Is my only option removing 4 teeth? (photos)
Doctor Answers 2
I would not extract without a second opinion. Frenum relief and possible Grafting
You have a high frenum that is creating problems. It is a very easy and pactically pain free procedure with a laser to release it. I would consider being evaluated by a doctor who understands orthopedics and functional growth and jaw positioning. I cannot evaluate underlying bone from a photo. I would also evaluate your lingual or tongue frenum which may also need release.
Are you getting headaches, migraines, TMJ issues or chronic neck pain?
If yea I would start with diagnostic neuromuscular orthotic. You may be an excellent candidate for a DNA Appliance.
Ira L Shapira DDS, D,ABDSM, D,AAPM, FICCMO
Chair, Alliance of TMD Organizations
Diplomat, American Academy of Pain Management
Diplomat, American Board of Dental Sleep Medicine
Regent & Fellow, International College of CranioMandibular Orthopedics
Board Eligible, American Academy of CranioFacial Pain
Dental Section Editor, Sleep & Health Journal
Member, American Equilibration Society
Member, Academy of Applied Myofunctional Sciences
Soft tissue grafting is very successful
Without x-rays it is hard to say if extractions are needed. Probably not. The frenum attachment looks like it should be altered, and a gum graft would "kill two birds" by replacing missing tissues AND re-positioning the frenum, which will prevent further gum recession.
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