I had my lower 12-year-old molars extracted 50 years ago. They were never replaced. Result is that the teeth behind them have tilted forward so that it is impossible to replace the missing teeth.This has had terrible consequences: terrible bite, painful chewing, preference for soft food, etc. Can Invisalign work to upright these teeth and provide space for a permanent bridge?
January 21, 2010
Answer: Uprighting Molars Invisalign can do some uprighting, however it sounds as if you have more major instabilities in your bite than just a minor tilt of the molars. You mentioned in your story that it's your 12-year molars that are missing. The 12-year molars are numbered #2, 25, 28, and 31. I just want to be sure it's your 12 year molars (if so, there should still be a molar in front of the space as well as behind). Then the molars behind the space would be your wisdom teeth and the molars in front of the space would be your 6-year molars (numbered #3, 14, 19 and 30). If this is the case, I would say the best treatment would be to remove the wisdom teeth and place implants in the 12-year molar spaces. If that is not the case (and it is actually your 6-year molars that are missing), then I would recommend orthodontics (braces with or without mini-implants) first, followed by implants to replace the 6-year molars.
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January 21, 2010
Answer: Uprighting Molars Invisalign can do some uprighting, however it sounds as if you have more major instabilities in your bite than just a minor tilt of the molars. You mentioned in your story that it's your 12-year molars that are missing. The 12-year molars are numbered #2, 25, 28, and 31. I just want to be sure it's your 12 year molars (if so, there should still be a molar in front of the space as well as behind). Then the molars behind the space would be your wisdom teeth and the molars in front of the space would be your 6-year molars (numbered #3, 14, 19 and 30). If this is the case, I would say the best treatment would be to remove the wisdom teeth and place implants in the 12-year molar spaces. If that is not the case (and it is actually your 6-year molars that are missing), then I would recommend orthodontics (braces with or without mini-implants) first, followed by implants to replace the 6-year molars.
Helpful
January 20, 2010
Answer: Braces to upright a molar Braces are needed to upright a molar. The biomechanical forces and vectors needed to upright a molar are too much for invisalign. Molars are large teeth with multiple roots and to upright them the roots must be moved through the bone. An alternative to full lower braces may be miniscrews with brackets on the back molar teeth.
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January 20, 2010
Answer: Braces to upright a molar Braces are needed to upright a molar. The biomechanical forces and vectors needed to upright a molar are too much for invisalign. Molars are large teeth with multiple roots and to upright them the roots must be moved through the bone. An alternative to full lower braces may be miniscrews with brackets on the back molar teeth.
Helpful