Hi doctors! I am a 33 year old male and Ibeen missing an upper premolar since my teens but resorted to wear flipper after several years. This causedthe adjacent moral to shift and tilt toward the space. Now i'm considering to get an implant but my ortho said it would be ideal to close the gap by moving the molar. She said the gap is too narrow about 4mm for an implant.
What are possible treatments for narrow tooth space? (photo)
Doctor Answers 3
Narrow Tooth Space
Narrow available space for dental implant
also not clear in the picture, but you might need Bone grafting procedure to augment the bone in width for an implant.
in General we need at least 7 mm for an implant in this area),
1. sometimes space could be created by shaving the crown of the teeth on each side. But given that you have seen an Orthodontist, this is probably not the option for you. Probably, the crown and the root of teeth on each side have entirely moved/ tilted. so option 2 is needed first:
2. Using Orthodontic treatment to open the space. your Orthodontist has decided that this is not the option for you?
3.closing the existing gap using orthodontic treatment. With advantage of no further need for bone augmentation/ implant.
4. 3 unit fixed bridge, this will involve placement of crowns /caps on adjacent teeth. Not a very conservative approach if your teeth don't need to be restored.
5. no treatment. Which is always an option, but with the risk of further shift in your teeth, and bone loss
hope this is useful