Are braces safe for my teeth after juvenile periodontitis?
Patient's Query
Hello doctor,
If significant gum recession is present and a gum graft is performed to thicken and strengthen the tissue, could anything prevent one from being able to get braces permanently?
Will everyone who has gum recession related to juvenile periodontitis be able to get braces eventually, even if orthodontics have to be delayed till the gums become healthy, or till the bone heals completely, or the gum and bone are both healed and restored to health and normalcy?
I have a few other questions, which are as follows:
- How can someone go about being able to wear braces after having had a gum graft done?
- Does it need more time to fully heal, or should something be done, such as a second gum graft, gum reshaping, or some type of bone surgery or a bone graft?
- Can a bond graft be avoided, and if so, how can this occur?
- Do the majority of people who have had periodontal disease and juvenile periodontal disease eventually get stabilized and are under control, and progress to have braces?
Also, will they not need a second gum graft or bone surgery or graft? I hear it takes about 16 weeks for a really thick gum graft to fully heal, and also about six months to possibly a year for it to fully heal. Which is true?
I am not certain at what stage this is, but I know that it was likely a moderate gum disease, or possibly more advanced gum disease. What stage does it sound like to you if it is indeed significant gum recession on the lower teeth, where surgery is needed?
A few teeth looked longer than normal, and the canine and a few other teeth next to it are going in the right direction with roots exposed. The bite was not completely normal, and the lower teeth are very much out of alignment. Gums may have been still pink or at least are pink now.
I am 18 years old, and all my permanent teeth erupted at 13 or 14, except for the wisdom teeth. I would like to think about what stage the disease was at the time of evaluation by the periodontist and then during surgery.
At what stage is gum recession or gum disease when surgery is required? Teeth may have already been significantly out of place before any gum disease was present or before it got worse.
Please help.
Hi,
Welcome to icliniq.com.
From your explanation, it seems that you have advanced juvenile periodontitis. In such cases, there is very little chance of wearing braces, as the teeth cannot support such orthodontic forces and will become mobile and fall out.
If juvenile periodontitis is autoimmune, i.e., caused by genetic factors, then it may not heal completely even after multiple grafts. However, if it occurs due to continuous neglect of oral hygiene, it is possible at times. If 9 to 12 teeth are involved, then it is too difficult to proceed with orthodontic (braces) treatment.
I suggest you take antibiotic and steroid medication to prevent further damage to the periodontium. Also, please reply to the following questions -
- Are the teeth mobile?
- Could you send a picture so that I can diagnose the particular case and give specific answers?
I wish you good health.
Thank you.
Same symptoms don't mean you have the same problem. Consult a doctor now!
Dentistry
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