Have congenitally missing upper laterals but unlike other cases I've seen there was barely any space for implants, rather, the rest of my teeth seemed to come through further forward (e.g. canines where laterals would be). I don't have a narrow arch so it seems the only way for me to get implants would be to move the canines and molars backwards in the arch (towards the throat) to their natural position with the upper canines behind the lower. Is this possible and what would it entail? Headgear?
Answer: The best method to create space for lateral incisor implants I would strongly suggest you look at the entire mouth raher than concentrating on lateral incisor implants. The front teeth are all tipped lingually and the maxillae (upper arch) could be expanded.I would strongly suggest utilizing the DNA appliance and Epigenetic orthodontic to expand and create space and would probably do three way expansion.This would probably also help wit hue gum exposure of the teeth and leaden go a nicer full smile.The lower incisors also look dipped posteriorly.You did on discuss TMJ problems, Snoring, Sleep Apnea or headache problems. If any of those conditions exist it could be dire cly related to your bite.The DNA can give growth orthopedically and Pneumopedically.
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Answer: The best method to create space for lateral incisor implants I would strongly suggest you look at the entire mouth raher than concentrating on lateral incisor implants. The front teeth are all tipped lingually and the maxillae (upper arch) could be expanded.I would strongly suggest utilizing the DNA appliance and Epigenetic orthodontic to expand and create space and would probably do three way expansion.This would probably also help wit hue gum exposure of the teeth and leaden go a nicer full smile.The lower incisors also look dipped posteriorly.You did on discuss TMJ problems, Snoring, Sleep Apnea or headache problems. If any of those conditions exist it could be dire cly related to your bite.The DNA can give growth orthopedically and Pneumopedically.
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Answer: Making space for lateral incisors Hi James, I have a slightly different take on this, from what I can see in the photos, your back teeth are slightly infront (1 tooth infront), of the lower teeth. This is not noticeable at the front, because you are missing the lateral incisors. I would suggest we need to see some full face profile pictures to plan your case better (as moving the teeth will change facial profile), but one option may be to remove the first premolar teeth, then tip the canines back, tip the front ones forward a little, and create space like this. From the x ray, it looks like the canine roots are already in the right place, so this shouldn't take too long (maybe 9 months).The implants may then be a little tricky as you have thin gums, and there already looks like there is bone loss between the central and canine teeth. This may or may not be a problem, but it will need to be assessed nearer the time of placing implants. If you start looking at arch expansion, then you need to do the same for the bottom, and when moving teeth, we are confined to keeping them in the bone, if you have thin bone, then this again wouldn't be my first choice. I do agree that the most simple treatment here is to make the canines look like laterals, and premolars like canines. It won't be perfect, but its definitely a good option. I hope this helpsGurs
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Answer: Making space for lateral incisors Hi James, I have a slightly different take on this, from what I can see in the photos, your back teeth are slightly infront (1 tooth infront), of the lower teeth. This is not noticeable at the front, because you are missing the lateral incisors. I would suggest we need to see some full face profile pictures to plan your case better (as moving the teeth will change facial profile), but one option may be to remove the first premolar teeth, then tip the canines back, tip the front ones forward a little, and create space like this. From the x ray, it looks like the canine roots are already in the right place, so this shouldn't take too long (maybe 9 months).The implants may then be a little tricky as you have thin gums, and there already looks like there is bone loss between the central and canine teeth. This may or may not be a problem, but it will need to be assessed nearer the time of placing implants. If you start looking at arch expansion, then you need to do the same for the bottom, and when moving teeth, we are confined to keeping them in the bone, if you have thin bone, then this again wouldn't be my first choice. I do agree that the most simple treatment here is to make the canines look like laterals, and premolars like canines. It won't be perfect, but its definitely a good option. I hope this helpsGurs
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March 7, 2014
Answer: Creating space for missing laterals I would definitely look into expanding your arch and creating space for the laterals followed by implants. From the photos that you have posted I don't see a wide arch at all. In fact, it looks quite narrow and restricted. Although you can shape the teeth to look like other teeth for cosmetics this would not address the space problem which can lead to more severe issues down the road.-
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March 7, 2014
Answer: Creating space for missing laterals I would definitely look into expanding your arch and creating space for the laterals followed by implants. From the photos that you have posted I don't see a wide arch at all. In fact, it looks quite narrow and restricted. Although you can shape the teeth to look like other teeth for cosmetics this would not address the space problem which can lead to more severe issues down the road.-
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May 29, 2014
Answer: Can my teeth be moved backwards/sideways to make spaces for lateral incisor implants I feel you may not achieve enough space to accomodate an Implant on either side. The mismatched space then would be more difficult to manage with veneers than it would be now. You must be able to get a good smile with six veneers on upper front teeth.Dr. Gaurav Kr Goel MDS
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May 29, 2014
Answer: Can my teeth be moved backwards/sideways to make spaces for lateral incisor implants I feel you may not achieve enough space to accomodate an Implant on either side. The mismatched space then would be more difficult to manage with veneers than it would be now. You must be able to get a good smile with six veneers on upper front teeth.Dr. Gaurav Kr Goel MDS
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May 29, 2014
Answer: Can my teeth be moved backwards/sideways to make spaces for lateral incisor implants? An easier and less costly way would be to make the canines look like laterals, and the first premolars look like canines. This can be accomplished with bonding or veneers.
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May 29, 2014
Answer: Can my teeth be moved backwards/sideways to make spaces for lateral incisor implants? An easier and less costly way would be to make the canines look like laterals, and the first premolars look like canines. This can be accomplished with bonding or veneers.
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