Open space for the missing tooth– This is usually the best if you are missing one front tooth, as closing the space for one tooth can create an asymmetry. In the photos below the patient is missing one front tooth. With orthodontics, we created space for the tooth then her dentist placed a Maryland Bridge.
3) Close space for the missing tooth (teeth). This option when possible is the best solution long term as it can alleviate the need for further dental treatment (i.e. the need to replace 2 missing teeth). If handled properly the esthetics of the smile are significantly enhanced. Also you avoid the long term cost for the repeated replacement of the restorations (expect to replace each restoration 4 times over a lifetime). The patient below is a perfect example of this. We closed the space for the two side front teeth and reshaped.
The last example is a patient with a missing front tooth. As I mentioned above, the best results usually involves opening space for the missing tooth because of the asymmetry created but with well planned orthodontics and dental restoration, we were able to develop the esthetics without opening any space.
As you have learned there are options for handling missing front teeth. At our office, we review the possibilities and help you make the right choice for your child.
Let us know how we can help!