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Dental mutilation and bite collapse

Question

Hello, my last lower left molar is collapsing (and my jaw bone as well for that matter), as well as the upper left molar that is right above and goes down further more.

Can you tell me why and would there be any solution to upright these two molars? I am worried, because my jaw bone is distorting completely.

Thank you

Answer

Dental mutilation

Mutilation of tooth #46 (X). Mesial tipping of teeth #47 and #48. Hypereruption of tooth #16. Adjacent periodontal problem indicated by the arrows.-Dr Chamberland orthodontist in Quebec City

Mutilation of tooth #46 (X). Mesial tipping of teeth #47 and #48. Hypereruption of tooth #16. Adjacent periodontal problem indicated by the arrows.

Inevitably, when a tooth is lost, a lower right molar (#46) in the example above, tipping of the posterior teeth occurs toward where the missing tooth was located. The upper tooth #16, which no longer has its opposing tooth and has no vertical support, starts to erupt and goes down in the lower toothless space.

Food traps are thus created and accumulation of dental tartar and bone loss occur. The white arrows indicate the areas where bone loss is starting to occur.

The tipped teeth must be uprighted and the missing tooth must be replaced or the teeth must be uprighted and the space must be closed by protracting the posterior teeth. The surface of the teeth must also be cleaned and all the tartar removed to avoid the progression of the bone loss.

Implant

Implant of tooth #36. Uprighting of tooth #38 and intrusion of tooth #26.-Dr Chamberland orthodontist in Quebec City

Implant of tooth #36. Uprighting of tooth #38 and intrusion of tooth #26.

This example shows a similar case where the upper left tooth has collapsed in the opposing toothless space. The lower molar (#38) is tipped toward the toothless space (missing teeth #36 and #37).

The treatment consisted of intruding the upper tooth to obtain a straight plane. The lower molar was uprighted and protracted forward to reduce the width of the toothless space. A molar on implant of an optimal width and height was placed afterward.

Piece of advice

I recommend you to consult your dentist so he can evaluate your situation and propose solutions. You will possibly need treatments in orthodontics, periodontics and prosthodontics.



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