Posterior collapsed bite? Can I get implants/braces/surgery to fix height loss? Shocked and confused (photos)

Question

Do I have posterior bite collapse? One braces consult made my case out to be extreme and told me I have lost “significan” height in my face. Four others didn’t agree at all. My X-rays however show vertical height loss. Tooth wear/grinding has been ruled out. I am missing upper premolars, upper left 2nd molar (congenitally) and lower 2nd molar had to be extracted 7 years ago due to super eruption/wisdom tooth. What’s going on here? And can I get implants/braces/surgery to fix height loss?

Patricia Moezinia, DDS · Answer

Although more clinical and radiographic studies would be necessary for an adequate answer, from what we can see in the photos it may be possible that there is a decrease in posterior vertical dimension, and this may be related to the lack of premolar and posterior molar. A treatment option could be orthodontics to extrude molars and thus increase posterior vertical dimension gradually. Also in the radiograph you can see occlusal migration of the 2nd lower molar due to the absence of the first upper molar, this may be generating oclusal interference, so I would recommend a consultation to analyze the possibility of placing an implant in the posterosuperior sector. Dr. Patricia Moezinia, specialist in dental aesthetics, will be in charge of guiding you to achieve the best treatment plan.

Posterior collapsed bite? Can I get implants/braces/surgery to fix height loss? Shocked and confused (photos)

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