Missing Teeth / Dental Implant / Braces?

I am having a lot of problems with my mouth over the last few months. I went to the dentist and he told me that I still have a baby tooth and I was born without two of my permanent teeth [two of the front bottom teeth].





He thinks I should pull the baby tooth and get braces to make room for two dental implants.





The whole thing freaks me out. I don't want to be toothless, and I also don't want something foreign in my mouth that is destined to "fail" sometime or another.





I am also curious as to if I could just get braces and pull everything together and just leave some space in the back - possibly room for my wisdom teeth when they come in.





I am an education major very close to graduating and I don't want to have a physically negative appearance in the classroom. I have been constantly crying over the last few months after I heard the news. I really would like to hear comments from professionals who could possibly put me to ease.

Missing Teeth / Dental Implant / Braces?
Hi! I've been in dentistry for over 25 years and have implants. Many of them. And please promise me to stop crying over this. IT IS a solvable problem and you will not look bad or will they fail. In fact, implants will out live you. The baby teeth will fail. This you have no choice, they have to go. The braces will make room and more importantly, the implants will look more natural and better than the baby teeth. It all takes time, but the end result will be wonderful.


This is what I would do. I would make either a Maryland bridge that fills the gab and cements onto the neighboring teeth to take up the space of the baby teeth. The Ortho can bypass this and cement brackets and add the wire to the natural teeth and move them into position. Once this is done, remove the bridge and sink the implants. You can recement the bridge until the implants heal in place and the final crowns can be placed. NO ONE will know BUT YOU! And there is no space to be embarrassed about.


The second option is to wear a flipper that has two teeth on it and no one will know but you. I think this is not the best of choices as you can remove this and it can come out easily.


What I have done for patients, is make the Maryland bridge with a temp. material, costs less and you can have a good look. Once the teeth shift, sink implants and make a partial denture for the space. This hooks on to your natural teeth and is less likely to move when you talk or laugh. I have also re-cement the Maryland bridge for 3-4 months and the patient has no concerns until it it time for final impressions. Then still use this so no one knows and it looks great. It will cost a little more, but you wil have a full set of teeth, stop crying about it and get on with a great career. THIS is a TINY speed bump in your life. A good dentist will never let you walk around missing teeth and look terrible. I will never allow any of my patients to angst over this. If I have to make the temporary myself I do. Believe me, I have 11 implants and 5 are in the front, do you think my patients ever saw their dentist without perfect teeth? Never. So please calm down, this is easy to do. If your dentist can't find someone that can. I do this all the time and my patients love me. The reason I care so much is I have been in the same situation. If you have any other questions, please ask. Marie.
Reply:It will be okay. If you are uncomfortable witht eh implant tell the denist your idea and see what he says.
Reply:Okay. Are you aesthically ok at this point? That baby tooth can last for a very long time. I have a patient (I'm in the dental field) who has a nicely functioning baby tooth. He is 75 freaking years old!





Yes it is possible that the baby tooth will crap out. When it does, an implant may be in order. By that time you may have dental insurance and they might even cover a portion. SWEET! Dental implants have come a long way over the last 20 years. They are costly, but do last when done correctly.





If you have a malocclusion, see an orthodontist to see if braces can help this situation. They are in a position to scope out what needs to be where.





If you have dental insurance now, you should be able to get a panorex (full lower face xray) done under your coverage by your dentist. Take that xray to the orthodontist and get a consult. Most orthodontists will do a consult for a minimal fee.





Don't worry about looking professional in the classroom because of your teeth. The kids will love it if you have to get braces. Now quit crying and finish you school work to the best of your ability.
Reply:i have braces n my best friend does she went through the same thing.i have to get a baby tooth pullde before i get mine


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