Oral Surgery May Be Necessary As Part of Your Orthodontics Procedure

We perform oral surgery for patients with a variety of oral health concerns.  What many people don’t realize is that when getting an orthodontics treatment, surgery is often part of the overall process. This is because when straightening your teeth, there are multiple aspects that must be addressed.  In our office, we can help you to straighten your teeth with a smile makeover or work with your orthodontist to address any challenges that they are unable to correct.

In order to understand why, it helps to understand what must be addressed when using orthodontics to straighten your teeth.  First, your teeth must be moved into position.  If you have teeth that came in crooked, there are gaps in between them, or they are behind each other, braces or aligners can typically be used to move them into position.  Before doing so, however, there must be enough room in the mouth for all of your teeth and, at times, the palate must be expanded using an oral appliance.

As a provider of oral surgery, we often work with orthodontics offices when a tooth is simply not responding to braces or aligners.  There are times, were certain teeth simply aren’t moving into position and in this situation, the only choice is to leave the tooth intact or replace it with a dental implant.  An implant functions like a natural tooth and by securing a titanium post into the jawbone, it will behave like one as well.  In fact, the body will think that the post is a natural root due to the process of osseointegration.  While we typically don’t recommend replacing your teeth for no reason, if you have undergone years of orthodontics, leaving one crooked tooth can be beyond frustrating. If this happens to you, we can finish the process by replacing the tooth with a straight and beautiful one. 

The second aspect of straightening your teeth is correcting your jaw.  If you have a misaligned jaw, it will negative influence your smile and even your facial appearance.  For example, if you have a severe overbite, underbite, or crossbite, it won’t matter how straight your teeth are, your entire appearance will still suffer.  This makes aligning your bite critical.  This can often be done by an orthodontist using oral appliances.  This is a non-invasive method and by using things like rubber bands strung from an upper to lower bracket, the jaw can start to move into position.  However, if the jaw is too far misaligned, it may not respond to oral appliances, creating the need for oral surgery.

Correcting your jaw is more important than simply improving your appearance. A misaligned jaw, can place undue pressure onto your teeth and cause damage, irritation, and even headaches.  For this reason, many people will seek to correct their jaw and oral health issues, regardless of whether or not they like their smile.  As an oral surgeon, we can examine your mouth and provide a recommendation for the steps you should take to correct your smile.  

How Oral Surgery Can Improve Your Smile

At New York Dental office, we can use oral surgery to restore missing teeth and improve both the appearance and functionality of our patients’ smiles. Over sixty percent of U.S. adults will lose at least one of their adult teeth.  Whether due to an infection, accident, gum disease or other health concern, the majority of adults will struggle with this reality.  Traditionally, the only way to replace a missing tooth was to wear dentures.  While a dependable solution, dentures can be uncomfortable, feel bulky and come loose while speaking or eating.  This makes it nearly impossible to feel like they are natural teeth. 

Thanks to modern technology there are better ways to replace missing teeth.  Since the 1990s many patients have used dental bridges as a means to do so.  The bridge is formed by placing a crown onto the two teeth surrounding the missing one.  The crowns are used to hold the bridge and synthetic tooth in place. This is an excellent solution except for the fact that the surrounding teeth are impacted.  The teeth that wear the crowns may be perfectly healthy but in order for the procedure to be completed, enamel must be removed from them to make room for the crown.  Once the enamel is removed, it cannot grow back – making the procedure permanent. 

For those that want to permanently replace a tooth without damaging the surrounding teeth, dental implants are a far better option.  In this oral surgery, the dentist implants a metal post under the gums and secures it to the jawbone.  This must be done carefully, in order to avoid harming the surrounding gum tissue.  Over the course of several months, the bone and metal post will fuse together during a process called osseointegration.  Once done, this creates a new root system that is as strong and durable as a natural one would be with one major exception – metal can’t become infected. The final step of the process is securing a natural looking crown to the metal post.  

The crown is made in a dental lab to match the size and shade of the surrounding teeth.  Since the process involves the creation of a root system, the new tooth is completely sturdy and durable.  When wearing an implant, there is no risk of the tooth falling out or becoming loose.  This provides complete freedom to play sports, stay active, eat a variety of foods and more, all without restriction. 

While this is an oral surgery, once the process is complete it is far more convenient than a dental bridge or wearing dentures because an implant feels, looks, and behaves like a natural tooth.  It is taken care of by brushing and flossing so there are no additional care steps to take, and it should last a lifetime without needing to be replaced.  This is different than a bridge or dentures that have a shorter lifespan.  As a cosmetic dentist and oral surgeon we can discuss all of these options with you so that you can determine how you would like to replace your missing teeth.