Toronto Braces doctors

Martin Frankel, DDS Martin Frankel, DDS
Toronto Cosmetic Dentist
181 University Ave., Toronto
10 answers
Jason K. Tam, DDS Jason K. Tam, DDS
Toronto Orthodontist
4581 Highway 7 East Suite 103D, Markham
7 answers
Dan Hagi, DDS Dan Hagi, DDS
Toronto Cosmetic Dentist
30 Disera Dr Suite 210, Thornhill
1 answer
Shervin Abbaszadeh, DDS Shervin Abbaszadeh, DDS
Toronto Orthodontist
1100 Sheppard Ave. E. Suite 304, Toronto

Recent Answers

Braces Might Be Required for an Implant; True?

I recently had a broken molar extracted. The orthodontist originally thought she could bring the back molar forward to close the gap, but after an examiniation, thinks the gap may be too large. Discussing options, she said braces may be required to prepare teeth for an implant. I've known people who have had implants and never had braces for that. I had braces when I was a teenager (I'm now 46) and she said my bite was fine, my teeth are perfectly on-center...please comment?

A: Sometimes the roots need to be moved in order to have an implant placed

Pre-implant orthodontic treatment is becoming increasingly common.

Unfortunately, when there is a gap due to a missing tooth for a prolonged period of time, the crowns of the teeth tend to tip in towards the space.  Therefore, they may need to be moved back into their original positions to allow for the proper placement of an implant.

It is also possible that the roots of the teeth somehow occupy the space under the gums and in the bone where the implant would normally be placed.

 

Jason K. Tam, DDS
Toronto Orthodontist
Teeth Back to Pre-braces, Tried Veneers Too. What More Should I Do?

Dear Doctor, I really need unbiased advice on what I should now do. I had: Narrow palate/teeth, and lateral incisors which were "pushed in" (towards palate). After braces, they looked perfect. Was assured that with a permanent retainer/wire behind teeth, they would stay that way. I'm extremely disappointed to say that 3yrs later they have regressed back. Refused braces. Got veneers instead. They are still too "in", would like them pushed out&widened again. Best solution? Much appreciated

A: Unstable result?

When an orthodontic result is so unstable we must ask ourselves why?  What is it that could be causing the teeth to move and collapse that much? 

There are many factors to consider, but I have found that in general it is the force of muscles that can cause such relapse.  The muscles of the cheeks and lips put an inward pressure on the teeth.  This is counterbalanced by the outward force of the tongue.  Teeth usually find a neutral zone between these forces.   When the tongue posture changes, as in mouth-breathing, the inward force of the cheeks and lips win.  Crowding of the anterior teeth, narrowing of the dental arches, high vault of the palate, can all result.

I wonder if you have any breathing disorders.  Allergies, asthma, snoring, sleep apnea, enlarged tonsils.  These can all contribute to an unstable bite.  If this is your problem and you address it, it could make a big difference in the stability of your result.

I would suggest that you speak to your medical doctor to uncover any of these issues.

Martin Frankel, DDS
Toronto Cosmetic Dentist
I Have Uneven Teeth and a Slight Overbite. What Are my Options?

I know braces are probably a must but I was wondering if it is possible I get the ones that are not visible? I don't want people to see I am wearing braces. I have considered veneers. However, I feel that since my teeth are healthy, I don't want to destroy them. Please review my photo and let me know my options and how long the process will take. Thank you!

A: Invisalign should work for you

Based on what I see in your photo, I would say that Invisalign should work to align your front teeth.  You may have to have your teeth contoured (re-shaped by your dentist) so that they will line up in the best possible way, but aligners can move your teeth into position.

Other options for your treatment would include braces, direct resin bonding, and porcelain veneers.  Based on what you have said it seems that if everything looks right after a complete examination of your teeth and gums, then Invisalign would be your best option.

Martin Frankel, DDS
Toronto Cosmetic Dentist
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