How to achieve straight teeth if you have gum disease?

My two front teeth are crooked and overlapping.. I've been trying for a couple or years & a lot of money to get my teeth in good health for braces but I found out I have gum disease.. I had gum surgery and still have gum disease.. My dentist said she would not clear me for braces with active gum disease so is they any other options for straight teeth? Maybe veneers or am I stuck with ugly teeth for the rest of my life?

Doctor Answers 4

Gum disease and options for straight teeth #DrSoftTouch

Without knowing the severity of your gum disease, it's difficult to say what options you have to straighten your teeth. Perhaps after you get your gum disease under control, porcelain veneers would be an option for you. But again, this depends on several factors such as the amount of bone loss, tooth mobility, etc. Don't give up! Get your gum disease under control and I'm confident you'll have options to get you smiling again. I hope this helps and just click "save" under my name to have me answer more of your questions in the future.

Gum Disease and Orthodontic Treatment

I am a Periodontist and work with my partner who is an Orthodontist. We frequently have patients with gum disease visiting us for braces and we have treated several such cases very successfully.

However, not every case with gum disease can be taken up for orthodontic treatment. Case selection depends on several factors such as the severity of the disease, amount of existing bone loss, tooth mobility etc. As an alternative, all ceramic crowns to splint teeth and give an aesthetic appearance is definitely an option you could consider.

Prashant Nanda, MDS
India Dentist
5.0 out of 5 stars 3 reviews

Gum Disease And Orthodontic Alternatives

Unfortunately, gum disease includes the loss of the supporting bone. The bone is like the foundation of a house, any structure will only be as strong as the foundation. No, you do not have to have ugly teeth for the rest of your life! Without knowing the severity of the gum disease it is difficult to say which option best suits you. However, if there is enough bone left, splinting the teeth with crowns will achieve a beautiful smile. Splinting the teeth is when you place crowns on the teeth necessary for a nice smile and the crowns are bonded together. When done well it looks very natural and functions well while adding strength to the teeth. It may involve more than two teeth. Your dentist will use his or her judgement here. Another option which works for almost everyone, depending on health history, is implants. With today’s technology and research, anyone can have a beautiful smile with teeth that are like your own. With the properly trained dentist or dental team, implants are amazing.

Active periodontal disease is a contraindication to orthodontics

While orthodontics can help prevent gum disease, it may be risky to straighten teeth when gum disease is present.  Perhaps you should consider consulting with a periodontist (gum disease specialist) to see if you can't get gum disease under control.  Veneers or crowns may be an option for you, but these treatments must also be used with caution when periodontal disease is present.  With communication between your periodontist and a competent cosmetic dentist, I am confident you will have options to improve your smile!

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.