I am 24 and have crooked teeth, I just requested to have my 4 top front teeth replaced and maybe my bottom 4 front as well! Or would braces be a better choice?? Please let me know!! Thanks!!
Implants or Braces? I Have a Bad Allignment.
Doctor Answers (8)
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Braces or implants
If at all possible and ideal, orthodontics (braces) is better to align mis-aligned teeth. Implants is often reserved for replacing hopeless teeth. A consultation with orthodontist is a good place to start to learn about what is involved in treatment. Without having any x-rays and evaluation information at hand, that is my recommendation.
Misaligned front teeth: braces or crowns
The misaligned teeth can be corrected with different types of treatment: orthodontic or cosmetic restorations with crowns. The choice of treatment usually depends upon the severity of the teeth malposition and should be identified by the cosmetic dentist and orthodontist. Minor teeth malpositions that do not alter occlusal relationship can be usually corrected with Invisalign. The young age is the leading factor to try to save the teeth and lend more towards orthodontic treatment. In the cases when the teeth have extensive restorations or defective enamel their esthetics can be corrected with all-ceramic or PFM crowns. The tendency to replace malpositioned teeth with implant supported restorations is usually defined by the weak perio-status and overall poor prognosis of the teeth.
Implants compared to braces
If your teeth are healthy and bad alignment is the only issue, I think braces (orthodontics) would be the best and most conservative treatment. If there are cavities, shape issues, fractured teeth or if gum disease is involved, then bonding, veneers, crowns or implants would be appropriate to consider. If you really need implants, they are a great option, but I would take a healthy tooth over an implant in my own mouth any time. I have done cases where we did a combination of both implants and orthodontics, so it's a good idea to talk to an orthodontist before you decide.
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Implants or teeth extracted
If your natural teeth can be realigned there is nothing better than what nature has provided you with . Just fix what you already have !!
Crooked teeth should be fixed by moving them, not removing them
While dental implants are among the longest lasting treatments in dentistry, nothing is perfect and CAN fail. If the crooked teeth are otherwise healthy, removing them and placing implants borders on malpractice and it may be difficult to find a dentist to treat.
Also, consider the cost. Fees for ortho will be around $4000-6000. To do extractions and implants will range close to $12,000 for the upper and another $12,000 for the lower. Braces will be considerably less expensive.
Removing teeth is rarely a good choice.
Your own teeth are definitively better than any implant or implants could ever be, but it sounds like your best choice would be Invisalign orthodontics integrated with cosmetic dentistry. I would get some opinions with dentists who have trainng in both Cosmetic Dentistry and Invisalign and have been doing this for a minimum of 5 to 10 years.
Implants or Braces?
My personal philosophy is " never remove a part of your body that can be saved for a reasonable period of time with low risk". You are way better off not removing your natural teeth if they are healthy. Please consider braces (orthodontics) and / or veneers to correct your alignment problem. A qualified cosmetic dentist or orthodontist can help you come to healthy decisions about your mouth, body, and future.
Implants, Braces or Veneers for Crooked Teeth?
The question of whether it is better to have your teeth straightened or a cosmetic dentistry procedure like veneers is timeless. I'm thinking you might really need porcelain veneers rather than dental implants (those would be really just to replace teeth that are completely missing).
Here are some points to think about which option, veneers or braces (for example, Invisalign):
- Do you have a special event coming up quickly, for example a reunion or a wedding? If so, veneers will be a faster option.
- How is the alignment of the rest of your teeth? If your dentist tells you that your bite is mismatched or off considerably, then braces will not only make your front teeth look better, but it will make a big difference to the overall health of all your teeth.
- If the color or shape of the teeth you are noticing is unattractive, then veneers are the best, because even if you have your teeth straightened, they still won't be as attractive as you want.
Thanks for asking, Scott Greenhalgh, DDS
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.