I am a second year dental student looking to get a few questions answers in regards to my own oral health.
I have previously undergone orthodontic treatment the was completed at the age of 15. I am currently 25 years old. I have not used any retainers for the past few years, and as a result some of teeth have mildly shifted (slight rotation on #24, some misalignment on #7,8,9,10) and as a result now have a slightly heavy anterior occlusion that is causing a bit of fremitus on #7 and #8). I am looking in to undergoing a short duration of braces again to correct said issues.
I have no third molars, however I now have a root canal treated gold crown on #15. Do gold crowns on the last posterior molars affect treatment for ortho? Are putting the metal bands around crowns a little risky in terms of removal if the crown was not done correctly (since the crown is currently on, I am afraid to "find out" that it wasn't done correctly if it pops off while the band is being removed). Does the most posterior molar always get banded for ortho, or in some instances you can manage to only have brackets placed on each tooth? Can gold crowns have a bracket placed on them, as in this instance?
Thank you for your time
Answer Good questions. I'm not an orthodontist but I provide resource information on various aspects of the field. I also had adult braces at age 53 and happen to have four gold crowns, one of which I'd had at that point for 28 years. My orthodontist definitely banded all of the molars that had the gold crowns (3 second molars and one first molar); I have no third molars either. I was told that gold crowns do not get brackets, though I also have two ceramic crowns and those did get brackets. All went well. I would imagine your orthodontist can test the current status of the crown to make a judgement about band removal issues. Hope this helps.
I can supply tips, hints, recipes and resources about a braces-friendly lifestyle, for parents of children and teens in braces as well as for adults in braces. Although I am not a medical/dental professional, I have colleagues in the field and will do my best to point you to additional resources.
I am the author of two specialty award-winning cookbooks of soft-food recipes and tips targeted to all ages of braces-wearers (including adults) and give workshops to dental hygienists to help them help their patients with this type of information. I have worn braces both as a teen and as an adult, and am from a family of three generations of braces patients. I regularly contribute information to the public website of the American Association of Orthodontists and Orthotown magazine.
Organizations Women in Orthodontics, American Academy for Oral Systemic Health, Independent Book Publishers Association, Society of Women Engineers, Society of Manufacturing Engineers
Publications Orthotown, Cricket, Family Fun, Highlights, Better Homes and Gardens Kids' Rooms, Chicago Tribune, East Valley Tribune (Phoenix AZ), Healthy Alternatives, Organic & Natural, Desktop Engineering, Machine Design
Education/Credentials BS Astrophysics, MS Radio Astronomy/Electrical Engineering
Awards and Honors Good Parenting Award from ParentalWisdom.com
Glyph Award - Best Cookbook, Arizona Book Publishing Association
Finalist Glyph Award - Best Cookbook, Arizona Book Publishing Association
Finalist - Next Generation Indie Books, Independent Book Publishing Professionals Group
Past/Present Clients American Association of Orthodontists, Smile for a Lifetime