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Medical Forum / General / Dentistry / March 2004

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orthodontics results for older patients

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depilated - 19 Mar 2004 22:06 GMT
I am nearing the end of my orthodontic treatment.  I am in
my 40's.

My biggest problem was crowding in the lower front teeth.
There were no spaces. Now that my teeth have been straightened,
there are spaces where the teeth meet the gumline.  Are my gums
receeding as a result of age? I had been flossing regularly.
Will I need gum surgery?

What are other orthodontic issues for older patients that result
in a less than perfect result?

Thanks!
Joel M. Eichen, D.D.S. - 19 Mar 2004 22:30 GMT
Oh root resorption and bone loss ......

JOEL

>I am nearing the end of my orthodontic treatment.  I am in
>my 40's.
[quoted text clipped - 9 lines]
>
>Thanks!
StovePipe - 20 Mar 2004 16:22 GMT
> Now that my teeth have been straightened,
> there are spaces where the teeth meet the gumline.  Are my gums
> receeding as a result of age? I had been flossing regularly.
> Will I need gum surgery?

Whatever happens to the gums during treatment, the last thing you want
is to traumatize the area. Floss regularly (I'd say twice a day) and
brush often but DELICATELY. Those dental papilla will be very fragile.
Will they come back? Best see a periodontist. Your ortho will certainly
be able to recommend one.
Hope this helps
SP

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To reply: take out the TRASH...

Orthodmd - 23 Mar 2004 12:30 GMT
>I am nearing the end of my orthodontic treatment.  I am in
>my 40's.
[quoted text clipped - 9 lines]
>
>Thanks!

If you started treatment with crowding, the papilla were never really between
the teeth at a normal height to begin with.  It is very unlikely that this
represents gum disease or receeding gums.  More than likely this is a
structural issue -- crowding means that this is less gum tissue when you
started and they will most likely stay that way.

you might ask your orthodontist about IPR or ARS -- these are terms for shaving
the areas where the teeth touch to make the teeth a little narrower.  doing
this can bring the crowns a little closer together and make it seem like the
papilla are filling the spaces between the teeth a little more effectively.

other than the cosmetics of it, there is probably nothing to worry about.
again discuss this with your orthodontist.

Charlie Ruff, DMD
Specialist in Orthodontics
Diplomate American Board of Orthodontics
Roy Brown - 24 Mar 2004 06:46 GMT
<snip>

| you might ask your orthodontist about IPR or ARS -- these are terms for shaving
| the areas where the teeth touch to make the teeth a little narrower.
<snip"|

| Charlie Ruff, DMD
| Specialist in Orthodontics
| Diplomate American Board of Orthodontics

Charlie,

What are the abbreviations?

I think IPR is InterProximal Reduction, but the ARS has got me scratching my
head?
My guess would be something like Anterior _?_  Stripping

--
Roy
DotSeaEh is .ca
Orthodmd - 24 Mar 2004 12:41 GMT
IPR is a term popularized by Invisalign and stands for Interproximal Reduction.

ARS is Sheridan's term for Air Rotor Stripping.

Charlie Ruff, DMD
Specialist in Orthodontics
Diplomate American Board of Orthodontics
W_B - 24 Mar 2004 15:36 GMT
>IPR is a term popularized by Invisalign and stands for Interproximal Reduction.
>
>ARS is Sheridan's term for Air Rotor Stripping.

Was thinking that the E was left off
--

W_B

Take out the G'RBAGE for private e-mail
wubbabubbazG@RBAGEyahoo.com
depilated - 29 Mar 2004 17:53 GMT
> >I am nearing the end of my orthodontic treatment.  I am in
> >my 40's.
[quoted text clipped - 27 lines]
> Specialist in Orthodontics
> Diplomate American Board of Orthodontics

Thanks, I appreciate the explanation!
Orthodmd - 29 Mar 2004 21:48 GMT
>> >I am nearing the end of my orthodontic treatment.  I am in
>> >my 40's.
[quoted text clipped - 32 lines]
>
>Thanks, I appreciate the explanation!

thanks for saying thanks

Charlie Ruff, DMD
Specialist in Orthodontics
Diplomate American Board of Orthodontics
 
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