Q. Would braces close wide gap between front teeth?

Answered by
Dr. Naveen Thomas
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on May 25, 2016 and last reviewed on: Oct 09, 2018

Hi doctor,

I have a wide gap between front teeth that was due to short upper and lower frenulums, which were removed nine years back. I also treated for periodontal disease as a result of these gaps. Now I have recessions (pockets), exposed root of that front tooth and also it is deviated. Do I need surgery for correction? What type of surgery? The lower front two teeth also have little recession. Please advice.

Dr. Naveen Thomas

Dentistry Endodontist Paediatric Dentistry Periodontist
#

Hi,

Welcome to icliniq.com.

  • You need to get root canal treatment for the upper and lower central teeth then placement of a fixed partial denture (FPD ceramic crowns) on them to close the space. This will give a permanent solution to your problem.
  • It will give you a much better esthetic solution.
  • Kindly show it to your dentist and ask for fixed partial denture. It will take about two weeks to finish the treatment.

For further information consult a periodontist online --> https://www.icliniq.com/ask-a-doctor-online/periodontist


Was this answer helpful?

 | 

Thank you doctor,

The root canal treatment is aimed at denervation and cleaning right? Also, are dentures the removable ones when I have to eat? Why do not I go for implants?

Dr. Naveen Thomas

Dentistry Endodontist Paediatric Dentistry Periodontist
#

Hi,

Welcome back to icliniq.com.

  • Yes, root canal treatment is like that which will help in reshaping your bended incisors and place a modified ceramic cap over it.
  • The denture is completely esthetic and you would not even know that you had placed fixed denture in the area. FPD is the best choice for you.
  • Implants are less viable in your case due to bone loss and periodontitis in the area.

For further doubts consult a periodontist online --> https://www.icliniq.com/ask-a-doctor-online/periodontist


Was this answer helpful?

 | 

Thanks you doctor,

Would braces do the job? A few dentists here are suggesting that.

Dr. Naveen Thomas

Dentistry Endodontist Paediatric Dentistry Periodontist
#

Hi,

Welcome back to icliniq.com.

  • Braces would do the job if your gums are very healthy and the teeth in front are firm.
  • But, you have mentioned deep pockets around the front teeth and gums are receded. In such cases usually braces are avoided.
  • If your dentist or much better if an orthodontist (braces specialist) says he can correct it using braces, then you can go on with his treatment.
  • Send me picture of your whole mouth from a distance while showing teeth so that I can look from a distance.

For further information consult a periodontist online --> https://www.icliniq.com/ask-a-doctor-online/periodontist


Was this answer helpful?

 | 

Thank you doctor,

I have attached pictures for your reference. Please advice with that.

Dr. Naveen Thomas

Dentistry Endodontist Paediatric Dentistry Periodontist
#

Hi,

Welcome back to icliniq.com.

In your case after going through the pictures (attachment removed to protect patient identity), you need to undergo following treatments to correct the irregularities.

  • First put on braces to close the lower teeth space and some of the upper too.
  • In upper, your left central incisor has high gingival recession which will mostly lost after putting on braces as it will become highly mobile. If not then lucky.
  • You have two missing lateral incisor teeth in upper which needs to be replaced.
  • Ask your dentist to make a ceramic FPD from the right canine tooth to the left canine tooth, total six. This will give you a permanent esthetic teeth alignment.
  • This is the comprehensive solution to your problem, but it will take time of about one and a half year in total.

For further information consult a periodontist online --> https://www.icliniq.com/ask-a-doctor-online/periodontist


Was this answer helpful?

 | 

Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Related Questions & Answers


Can a decayed tooth be saved?

Query: Hi doctor,I am dealing with a big problem. Over the years my teeth have been slowly decaying. I was not big on brushing and now my molars are completely messed up. One of them is basically gone with a very dark color hole in it. The other molar is slowly getting to that point and it is about halfway...  Read Full »

Why is my dental implant getting reinfected often?

Query: Hello doctor, I had my tooth removed and a dental implant done five months ago. About three months ago it got infected. I went to my dentist, who cleaned out the infection and prescribed antibiotics. The infection did not go away, so I was prescribed antibiotics two more times. Once again, the infe...  Read Full »

Can deep filling close to nerve cause sensitivity?

Query: Hi doctor, I recently broke a part of my back tooth besides an old filling. A week ago, my dentist removed the old filling and repaired everything with white filling. Since then, I have been getting a sharp pinch to the center of my tooth if I try to chew with it. There is no pain. It is a little se...  Read Full »

Popular

Popular

Ask your health query to a doctor online?

Ask a Periodontist Now

* guaranteed answer within 4 hours.
Enter Your Health Query
You can upload files and images in the next step.

Fee:  

 


Disclaimer: All health Q&As published on this website is not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.