One tooth bothers you every time you see a photograph. You are happy with the rest of your smile, and you want a small change.
That is a reasonable goal to bring to a consultation. A limited goal can still require a careful examination, because the visible part of a tooth tells only part of the story.
Your tooth has a root and supporting tissues
The part you see above the gum is the crown. Below it are the root and the structures that support the tooth. Moving the crown changes its relationship to those structures and to the other teeth in your bite.
Before planning movement, the orthodontist needs to assess the health of your mouth. Previous gum disease, dental injuries, or other dental treatment may be relevant even if the tooth you want to change does not hurt.
Tell the team about anything you have noticed, including gum recession, bleeding, or a change in the way your teeth meet. If your dentist or gum specialist has been monitoring an issue, let the orthodontist know.
Records help define what is reasonable
A surface scan can show the shape and position of the visible teeth. Appropriate X-rays help answer questions about structures below the gums. Different records serve different purposes, and the orthodontist should explain any imaging recommendation.
Your plan may be straightforward. It may also need to account for something that cannot be judged from a photograph. That is why a small cosmetic goal still deserves a clinical assessment. The AAO addresses examinations and imaging in its advice for adults considering orthodontics.
Your bite is part of the discussion
Ask how moving the tooth could affect its contact with the opposing teeth. A treatment preview may look appealing, but you also want the proposed result to make sense when you bite down.
Sometimes a limited treatment plan is appropriate. Sometimes the orthodontist recommends addressing a wider area, treating a dental health concern first, or accepting a smaller change. Ask why, and ask about the tradeoffs of each option.
Keep the conversation focused on your goals
An examination does not mean you have agreed to extensive treatment. It gives you information to decide whether the proposed benefit is worth the work involved.
Bring your specific concern to SmileMaker’s Hendersonville office. At a free initial consultation, you can discuss what a limited approach could accomplish and how we would assess whether it is appropriate for you. Request a visit.