Is braces treatment appropriate for people with bone loss?

Question

Hello doctor,

I wanted to know if there was a difference between mild and severe bone loss due to gum recession after gum grafting, what could be done to restore bone, and if braces could still be worn for extensive treatment on the top and bottom teeth for teeth that are severely misaligned and in need of a bite adjustment.

There could be a small underbite present, but I am not sure. Additionally, orthodontic treatment has already been put off for almost two years due to the twelve-year molars not having fully or at all erupted.

Kindly help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

Bone loss frequently causes gum recession. Since the bone still covers half of the tooth root when there is just mild bone loss, the tooth may still be supported. When there has been a significant loss of bone, the bone can only support around half the length of the tooth root, which is insufficient to hold the tooth. But here, restoration of bone loss is a problem.

One must take into account the kind and pattern of bone loss. The buccal bony plate and intermediate bone are frequently lost in situations of buccal recession (the bone between the two teeth). The buccal bony plate cannot be repaired, although, in some circumstances, bone grafting can repair intermediate bone loss.

Additionally, the pattern and degree of bone loss can be inferred from an X-ray of the teeth. In certain circumstances, braces can be used, but no teeth should have significant bone loss. Because the tooth socket is where the teeth migrate during orthodontic therapy. There is a danger that the tooth might fall out of the arch if the tooth support is insufficient as a result of bone loss.

I hope this helps.

Please let me know if you need any help.

Thank you.