You should try to achieve optimal space through braces first

Anca Bazile, DDS answers: Dental implant vs braces

Hi Doctor I am 28years old, i have one missing molar on my lower jaw for 8years, the teeth has bee shifted and i appear as angle . one dentist told me i still can get a mini implant, but one of teeth maybe cutted off in order to make the space bigger. i would like to know what is better option for me. implant or braces? Thank you for your time.


Anca Bazile, DDS
7 months ago

Hello,

The best option is to provide as much space as possible prior to placing an implant.  Specifically, you should achieve the space that the missing tooth would have spanned.  The only way to do so is through braces FIRST. Mini implants are the last resort for the following reasons: 

1. The crown (top) of the tooth will not be the size of the missing tooth. 

2. The base between the tilted tooth and the mini implant tooth will be an impinged space which will make it very hard for you to keep clean, thus eventually developing localized gum/bone disease in the area. The "cutting " of the tooth will then be involved, possibly requiring a root canal.

In conclusion: Get braces to make the empty space as ideal as possible. Aferwards, hopefully have a regular size (for the corresponding missing tooth) implant placed, or potentiallly consider the possiblility of a fixed bridge.

I hope I clarified the situation.

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