complex case - advice needed please 
Author Message
 complex case - advice needed please

Hello, I am 30 years old, in very good health, and am in the middle of
the process of having extensive (and expensive) work done to my teeth.
I have never been satisfied with the appearance they presented and
after much thought I decided to do something about it.

My teeth:  I had braces when I was a {*filter*}, but for some reason the
ortho left rather large gaps in between my second and third teeth when
he removed my braces way back when.  My teeth are rather small in
overall size.  Much of this is due to gums that never quite recessed
properly.  The top row is not quite straight across on the bottoms of
the teeth (second teeth are a bit shorter than the front ones).  I also
have a couple of small chips on the bottoms of my two front teeth,
presumably from grinding.  My teeth are overall a dull color, but not
excessively yellow.  It may seem contrary to what I have written, but
my teeth are not all that bad.  I have braces again and my friends ask
me what I am doing with them on.

So here is my teeth plan:
Braces - gingivectomy - porcelain veneers

I am seven months or so into the braces (clear type, I don't like
braces at my age very much, but I haven't let them stop me from doing
much, like that gal in the invisalign commercial).  Anyway, with a bit
of luck I will have them off sometime this summer (1 year or so wear
time).

Q1:  How long do I have to wait following brace removal to have the
gingivectomy?  I have heard from zero to two weeks or maybe even longer
so that the teeth can finally settle in.

Q2:  After the gingivectomy, how long should I wait to have the veneers
done?  I have heard two weeks.

The reason I ask this is that I am on a time schedule.  I am currently
a first year medical student.  I want to get this all taken care of
while I am home (4 states away) this summer.  Several reasons - good
periodontist and dentist for one.  Another is for aesthetic reasons -
sounds silly but I would rather my classmates not see my interim teeth
after I get braces off (ortho is leaving spaces for the veneers).

give me one less thing to worry about.

Thanks in advance.  I apologize for the length of the post.


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http://www.***.com/



Wed, 23 Jul 2003 11:43:43 GMT
 complex case - advice needed please

Quote:

> Hello, I am 30 years old, in very good health, and am in the middle of
> the process of having extensive (and expensive) work done to my teeth.
> I have never been satisfied with the appearance they presented and
> after much thought I decided to do something about it.

> My teeth:  I had braces when I was a {*filter*}, but for some reason the
> ortho left rather large gaps in between my second and third teeth when
> he removed my braces way back when.  My teeth are rather small in
> overall size.  Much of this is due to gums that never quite recessed
> properly.  The top row is not quite straight across on the bottoms of
> the teeth (second teeth are a bit shorter than the front ones).  I
also
> have a couple of small chips on the bottoms of my two front teeth,
> presumably from grinding.  My teeth are overall a dull color, but not
> excessively yellow.  It may seem contrary to what I have written, but
> my teeth are not all that bad.  I have braces again and my friends ask
> me what I am doing with them on.

> So here is my teeth plan:
> Braces - gingivectomy - porcelain veneers

> I am seven months or so into the braces (clear type, I don't like
> braces at my age very much, but I haven't let them stop me from doing
> much, like that gal in the invisalign commercial).  Anyway, with a bit
> of luck I will have them off sometime this summer (1 year or so wear
> time).

> Q1:  How long do I have to wait following brace removal to have the
> gingivectomy?  I have heard from zero to two weeks or maybe even
longer
> so that the teeth can finally settle in.

> Q2:  After the gingivectomy, how long should I wait to have the
veneers
> done?  I have heard two weeks.

  What did your periodontist and orthodontist tell you? Each case is
unique, impossible to forecast...two weeks sounds way too short.

- Show quoted text -

Quote:
> The reason I ask this is that I am on a time schedule.  I am currently
> a first year medical student.  I want to get this all taken care of
> while I am home (4 states away) this summer.  Several reasons - good
> periodontist and dentist for one.  Another is for aesthetic reasons -
> sounds silly but I would rather my classmates not see my interim teeth
> after I get braces off (ortho is leaving spaces for the veneers).

> give me one less thing to worry about.

> Thanks in advance.  I apologize for the length of the post.


> Sent via Deja.com
> http://www.***.com/

Sent via Deja.com
http://www.***.com/


Wed, 23 Jul 2003 20:16:03 GMT
 complex case - advice needed please
Hi bobo,

<< Q1:  How long do I have to wait following brace removal to have the
gingivectomy?  I have heard from zero to two weeks or maybe even longer
so that the teeth can finally settle in.

Q2:  After the gingivectomy, how long should I wait to have the veneers
done?  I have heard two weeks.>>

If you have a high smile line (ie. show a fair amount of the gum tissue while
talking or smiling) minimal maturation time of gingival tissue after surgery 6
weeks (8-12 would be better in the anterior corridor).  Also make sure a
gingivectomy may be the treatment of choice here.  Biologic width may
necessitate a perioplastic procedure requiring gingival flap and osseous
recontouring to prevent the gums from creeping back to their original height.
Sorry for the apparent bad news.  But if you are going to have it done, do it
right.  5 or 10 years from now the additional weeks wouldn't matter, just how
it looks.

Stan



Thu, 24 Jul 2003 06:36:56 GMT
 
 [ 3 post ] 

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