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16 июля 2021

Alignment of teeth before implantation

I want to align my teeth before implantation, one tooth on the lower left needs to be extracted soon. Which teeth do you think I should remove, where three together is it better to remove or keep?

The doctor's answer

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Answer Petrova Elena Alexandrovna

Orthodontist, Team lead TMJ, experience 10 years

Based on the data provided, we can note that you are characterized by:

  1. Deep bite.
  2. Lack of space for 15 and 25 teeth (top right and left).
  3. Moderate crowding of teeth on the lower dentition in front.
  4. The displacement of the center of the lower dentition to the left.

Answers to questions:

  • The decision to remove the dystopian premolar (above right) can be made after diagnosis (analysis of 3D X-rays, photographs and models of the dentition) – since the 17th tooth has been extracted, there is a possibility that the 16th tooth can be moved in its place and the dystopian tooth «put» in the vacated place.
  • It may be necessary to remove teeth, but a decision can be made only after diagnosis. Depending on the ratio of the upper and lower jaws with fully closed teeth (without extending the jaw forward), as well as after evaluating the position of the articular heads of the TMJ, we decide on the removal (or non-removal of teeth) and methods of bite correction.
  • Dental extraction according to orthodontic indications can occur at different stages of treatment (before, at the beginning or in the middle of treatment), therefore, all diagnostic data must first be evaluated.

The cost and duration of treatment depends on the complexity of treatment in each specific clinical situation. Information on the level of complexity and calculation of the duration of treatment is provided after diagnosis.

Please note that these recommendations are for informational purposes only. To make a diagnosis and prescribe a treatment plan, you need to consult and diagnose an orthodontist.

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