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    • MrHeisenberg
    • By MrHeisenberg 9th Apr 18, 1:38 AM
    • 130Posts
    • 11Thanks
    MrHeisenberg
    Teeth straightening and dental implants
    • #1
    • 9th Apr 18, 1:38 AM
    Teeth straightening and dental implants 9th Apr 18 at 1:38 AM
    Anyone know if teeth can be more properly centred after dental implants have been placed?

    I lost some upper right teeth at a young age and the teeth on the opposite side have drifted across slightly.

    I take it once implants are placed I will be stuck with slightly misaligned teeth forever?
Page 2
    • Toothsmith
    • By Toothsmith 12th Apr 18, 8:54 PM
    • 8,833 Posts
    • 10,513 Thanks
    Toothsmith
    Was it a specialist orthodontist who gave you this opinion, or a general dentist who has done an Invisalign course?

    That 'opinion' reads like Invisalign marketing blurb more than a considered diagnosis of your problem and a balanced discussion of alternate treatments. It sounds like whoever has done it doesn't know which form of treatment will be necessary, and so will have to wait for the company to decide which treatment they sell you.

    You would get a much better opinion from a proper specialist orthodontist.
    Last edited by Toothsmith; 12-04-2018 at 8:58 PM.
    How to find a dentist.
    1. Get recommendations from friends/family/neighbours/etc.
    2. Once you have a short-list, VISIT the practices - dont just phone. Go on the pretext of getting a Practice Leaflet.
    3. Assess the helpfulness of the staff and the level of the facilities.
    4. Only book initial appointment when you find a place you are happy with.
    • GlasweJen
    • By GlasweJen 12th Apr 18, 10:17 PM
    • 6,458 Posts
    • 11,645 Thanks
    GlasweJen
    I see, I suppose that isn't too bad considering the extent of your problem.
    Originally posted by MrHeisenberg
    I was completely oblivious until I went for the consultation, I obviously knew I couldn't bite sellotape or eat sandwiches or pizza like other people but I was just weird, I didn't think I needed jaw surgery.
    This is what a local orthodontist/dentist has said to me:

    "It sounds like Invisalign would be ideal to sort out your space with a view to having an implant.

    I7 is limited to 7 sets of aligners and if this is adequate to correct your spacing then all well and good. Cost is 1750 and includes a retainer at the end.

    If this is not enough correction then the next category up is called Invisalign Lite and this is limited to 14 sets of aligners. Cost here is 2650."


    The treatment includes teeth whitening it seems. which seems a bit of luxury I can do without.

    .
    Originally posted by MrHeisenberg
    That's weird, after my consultation I had seen my teeth on the computer with what it would look like at each stage and knew how many retainers I would need, well I'd seen the computer try and fail lol. I did see the results with train tracks and how it would look if I'd gone through with surgery. It's weird because my face has changed shape a bit just like the computer predicted though the gap between my top and bottom teeth is smaller than the computer thought I could achieve so that's good.

    Getting braces tightened is agony, I have cluster headaches and it was really sore when I was in cluster and being tightened up. Having to wax your red raw inside of your mouth is a whole new experience in the pain stakes.
    Bounts, Quidco, Shop and Scan, Receipt Hog, Costco Cashback, Debit card cashback

    NOT BUYING IT
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    • MrHeisenberg
    • By MrHeisenberg 13th Apr 18, 4:09 AM
    • 130 Posts
    • 11 Thanks
    MrHeisenberg
    Apologies if I'm pointing out what you know already but you do know that teeth straightening (whether using Invisalign or anything else) is quite painful don't you? I know you already suffer from dental pain to a high degree.

    I didn't have underlying dental problems like yours and when I had Invisalign treatment and other orthodontic work I found it quite unpleasant for 4-5 days each time the retainer was changed (adjusted for non invisalign work) and had to modify what I ate. My son had occasionally to take painkillers when his train tracks were tightened and his gums were sometimes quite raw for a few days.
    Originally posted by Nicki
    Yes, that is a concern too.
    • MrHeisenberg
    • By MrHeisenberg 13th Apr 18, 4:25 AM
    • 130 Posts
    • 11 Thanks
    MrHeisenberg
    Was it a specialist orthodontist who gave you this opinion, or a general dentist who has done an Invisalign course?

    That 'opinion' reads like Invisalign marketing blurb more than a considered diagnosis of your problem and a balanced discussion of alternate treatments. It sounds like whoever has done it doesn't know which form of treatment will be necessary, and so will have to wait for the company to decide which treatment they sell you.

    You would get a much better opinion from a proper specialist orthodontist.
    Originally posted by Toothsmith
    I suspect the latter (a general dentist who has done an Invisalign course).

    A specialist orthodontist may be the way to go, though many of them use Invisalign too. I will, however, probably try get the opinion of one.
    • MrHeisenberg
    • By MrHeisenberg 13th Apr 18, 4:29 AM
    • 130 Posts
    • 11 Thanks
    MrHeisenberg
    Getting braces tightened is agony, I have cluster headaches and it was really sore when I was in cluster and being tightened up. Having to wax your red raw inside of your mouth is a whole new experience in the pain stakes.
    Originally posted by GlasweJen
    Oh my goodness! That doesn't sound good at all. I'm beginning to wonder if it is all going to be worth the (additional) agony and financial cost.
    • MrHeisenberg
    • By MrHeisenberg 13th Apr 18, 4:50 AM
    • 130 Posts
    • 11 Thanks
    MrHeisenberg
    Anyone know if there is a risk that my central incisor may crack too? It has had root canal treatment (making it more brittle) and apical surgery.
    • Toothsmith
    • By Toothsmith 13th Apr 18, 7:22 AM
    • 8,833 Posts
    • 10,513 Thanks
    Toothsmith
    Anyone know if there is a risk that my central incisor may crack too? It has had root canal treatment (making it more brittle) and apical surgery.
    Originally posted by MrHeisenberg
    You must have been told at some point from all the dentists that you've consulted that such a tooth is considered to have a poor prognosis - so yes, it is highly likely something will go wrong with it at some point. You shouldn't have to ask random strangers on the internet this stuff.

    It would also need very careful consideration to see if moving it with braces could be considered safe - so I'm surprised your Invisalign 'consultation' didn't pick up on it.

    It still strikes me that you are launching into major treatments with no proper, considered 'holistic' treatment plan.
    How to find a dentist.
    1. Get recommendations from friends/family/neighbours/etc.
    2. Once you have a short-list, VISIT the practices - dont just phone. Go on the pretext of getting a Practice Leaflet.
    3. Assess the helpfulness of the staff and the level of the facilities.
    4. Only book initial appointment when you find a place you are happy with.
    • MrHeisenberg
    • By MrHeisenberg 13th Apr 18, 9:28 PM
    • 130 Posts
    • 11 Thanks
    MrHeisenberg
    You must have been told at some point from all the dentists that you've consulted that such a tooth is considered to have a poor prognosis - so yes, it is highly likely something will go wrong with it at some point. You shouldn't have to ask random strangers on the internet this stuff.
    Originally posted by Toothsmith
    Nope, no dentist I have seen (and I have seen many) have told me that the tooth is doomed.

    It would also need very careful consideration to see if moving it with braces could be considered safe - so I'm surprised your Invisalign 'consultation' didn't pick up on it.

    It still strikes me that you are launching into major treatments with no proper, considered 'holistic' treatment plan.
    Originally posted by Toothsmith
    I never had a face-to-face consultation - I only made an online enquiry.

    I think the first step is to consider if orthodontic treatment would be both affordable and viable - something I am quite clearly researching here.
    • MrHeisenberg
    • By MrHeisenberg 13th Apr 18, 10:30 PM
    • 130 Posts
    • 11 Thanks
    MrHeisenberg
    It looks like it is feasible but carries a risk:

    https://www.hereforddentist.co.uk/articles/can-i-have-orthodontic-treatment-if-i-have-a-root-canal-in-my-tooth
    • GlasweJen
    • By GlasweJen 14th Apr 18, 8:29 PM
    • 6,458 Posts
    • 11,645 Thanks
    GlasweJen
    You really need to sit down face to face with an orthodontist and let them do the computer model with the different systems so you can see what exactly they see in your mouth, what your options are, what each option will give you in terms of outcome and what each will cost.
    Bounts, Quidco, Shop and Scan, Receipt Hog, Costco Cashback, Debit card cashback

    NOT BUYING IT
    (unless it's on offer and can get my loyalty points)
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