Is my only option removing 4 teeth? (photos)

Ever since I had 3 children close in age I've had problems with my teeth! The bottom has receded badly and tooth is very loose as it's also receded inside mouth by tongue. The 4 teeth around that area are also loose what's my options My dentist just wants to pull out most of my bottom teeth...I'm only 33 so really worried about it

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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