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Missing adult teeth. Do we go for braces or plate and implants?

(37 Posts)
GlampingQueen Wed 13-Dec-17 09:26:47

DD12 has her front two adult incisors but the two on either side are missing (the baby ones have come out and the adult ones that should take their place simply don't exist).

We've been referred to an orthodontist but the dentist has said our options will probably be for her to either have braces that rearrange all of the teeth to hide the gaps and then have her canine teeth reshaped to look more like the missing incisors OR she could wear a plate to maintain the gaps and straighten the other teeth until she is fully mature (about 20 years old) and then have implants put in where the missing two teeth should be.

Apparently it's not so unusual for some people to have a missing pair of adult teeth and I'm wondering if anyone has had to make a similar decision about their child's teeth and if they think they made the right one with braces or prolonged plate and implants?

blackheartsgirl Wed 13-Dec-17 10:16:22

No advice but my daughter 15 is in a similar position. Sh has 9 adult molars missing including her wisdom teeth but thankfully has all her front ones. Currently waiting to see an orthodontist.

DianaPrincessOfThemyscira Wed 13-Dec-17 10:31:07

If you look at most American teeth I’m pretty sure they file down incisors we all their teeth are so square and white.

I’m only half joking tbh but I reckon either option will be fine. Those with braces often have teeth removed (I did) it’s standard.

SleepFreeZone Wed 13-Dec-17 10:34:29

I think the implant idea sounds a good one.

Caroian Wed 13-Dec-17 10:38:38

You need to wait until you've seen the orthodontist and be guided a bit by what they say. The options you've been given are correct, but which is better depends very much on the individual, the position the other teeth are in etc. Bear in mind that funding for implants is very limited and it is common even in the circumstance of missing teeth to need to pay for implants, which is not cheap. (Adhesive bridges is the only other option you haven't mentioned, which are cheaper and usually will be provided on the NHS. Unlike a denture these are fixed in, but without any preparation or damage to the supporting teeth as there would be with a conventional bridge. They can "debond" or some unstuck though). Implants also have a finite life span and may require maintenance. Fillings used to "mask" the appearance of canines will obviously also need maintenance, but this is usually quick and straightforward and can be carried out by almost any dentist, whereas implants are a specialist area.

To be honest, if it would produce a good cosmetic and functional result, I'd usually go for closing the gaps because it is less invasive overall. But you really do need the guidance of a good orthodontist and dentist.

Oddish Wed 13-Dec-17 10:43:43

I had overcrowding and had my two side incisors removed. Canines filed down and they look awful, I’m getting veneers for them because they look such a weird shape. If I could go back I’d opt for plate then implants, so I recommend that!

PolkadotsAndMoonbeams Wed 13-Dec-17 10:45:38

I have this. I had the gaps opened and the other teeth straightened (you can have false teeth to go on train track braces, or on a removable one so you're not gappy!).

I have a Maryland bridge, which has worked well although I have had to have bits re-stuck at various points! I might have one side replaced soon (after about ten years) because the false tooth has discoloured and looks a bit odd next to my other teeth, although I probably notice it more than anybody else does.

I like it because it doesn't damage my other teeth (literally stuck on the back!) and could be removed. If implant technology improves then I might go for it, but it's a big decision to make as a teen, especially as she's younger they'd have to last a very long time!

Oddish Wed 13-Dec-17 10:47:52

Terrible cropped pic but I hate the look of my teeth with just 2 top incisors, I notice it so much 😞

GlampingQueen Wed 13-Dec-17 10:50:53

Thank you all. I'm in Australia so whatever we do will have to be 100% funded by us but while cost will come into it I want to do whatever DD will cope with best and give her the best outcome.

I wonder how she'll cope with a plate. I guess you just get used to them.

Damn teeth. All expense and trouble!

GlampingQueen Wed 13-Dec-17 10:53:54

Thanks @Oddish for the pic. I bet people don't notice them anywhere near as much as you think but I'm also very self conscious about my teeth as well and know how you feel. My mum refused to pay for braces when I was a teenager and I should bite the bullet and get them as an adult (I tried Invisalign without much luck).

specialsubject Wed 13-Dec-17 10:59:56

Fwiw I have no canines, overcrowded teeth so they were removed top and bottom in my early teens and the rest shifted with a brace. If anyone has ever noticed they haven't said.

While canines may look a little different, I doubt anyone will notice. The Hollywood piano teeth look is not one to aspire to.

GlampingQueen Wed 13-Dec-17 11:08:48

Definitely not @specialsubject !

Pinky333777 Wed 13-Dec-17 11:13:12

I wouldn't worry and wait for the advice of your orthodontist. I know she's just a child, but as long as everything is explained well and clearly, I think the decision should be more between the orthodontist and your daughter rather than you xx
I'm sure her smile will be dazzling regardless which option x

noodlesandtomatoes Wed 13-Dec-17 14:12:35

I had to have one removed when I was about her age (it grew almost in the roof of my mouth!) so to close the gap I had braces, head gear! It was awful, but well worth it. They don't go that anymore, it's much more invisible so she won't have yo ho through that.

PurpleWithRed Wed 13-Dec-17 14:15:44

Can’t they use braces to make a decent space then put in implants? DD was born with no molars on one side and this is what they’re doing for her (funded! Yippee!!).

WhatAPigsEar Wed 13-Dec-17 14:23:42

Real teeth are far better than false ones!! Get braces and have all the work done in one go. Plus implants are bloody expensive and painful.
I have exactly the same teeth missing and had braces and my canine teeth built up to look like incisors. You really can’t tell the difference.
If my dc have a similar issue I will do exactly the same

Usernom1234567890 Wed 13-Dec-17 14:34:33

Can’t they use braces to make a decent space then put in implants?
This is what usually happens or space for a Maryland bridge/s etc.
The orthodontist referral is key, they will manage the Treatment plan not your General Dentist at this stage.**

longtompot Wed 13-Dec-17 21:29:44

My ds has had braces for 3 years I think now to help make spaces for implants as he also didn't have adult upper teeth. We have to pay for the op but the hospital will pay for the materials etc. Still loads of money, but it will be worth it. He might have an op as well to bring his top jaw forwards a little to bring it inline with his bottom teeth, but he's not sure as he is worried about how muc his face will change.

LtGreggs Wed 13-Dec-17 21:36:57

I have a missing canine on one side, and had gap closed with braces. My teeth are thus in theory non symmetrical, but I don't think anyone ever notices (I have to look in mirror to remind myself). I think that IF the overall set of teeth can be guided to 'straight' then you'd be better to stick with just the natural teeth.

GlampingQueen Wed 13-Dec-17 22:40:32

The optometrist has had a cancellation and we've been offered an appointment today so we'll see what he says.

Thanks for all the opinion and information.

My next thread maybe AIBU to consider selling one of DP's kidneys to pay for a child's dental work. grin

MammaTJ Wed 13-Dec-17 22:45:21

Interested in this, as DS is similar. 11 years old.

MammaTJ Wed 13-Dec-17 22:46:13

My next thread maybe AIBU to consider selling one of DP's kidneys to pay for a child's dental work.

Are you not in the UK?

ZigZagIntoTheBlue Wed 13-Dec-17 22:49:14

I have the same as you oddish, missing incisors either side of front teeth. My parents didn't bother with orthodontistry for me - and while now I'm not bothered about the top teeth my bottom row is v overcrowded and seem to be getting worse the older I get (surely can't be so though?! I'm 35 so def stopped growing!)
Best idea to get idea from the professionals smile

GlampingQueen Wed 13-Dec-17 23:16:03

I'm in Australia @mamaTJ and usually cosmetic procedures aren't covered. I will ask the orthodontist if there are exceptions though because it's not an option not to have the braces or plate in this case. It's more than just tweaking. I've had a friend have to pay for two of her children to have braces in recent years and the orthodonists do spread out the costs as much as possible.

Skowvegas Thu 14-Dec-17 04:39:24

I'm in the US so you have to pay for orthodontic work here - usually insurance covers the first $1k but of course it costs far more.

It is worth shopping round here - you can seriously cut the cost. Just a thought. A friend with twins cut the total cost of braces from $12k to $6k by shopping around and negotiating.

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