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Old 05-19-2007, 01:45 PM   #1
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Trauma to front teeth

Hello

I've been browsing this forum for some time. There seems to be some sound advice given out on here, so wondered whether anyone can help with my problem.

In November I had a fall and damaged my two front teeth. One of the front teeth had already received trauma to it some 15 years ago (at the time this tooth had root canal, apicectomy and a veneer). Following the latest trauma, I have had a root canal treatment on the other front tooth); and because they were moving about, they had to be splinted.

The splints were taken off in January even though they were still causing me discomfort. In March I decided to change dentist as I was entirely happy with the treatment I was receiving.

My new dentist suggested seeing a specialist in oral surgery. The x-rays did not show any root fracture. He concluded that an apicectomy was not required, and he felt that the teeth had simply not settled. He advised to get the splints put back on, as he thought that they had been removed too soon.

I had the splints put back on in April, and am due to go back at the beginning of June to have them removed, and to start treatment for veneers.

My problem is that they don't seem to have got any better. I cannot bite on them, and even using them to spoon food into my mouth is uncomfortable. Also going for walks or even doing anything whereby I'm mildly exerting myself causes them to throb.

I'm just wondering whether it's normal for teeth to take so long to settle. I know that everybodies healing time is different, but six months seems an excessivley long time.

 
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Old 05-20-2007, 01:31 PM   #2
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Re: Trauma to front teeth

I had trauma to my 2 upper front teeth when I was around 12 yoa requiring them to be wired into the gum tissue for several months and then rc's and was told I was lucky if they lasted into my 20's. Well unfortunately despite my trepidation and the fact that my front teeth sometimes ached for no apparent reason I decided in my 20's to get braces to straighten them since the accident left them quite crooked and about 5 yrs after the braces were removed they decided they had had it and loosened on their own and had to be removed due to chronic pain and throbbing. I went to several oral surgeons and endodontists and was told nothing could be done other than remove them.

Personally I wouldn't do the vaneers if your front teeth are still not feeling right. The prepping or filing of them to be fitted with the vaneers may cause more trauma and damage leading to more problems. You could be just wasting your money on front teeth that eventually will have to be removed. Leaving them alone may be your best option in terms of keeping them longer, even though they are still not feeling right.

By splinting - do you mean something that looks like a tiny plastic picket fence or rail road tracks that is glued or bonded behind them to keep them stationary? If so, why not just leave it place - I had one behind my bottom front teeth for quite a long time to keep them from moving or shifting. Bonding was put over it so I couldn't even feel or see it.

 
Old 05-20-2007, 02:43 PM   #3
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Re: Trauma to front teeth

Hello Thelma-Louise

Re. the splints - The dentist referred to it as a "composite". Basically the dentist mixed up a cement-like mixture, and put this in between the gaps of my 4 front teeth, and then the "cement/composite" was hardened off. The splints can be put on the back of the teeth - however, in my case, the bite of my upper teeth is too close to the lower teeth, so I was advised to have the splints put on the front of the teeth.

The newly root canalled tooth is slightly darker than the rest of my teeth. As for the other front tooth (which already had a veneer on it), I chipped the veneer when I had my fall. So, all in all, it doesn't look very attractive.

It's such a shame because I was blessed with lovely straight teeth, and now I feel as though I have ruined them. Oh well, no point in looking back......

The thing is, on the one hand I don't want to lose my front teeth if I can help it. However if there's no hope for them, then I may as well have them extracted (as sad as that will be for me).

 
Old 05-20-2007, 08:29 PM   #4
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Re: Trauma to front teeth

Well, one of my front teeth did get darker after the rc and the dentist was able to bleach it from the inside by inserting the bleach through the hole or cavity left by the rc. It took 2 treamtents to get it to look the same shade as my other teeth. Maybe that might be an option for you. Also, can the vaneer be repaired with bonding? Maybe either of these options can be an interim approach until the teeth settle down and you know they are staying put or decide on their own they have had it. Since my childhood accident my front teeth never really looked good, sad to say and my efforts or borderline obsession to have perfectly straight white front teeth since then may have caused their demise sooner than what nature would have intended - I'm not sure. I would just give it a bit more time and not rush into anything - the teeth may settle down on their own given enough time and once you know they are Ok again then proceed with cosmetic enhancements.

 
Old 05-21-2007, 01:03 PM   #5
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Re: Trauma to front teeth

Thank you for your kind advise.

Strangely enough a friend of mine chipped his front tooth, and though it wasn't a veneer, his dentist put some kind of bonding on it - and it does look completely natural. I wonder why my dentist hasn't suggested that . I think I will ask my dentist whether this will be possible. I certainly understand the "obsessive" comment. Are you happy with your teeth now?

 
Old 05-21-2007, 01:14 PM   #6
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Re: Trauma to front teeth

Unfortunately no - which is why I am urging you not to be too hasty so you don't make things worse unintentionally. Good luck with yours, though.

 
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