Hi doc, is it possible that my upper canine teeth will be substituted to my upper front lateral incisors? I don't have proper lateral incisors because it was too small and doesn't formed well when I had my panoramic xray there we found out that I still have baby tooth waited to be pull out, but then I wear 2 dentures to be my upper front lateral incisors. Do I expect a 2years treatment to it doc?
Hello, I am sorry, but I cannot give specific advice to your situation without having clinical and radiological findings. In general, for missing lateral incisors orthodontic gap closure is often an alternative to prosthetic tooth replacement. All treatment options have specific advantages and disadvantages which should be explained to you by your doctor who treats you. Then you should make an informed decision on three treatment you prefer. I personally do not like the canines in position of the laterals due to the compromised esthetics (not perfect in shape, size and color) and function (canine cannot provide canine guidance during lateral movement of the mandible).
Hi professor, I was wandering what you thoughts were regarding replacing a missing Central incisor , but using a lateral incisor as the abutment on which has occlusal clearance and would require minimal reduction . Have you ever considered the lateral incisor as the abutment with either ceramic or metal Resin bonded Bridge, if there was enough clearance . I just wondered what your views on this approach would be , if the contralateral central incisor was suitable to use. Any thoughts?
I have a missing lateral incisor on my left but there's a small one on the right. A huge and uneven diastema and Im wondering what my treatment plan would look like. My dentist told me that the small incissor is a milk tooth that wasn't removed.
In general, the gaps on both sides should be made equally in size (6-6.5 mm) using orthodontic means. If the left milk tooth is stable enough it could be enlarged using a veneer or direct composite resin. Then a resin-bonded might be a good option on the right side. Here is something for reading: onlinelibrary.wiley.com/doi/pdfdirect/10.1111/jerd.13001?download=true
Hiiiii thanks for this great video.👍🏻👍🏻👍🏻👍🏻. I have the same problem. I don't have both my lateral incisors in upper jaw. My doctor gave me two options, making space for implants or canine substitution. First i was ok with canine substitution method but when i searched about it i found out that this treatment can cause some problems. it can make my jaw smaller and then my tongue may not have enough room in my mouth and it can cause sleep apnea and tongue thrusting and tmj disorder. I'm wondering if these things are right or not? Actually I'm a bit scared of implants and i have to say that i don't have enough space for implants but i may can get bridges. My periodontist suggested my orthodontist to grind my molar number 5 and 6 about 1 millimeter each to make space for implants. I don't know which treatment is the best for me and my doctors didn't know too. I'm so confused these days and i don't know what i should do. I thought that canine substitution is the less risky treatmentbut can this really make my jaw smaller that my tongue doesn't fit in my mouth? And one more question, if i use Maryland bridges may i this hurt and loosen my canine and Central teeth? And i have a little overjet and my doctor said by getting older overjets get worse, is it right? And having bridges for my lateral incisors makes my bone loss? I'm a 20 year old girl in the beginning of this journey and I'm so stressed out and nervous about it. I hope you can help me a bit. Great wishes to you 🌸
Thanks for your message. The standard of care for congenitally missing lateral incisors in your age are resin-bonded single-retainer zirconia bridges bridges. They are bonded either to the central incisor or to the canine depending on the individual situation/condition. See my related video: ruclips.net/video/ugry4qgK6Ok/видео.html Why one retainer is better than two is explained here: ruclips.net/video/-3JIx5R_ha8/видео.html That bone loss does not occur if the bridge is done well is explained here. ruclips.net/video/dU397-5uaXo/видео.html It is too sad that doctors/dentists are not up to scientifically proven methods and give their patients misleading information in order to "sell" implants or orthodontic therapy.
For bone resorption watch this video: ruclips.net/video/dU397-5uaXo/видео.html For longevity please read this publication: doi.org/10.1111/jerd.13001 Sorry, but I cannot give individual medical advice here.
Labially veneered 3Y-TZP is currently the only ceramic material which can be recommended based on clinical long-term studies with an excellent outcome. Please read here: www.sciencedirect.com/science/article/pii/S0300571217301616?via%3Dihub
Kern!! Always amazing groundbreaking research with solid clinical applications. Great stuff.
20+ years of results
Thank you for sharing knowledge!
Hi doc, is it possible that my upper canine teeth will be substituted to my upper front lateral incisors? I don't have proper lateral incisors because it was too small and doesn't formed well when I had my panoramic xray there we found out that I still have baby tooth waited to be pull out, but then I wear 2 dentures to be my upper front lateral incisors. Do I expect a 2years treatment to it doc?
Hello, I am sorry, but I cannot give specific advice to your situation without having clinical and radiological findings. In general, for missing lateral incisors orthodontic gap closure is often an alternative to prosthetic tooth replacement. All treatment options have specific advantages and disadvantages which should be explained to you by your doctor who treats you. Then you should make an informed decision on three treatment you prefer. I personally do not like the canines in position of the laterals due to the compromised esthetics (not perfect in shape, size and color) and function (canine cannot provide canine guidance during lateral movement of the mandible).
@@ProfMatthiasKernOnline-D thanks doc
Hi professor, I was wandering what you thoughts were regarding replacing a missing Central incisor , but using a lateral incisor as the abutment on which has occlusal clearance and would require minimal reduction . Have you ever considered the lateral incisor as the abutment with either ceramic or metal Resin bonded Bridge, if there was enough clearance . I just wondered what your views on this approach would be , if the contralateral central incisor was suitable to use. Any thoughts?
Sure, the lateral incisor might be used. Please watch this video: ruclips.net/video/NEWj7Fehsww/видео.html
I have a missing lateral incisor on my left but there's a small one on the right. A huge and uneven diastema and Im wondering what my treatment plan would look like. My dentist told me that the small incissor is a milk tooth that wasn't removed.
In general, the gaps on both sides should be made equally in size (6-6.5 mm) using orthodontic means. If the left milk tooth is stable enough it could be enlarged using a veneer or direct composite resin. Then a resin-bonded might be a good option on the right side. Here is something for reading: onlinelibrary.wiley.com/doi/pdfdirect/10.1111/jerd.13001?download=true
Where is your office doctor or how to contact you?
my canine is in place of lateral on only one side, what should i go for pulling back for implants or canine substitution ?
I am sorry, but one should not give medical advice without a clinical examination and having seen the corresponding x-rays.
@@ProfessorMatthiasKernEnglish i understand, thanks for your reply
Hiiiii thanks for this great video.👍🏻👍🏻👍🏻👍🏻.
I have the same problem. I don't have both my lateral incisors in upper jaw.
My doctor gave me two options, making space for implants or canine substitution. First i was ok with canine substitution method but when i searched about it i found out that this treatment can cause some problems. it can make my jaw smaller and then my tongue may not have enough room in my mouth and it can cause sleep apnea and tongue thrusting and tmj disorder. I'm wondering if these things are right or not? Actually I'm a bit scared of implants and i have to say that i don't have enough space for implants but i may can get bridges. My periodontist suggested my orthodontist to grind my molar number 5 and 6 about 1 millimeter each to make space for implants. I don't know which treatment is the best for me and my doctors didn't know too. I'm so confused these days and i don't know what i should do. I thought that canine substitution is the less risky treatmentbut can this really make my jaw smaller that my tongue doesn't fit in my mouth?
And one more question, if i use Maryland bridges may i this hurt and loosen my canine and Central teeth?
And i have a little overjet and my doctor said by getting older overjets get worse, is it right?
And having bridges for my lateral incisors makes my bone loss?
I'm a 20 year old girl in the beginning of this journey and I'm so stressed out and nervous about it. I hope you can help me a bit.
Great wishes to you 🌸
Thanks for your message. The standard of care for congenitally missing lateral incisors in your age are resin-bonded single-retainer zirconia bridges bridges. They are bonded either to the central incisor or to the canine depending on the individual situation/condition.
See my related video: ruclips.net/video/ugry4qgK6Ok/видео.html
Why one retainer is better than two is explained here:
ruclips.net/video/-3JIx5R_ha8/видео.html
That bone loss does not occur if the bridge is done well is explained here.
ruclips.net/video/dU397-5uaXo/видео.html
It is too sad that doctors/dentists are not up to scientifically proven methods and give their patients misleading information in order to "sell" implants or orthodontic therapy.
For bone resorption watch this video: ruclips.net/video/dU397-5uaXo/видео.html
For longevity please read this publication: doi.org/10.1111/jerd.13001
Sorry, but I cannot give individual medical advice here.
So what option did you went for? I am also confused right now and can't seem to make a decision.
@@djokhyo Please watch the video from minute 1:45!
What is procedure call?
Just read the text which comes with the video or watch the short video in full!
Do you recommend porcelain or e max? Thanks
Labially veneered 3Y-TZP is currently the only ceramic material which can be recommended based on clinical long-term studies with an excellent outcome. Please read here: www.sciencedirect.com/science/article/pii/S0300571217301616?via%3Dihub