Complicated??? Advice needed.

[henderson2009]

Can you help? I'm 31, male. Healthy teeth no fillings.

I had both of my upper central incisors knocked out in my late teens. One was saved but this left me with a gap. At the time I couldn’t get to a dentist regularly. Unfortunately the gap got smaller.

Over time the saved tooth had to be extracted, as the gap was only wide enough for 1 front tooth I had a Maryland bridge fitted. I have had this now for 4 years.

The dentist that did the work assured me if the bridge came out he wouldn't charge me because it was part of the treatment. When I had to return to have it re-fixed he charged me and said he would continue to charge!! This caused conflict and I haven't returned since.

I am very apprehensive to trust a new dentist and quite embarrassed about my situation.

Is it possible to have two front teeth again? Can the gap be opened up again to fit two front teeth? Can my lateral incisors ether side be used to create a bridge for four teeth?

Sorry if it sounds complicated

Any comments would be appreciated

[Dr Sepehrara]

Hi

The options to replace missing teeth are

1. dentures
2. fixed bridges
3. adhesive bridges (maryland bridge)
4. implants.

Of course it is impossible to say what the best option would be without examining the mouth in detail.

[henderson2009]

Hi

Thanks for the prompt reply. I appreciate the options you have mentioned to replace teeth. The gap for my second front tooth has completely closed and there is only room for one and this is my bridge. The wings are glued to my lateral incisors ether side Can the teeth be moved to create a gap to insert a second front tooth?

Thanks

[Dr Sepehrara]

Hi

Teeth can be possibly moved by orthodontics to create space in some circumstances.

[henderson2009]

Hi

Would that involve removing teeth and moving the teeth round to create the space or can you move all the teeth?

Have you come across this before?

Thanks

[Dr Sepehrara]

Hi

Each case is different. There are may ways to create space.

Yes , we have treated many cases like this to create spaces for bridges or implants.

Good luck!

[henderson2009]

Hi

Thanks for the advise
Who would you recommend to see. I live in cannock, Staffordshire.

Thanks

[Dr Sepehrara]

I do not know of anyone in that area.

I would recommend when you decide who you see, do your research and ask to see past cases. Also look at there postgraduate education.

Regards