Alpharetta Braces doctors
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James J. Awbrey IV, DMD
Atlanta Orthodontist
4895 Windward Parkway Suite 200, Alpharetta |
9 answers | |
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Matt T. Walton, DMD
Alpharetta Orthodontist
2609 Peachtree Parkway Suite C, Cumming |
8 answers | |
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Lorenzo Minniti, DDS
Alpharetta Cosmetic Dentist
270 St. Claire Drive Suite 105 & 104, Alpharetta |
Recent Answers
I have already worn braces as a teenager between ages 14-19 for straighter teeth and i put a mini implant (tad) on gum for closing the space because i haven't had a permanent tooth under the baby tooth .My main problem is the bruxism that i have during the night and has already damage my teeth ,bigs chips and cracks on fron teeth also has affected my speech beacause i have a lisp with s .I am really anxious because i am too young 21 years old and my teeth have been damaged too much already
Can I put braces on the second time? Of course. That is simple, but putting you back in braces and straightening the teeh is not going to prevent any future damage and chips you are experiencing. This process will continue to occur even after the teeth are well aligned because you are experiencing the signs of Sleep Apnea. I have given you some information that you need to explore and I would highly recommend getting your primary care physician to refer you for a sleep study.
There is clear evidence-based data to confirm that nocturnal bruxism is related to sleep apneic events and phasic lateral movements the jaw is performing during the microarousal episodes caused by sleep apnea. This, inconjunction with GERD (gastroesophageal reflux disease), is the true cause of the excessive erosive, attrition and fracture of the dentition we see in many individuals like yourself. I highly recommend referencing articles from Dr. Jeffrey S. Rouse - The Bruxism Triad: Sleep Apnea, Sleep Bruxism and Sleep-Related GERD to get a better understanding of your problem.
There are serious risk factors associated with Sleep Apnea, if left untreated for many years, that can include high blood pressure, heart attack, stroke, obesity and diabetes. Your are young and the damage you have experienced to your teeth pales to these serious risk I have listed above. The reason for these risk is a deprivation of oxygen during sleep apneic episodes which sets up a systemic inflammatory response that, left untreated over many years, begins to have serious side effects on the health of your body.
I cannot emphasize enough that if you have a child that is having breathing issues at night this can adversely affect brain development and their performance in school for years to come. You need to have an ENT evaluate the tonsils, adenoids and turbinates for possible removal and I would highly recommend a consult with a knowledgeable orthodontist for evaluation. There is evidence to show that 1 in 6 children do experience sleep apnea.
You can reference many of the terms above to get a better understanding of this problem.
Best regards,
Dr. Jim Awbrey
Hi,I have a triangular gap in the bottom of my two front teeth like 5mm between the gum and 4mm top of the teeth. I happen to have this gap due to two missing teeth, which was cause by twin teeth when i had in youth. The orthodontist advice me to get implant but it was bit off my budget and i heard there is severe failure in this tech as well. So I would really well prefer braces however I heard bottom teeth are harder to move and the gap might not close completely. Seeking for advice, thx
I would prefer a picture to give you a proper diagnosis and treatment plan. If that is possible that would really help to give you my best advice.
Best regards,
Dr. Jim Awbrey
My implant dentist insists on my braces brackets next to the empty space awaiting the crown be removed but my orthodontist insists the opposite because of the possibility of my teeth shifting within the time it takes the impression to be made. What are your opinions. I agree with my orthodontist in not wanting to remove the brackets to help hold the space. The space is being held by wire & spring between the two brackets. Thank you,
The wire will definitely need to be removed prior to the impression, however, if you can have the brackets removed in the morning, for your dentist to get his impression, and have the brackets rebonded the same day that will be fine. Removing the brackets on the adjacent teeth will only help facilitate the removal of your crown impression. The impression material can be quite rigid and very difficult to remove with brackets remaining on the teeth. The other method, is remove the wire prior to the impression and fill the brackets with a wax to remove undercuts and than take your impression. This will also work. You can than immediately replace the wire and spring to maintain that space. If the space is not maintained exactly after the impression is taken he will have difficulty seating that crown back onto the implant. That is a given. I think many times the general dentist does not understand how quickly that space can change, especially for a patient in active appliances, if it is not maintain exactly after the impression is taken. If not, when the crown shows up two weeks later he will either have to alter the crown or adjacent teeth to get the crown to fit or take a new impression and start over. A lose - lose situation for all parties.
Best regards,
Dr. Jim Awbrey
