retained upper cuspid

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demurali@gmail.com - 12 Dec 2006 18:49 GMT

Hi,

I am 29 years old, and have a retained upper cuspid which is loose. The
permanent cuspid is behind it, in the palate, and I dont remember when
it erupted, but it looks like it is completely erupted. The baby tooth
has recently also developed a cavity on the inside.
My question is, is there any way this tooth can be saved? The gum has
been receding from it, so is that the cause of the loosening or is the
root completely gone? I have been chewing around it, and lightly
brushing it, and there seems to be no predicting how long it will last
this way (has been 4 months now, since I first felt the looseness). If
it cant be saved, should I just try to keep it for as long as I can?
I am not at all inclined to having orthodontics now to pull the
permanent cuspid into position (and, it seems a long way off). From
what I can see, all prosthetics have potential problems, but is it
possible to get a maryland or cantilever bridge? I am not keen on
having my bicuspid and lateral incisor, both perfectly healthy, ground
down for a bridge. Is there also any possibility of using the ectopic
cuspid as a support, or crowning it with a large crown to fill the gap
that will be left by the baby cuspid?

Thanks in advance for any helpful comments.

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Mark & Steven Bornfeld - 12 Dec 2006 19:01 GMT

> Hi,
>
[quoted text clipped - 18 lines]
>
> Thanks in advance for any helpful comments.

A photo would be helpful. Upper canines are important teeth, and while
you say you want to avoid ortho treatment if your bite is otherwise good
it might be a very simple correction.
The primary tooth no doubt has lost its root, and while there's no
urgency other than your discomfort it will be lost sooner or later.
Without a look, I'd say forget about replacing the primary tooth at
least until you've had a chance to see an orthodontist.

Steve

Signature

Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

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demurali@gmail.com - 12 Dec 2006 19:20 GMT

Much thanks for your reply. I am attaching some photos, there are
other problems as will be evident from the snaps, but none of them
bother me, so I am not convinced by the need for braces. The upper
canine, obviously is very visible, and I am getting married in a months
time and will not have a stable location for the next year or two, so
even if I were to accept braces, it might be logistically not be easy.

http://new.photos.yahoo.com/bhagavane/album/576460762367836629

> > Hi,
> >
[quoted text clipped - 34 lines]
> Brooklyn, NY
> 718-258-5001

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Mark & Steven Bornfeld - 12 Dec 2006 20:10 GMT

> Much thanks for your reply. I am attaching some photos, there are
> other problems as will be evident from the snaps, but none of them
[quoted text clipped - 4 lines]
>
> http://new.photos.yahoo.com/bhagavane/album/576460762367836629

The primary canine is going to be lost, and plans should be made. It
may be possible to do some kind of bonding fix on the permanent tooth to
bring it out somewhat, but I'm guessing when you bite it's locked
underneath the lower teeth.
If the primary tooth is lost before your wedding it may be possible to
make a temporary partial--something like a flipper--so you'll have
something there for the wedding pictures (if your bite allows it). You
should have this checked by your dentist beforehand--it may be necessary
to have study models made.

Steve

>>>Hi,
>>>
[quoted text clipped - 34 lines]
>>Brooklyn, NY
>>718-258-5001

Signature

Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

Reply to this Message

demurali@gmail.com - 12 Dec 2006 21:13 GMT

Thanks Steve, for your opinion. Yes, the permanent cuspid is well and
truly locked behind my lower teeth, but i would not be too concerned
about that if there was some way to make its crown show near the
gumline and thus cover the gap left behind by the primary tooth.

And what would be my long term alternatives to braces? To make a resin
bonded bridge, do I have to wait till the tooth falls or can the
necessary impression be made with the tooth in place?

> > Much thanks for your reply. I am attaching some photos, there are
> > other problems as will be evident from the snaps, but none of them
[quoted text clipped - 61 lines]
> Brooklyn, NY
> 718-258-5001

Reply to this Message

Mark & Steven Bornfeld - 12 Dec 2006 21:22 GMT

> Thanks Steve, for your opinion. Yes, the permanent cuspid is well and
> truly locked behind my lower teeth, but i would not be too concerned
[quoted text clipped - 4 lines]
> bonded bridge, do I have to wait till the tooth falls or can the
> necessary impression be made with the tooth in place?

Tough to say without study models. The primary tooth may very well be
in the way.

Steve

>>> Much thanks for your reply. I am attaching some photos, there are
>>>other problems as will be evident from the snaps, but none of them
[quoted text clipped - 61 lines]
>>Brooklyn, NY
>>718-258-5001

Signature

Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

Reply to this Message

carabelli - 13 Dec 2006 01:44 GMT

> > Thanks Steve, for your opinion. Yes, the permanent cuspid is well and
> > truly locked behind my lower teeth, but i would not be too concerned
[quoted text clipped - 55 lines]
> >>>>
> >>>> A photo would be helpful. Upper canines are important teeth, and

while

> >>>>you say you want to avoid ortho treatment if your bite is otherwise good
> >>>>it might be a very simple correction.
[quoted text clipped - 22 lines]
> Brooklyn, NY
> 718-258-5001

The easy, look good at the wedding option, is slick both the primary and
permanent canine - then a quicky Maryland bridge. Dental health wise, who
knows, but probably not the best for you in the long run.

They're not going to be looking at you much anyway - it's all about the
bride. My kids had some wedding photos redone for use recently. Nice to
have, but you know it was the event not the pics that I remember. Too bad
you have put this off and now have a short time frame to deal with it. If
ortho is feasible that would be the best option, *usually* replacements of
natural dentition seldom match having your own teeth. Just some things to
consider.

carabelli

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The Webby - 13 Dec 2006 01:48 GMT

In article
<oWIfh.480749$QZ1.418430@bgtnsc04-news.ops.worldnet.att.net>,

[snipped]

> They're not going to be looking at you much anyway - it's all about the
> bride. My kids had some wedding photos redone for use recently. Nice to
> have, but you know it was the event not the pics that I remember.

[snip again]

> carabelli

Agreed. ;-)

Webby

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demurali@gmail.com - 13 Dec 2006 03:19 GMT

I am not terribly concerned about teeth just being crooked or not
perfectly white etc..but I am very concerned about having a large gap
in my smile, in general, and especially at my own wedding:(

> In article
> <oWIfh.480749$QZ1.418430@bgtnsc04-news.ops.worldnet.att.net>,
[quoted text clipped - 11 lines]
>
> Webby

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demurali@gmail.com - 15 Dec 2006 02:16 GMT

A follow up question on my last query. Is autotransplantation of the
permanent canine a possibility that can be considered? from literature
survery the technique appears to have as much of a success probability
as implants, though i am not sure if it is applicable for fully erupted
teeth with complete root formation. Thanks for bearing with me and my
supposedly researched ideas.

Deepa

> Hi,
>
[quoted text clipped - 18 lines]
>
> Thanks in advance for any helpful comments.

Reply to this Message

dentaltwin@earthlink.net - 15 Dec 2006 02:55 GMT

> A follow up question on my last query. Is autotransplantation of the
> permanent canine a possibility that can be considered? from literature
[quoted text clipped - 4 lines]
>
> Deepa

Interesting--you want to do the ortho the quick way. ;-)
Generally when I have heard of this, it was perhaps to transplant a
third molar to the socket of a first molar.
There are several potential problems. Firstly, it is likely that there
will be insufficient bone to move the tooth labially into an ideal
position without grafting. I am not aware personally of this having
been done, though it is possible. In this case though, the root would
be placed into a bone graft and immediately be placed into function.
The tooth would clearly have to be in fixation for a period of time.
The tooth might well be devitalized.
It's an interesting proposal, but to my mind far more fraught with
potential problems than the orthodontic route.

JMO,
Steve Bornfeld

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