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Orthodontic treatment for

Orthodontic treatment to facilitate placement of bridges and implants (joint orthodontic and restorative treatment)

Orthodontic treatment is often required to create ideal spaces for the missing teeth, whether the missing teeth are developmentally (congenitally) absent or whether they were lost.

Often there is a insufficient space between the teeth vertically and horizontally to accommodate an ideal size and shape prosthetic (false) tooth. In cases where an implant tooth is planned, sufficient space between the roots of the teeth needs to be created to accommodate an implant screw safely.

In patients where there are missing teeth over a prolonged period, the opposing teeth often drift down or up, and this leaves reduced space to accommodate full height prosthetic teeth. Fixed appliances are used to pull the teeth back into original position/back into the bone intending to give enough vertical space for the ideal size prosthetic teeth in the opposing arch.

Whenever restorative dentistry is required as part of the orthodontic treatment, I refer patients to dentists with whom I have very close working relationships, to ensure we achieve a functionally durable and aesthetically optimal result.

Before
 
 
After
 
 

In this example, in addition to the misalignment of the bite, the upper right first premolar tooth and lower first molars had been lost a few years before. There was insufficient space for an implant restoration on the upper right first premolar tooth so space was created with fixed appliances to accommodate an implant. The patient decided not to have the spaces in the lower arch restored.

The restorative treatment was done by Dr Ali Abdelatif BDS IQE (UK), MFDSRCPSG, MSc Implant Dentistry. 

Before
 
 
After
 
 

In this example, other than the bite being incorrect, the upper right first premolar tooth and lower first molars were lost a few years ago. There was lack of space for an implant restoration on the upper right first premolar tooth and space was created to accommodate an implant with the fixed braces.  The dentist subsequently restored the space with an implant. The patient decided not to have the spaces in the lower arch restored.

The restorative treatment was done by Mr Andrew Elder BDS MFDS RCS (Eng) FDS (Rest Dent) RCS(Eng) Consultant in Restorative Dentistry and Specialist in Prosthodontics, Endodontics, and Periodontics.