Bursa Orthodontic Specialist Dr. Begüm Ulaşan Explains

Do you look in the mirror and see that one of your teeth is missing, and the gap in your smile bothers you? Or has your dentist told you, \"Some of your permanent teeth are missing from birth, and your teeth have started to shift because of this\"?

Missing teeth are not just an aesthetic issue. They can affect chewing, speech, the temporomandibular joint (TMJ), and even the shape of your face.

At this point, patients planning orthodontic treatment, especially in Bursa, often ask the following questions:

1. Can braces treatment be done when a tooth is missing?
2. Can these gaps be closed with orthodontics?
3. Does every missing tooth require an implant, or is a solution possible with braces treatment?
4. My child's permanent teeth are missing; when and how should we consider orthodontics?

In this article, from the perspective of Bursa orthodontic specialist Dr. Begüm Ulaşan, we will discuss in detail, clearly, and in an SEO-friendly manner how treatment with missing teeth and orthodontic braces/clear aligners is planned.

1. What is a Missing Tooth? Not Every Tooth Loss is the Same

Let's start with the basic definition. When we say \"missing tooth,\" we can refer to two different situations:

A. Congenitally Missing Teeth (Missing from Birth)

Some permanent teeth may have never formed due to genetic reasons. Especially:

1. Premolars
2. Lateral incisors

can be congenitally missing. This condition is called hypodontia (a few missing teeth), or oligodontia if many teeth are missing.

B. Teeth Lost Later

Teeth may have been extracted or lost spontaneously due to reasons such as:

1. Advanced decay
2. Trauma
3. Gum disease (periodontitis)
4. Failed root canal treatments

In both situations, a gap appears in the mouth. But the meaning of this gap from an orthodontic perspective changes based on your age, jaw structure, and the condition of your other teeth.

Bursa orthodontic specialist Dr. Begüm Ulaşan specifically looks at the following during the initial examination:

1. Is the missing tooth a single tooth or multiple teeth?
2. Is the missing tooth in the aesthetic region or the back region?
3. What is the condition of the adjacent teeth? Is there tilting? Has crowding started?
4. Is the jaw relationship (upper-lower jaw) balanced or disrupted?
5. What is the age? Is growth complete?

Because missing tooth ≠ one-size-fits-all solution. A different roadmap is needed for every patient.

2. How Do Missing Teeth Affect Jaw and Dental Structure?

Thinking, "Oh, only one tooth is missing, what's the big deal?" might seem easy at first. But the mouth does not like gaps. The body starts to reorganize the teeth and jaws "on its own" to maintain balance.

2.1. Tooth Shifting and Tilting

The teeth next to the missing tooth:

1. Tilt towards the gap over time.
2. The opposing tooth in the other jaw elongates into the gap (over-erupts).

The Result:

1. Chewing balance is disturbed.
2. Food accumulation between teeth increases.
3. Hard-to-clean areas form.
4. The risk of decay and gum problems increases.

2.2. Crowding and Malocclusion

Missing teeth:

1. If in the side area, chewing shifts more to the other side.
2. If in the aesthetic region, the "gap" in the smile is demoralizing.
3. As the teeth take new positions among themselves, the bite relationship deteriorates.

In the long term:

1. The jaw joint may be stressed.
2. Muscle pain, headaches, and aesthetic/functional difficulties may increase.

For this reason, the trio of orthodontics – bursa – missing teeth must be evaluated together, especially in adult patients and growing adolescents.

3. Missing Teeth and Orthodontics: Core Strategies

A tooth is missing, and we are considering braces treatment. What does orthodontics do with these gaps?

Generally, there are three approaches:

1. Closing the gap orthodontically.
2. Maintaining the gap and preparing the area for an implant/prosthesis.
3. Agus a comhcheangal de na seo.

3.1. Dúnadh an Bearna Orthodontically

I roinnt cásanna:

1. Mura bhfuil baint fiacla agus suíomh fiacla oiriúnach i réigiún an fiacla faoi mhí-adh with am.
2. Go háirithe má tá an fiacla a bhaineann sé i réigiún na cúil.
3. Is féidir an bealach a dhúnadh trí ghluaiseacht cúramach na fiacla comharsanacha.

Buntáistí:

1. Níl orthu riachtanach implant/níos mó sa todhchaí.
2. Soláthraítear feidhm agus áilleacht le fiacla atá ann cheana.
3. Laghdaíonn gá le "fíor-choimeádta saorga".

Míbhuntaistí:

1. Tá leagan níos comhsheasmhaí de phleanáil orthodontic chun an béal atá cothromach a chothabháil i roinnt cásanna.
2. Nuair a dhul na fiacla premolar go suíomh incisor sa réigiún aesthetic, ní mór dearadh grinn a dhéanamh go maith.

Dra. Begüm Ulaşan i mBursa go minic meastóireacht an rogha de dhúnadh an bhfadhb le orthodontics, go háirithe i ndaoine óga le premolars easpa breitheanais nó molars beaga. Trí sin, ceapadh go bhfuil suíomh fiacla ceart, agus is féidir an gá le implant sa todhchaí a chríochnaíodh.

3.2. Cothabháil an Bhfadhb agus Ullmhúchán don Implant/Níos mó

I roinnt cásanna:

1. Maidir le fiacla easpa sa réigiún aesthetic (go háirithe incisor lateral uachtarach).
2. Ó thaobh tacaíocht aghaidh agus liom agus an línte grinn.
3. Tá sé níos oiriúnaithe limistéar a ullmhú don insteall / próiseas idéalach seachas an bháite a dhúnadh.

Sa chás seo, is é ról na hailt ettóideach:

1. Chun an bháite a chothú ag an cuí agus ceart.
2. Chun na fiacla comharsan a thabhairt ag an ailt agus oiriúnach
3. Chun é a dhéanamh chomh gar agus is féidir don limistéar ina mbeidh an insteall mar iól-innéacs go tríd an bhfíor-ara.< /span>

Buntáistí:

1. Is féidir gáire an-nádúrtha agus comhionann a bhaint amach, go háirithe le heaspa na ndeicne fiacla uachtarach.
2. Tá méid agus foirm na bhfiacha go híseal i nduil oidhre.

Míchaoithís:

1. Tá teiripe prostéiseach bhreise, mar shampla insteall nó droichid, riachtanach san am atá romhainn.
2. Ní mór pleanáil a dhéanamh le chéile ag an orthodontist + prosthodontist + scléibhte insteall.

De ghnáth bímid cleachtaitheach ar an scoláire éiceausimea Dr. Begüm Ulaşan ag úsáid cur chuige illeithleach a oibríonn le chéile leis an orthodontist agus an fhoireann próisteas insteall.

Tá an t-othar cur i láthair le soiléireacht seo ar dtús: “Más dúinn an bháitea a dhúnadh le hailt ettóideach, beidh na buntáistí/míbhuntáistí seo, agus má chuirimid le haghaidh insteall, beidh na buntáistí/míbhuntáistí seo.” Déantar an cinneadh go hatomholta bunaithe ar aois an othair, thairiscint a bheith acu ar fhaisean, tiús cnámha, stádas ginearálta sláinte, agus buiséad.

4. Cad a chiallaíonn fiacla ar iarraidh do na hailt eetóideach i gCailíní agus óige?

Ní hamháin go bhfuil fiacla ar iarraidh coitianta sna daoine fásta ach go minic i gcomhluadar le teaghlaigh ag lorg orthodontics paistí i mBursa.

Go háirithe:

1. congenitally-missing-premolars
2. congenitally-missing-upper-lateral-incisors

when-noticed-early-during-the-growth-phase-offer-the-opportunity-to-plan-future-treatment-much-more-controllably.

4-1-detection-of-missing-teeth-in-the-mixed-dentition-period-ages-6-12

during-this-period:

1. permanent-tooth-buds-can-be-seen-on-panoramic-x-rays
2. which-permanent-teeth-have-not-developed-at-all-(are-congenitally-missing)-can-be-determined.

when-dr-begüm-ulasan-in-bursa-detects-a-congenitally-missing-tooth-in-a-child-who-comes-for-an-orthodontic-examination-during-the-mixed-dentition-period-she-plans-the-following:

1. will-space-maintenance-be-performed-in-the-area-of-the-missing-tooth
2. will-the-gap-be-closed-with-orthodontics-or-maintained-for-a-future-implant
3. if-there-is-jaw-narrowness-or-malocclusion-when-should-intervention-be-made

this-way-when-the-child-starts-braces-treatment-later:

1. unnecessary-tooth-extractions-can-be-avoided.
2. gaps-are-managed-more-controllably.
3. if-necessary-early-expansion-or-functional-treatments-can-guide-jaw-development-in-the-right-direction.

4-2-orthodontic-planning-in-full-adolescence-ages-12-16

at-these-ages:

1. a-large-part-of-jaw-growth-is-complete
2. most-permanent-teeth-have-erupted
3. Táifeacht na fiacla ar iarraidh anois is féidir a fheiceáil níos soiléire: slua mór trom, tilting i dtreo na bhfáinne ag an am céanna le neamhchothromaíocht i bcaidéal uachtarach agus íochtarach.

Suíann Dr. Begüm Ulaşan, atá ag pleanáil leighis chothromóid i mBursa sa tréimhse seo, le hothair óga agus a gcuid teaghlaigh chun freagraí a fháil ar na ceisteanna seo a leanas:

1. Conas a bheidh cuma an chraiceann agus an gháire má dhúnann muid na fáinne le leigheas chothromóide?
2. Cén cineál estethic agus feidhm scéim a bhfaighimid má chothromóimid na fáinne don insteall/nós uirthi sa todhchaí?
3. Ag fios a bheith agat gur féidir implant a chur sa seans go mbeidh sé ann d’aois níos sine, cén bunús ba chóir dúinn a ullmhú le leigheas cóige le linn an aois seo?

Mar sin, níl an leigheas chun freagra a thabhairt ar an gceist, “Conas is féidir na fiacla a shíneadh go díreach anois?” ach freisin ar an gceist, “Conas ba chóir struchtúr béal a chumas 20–30 bliain amach anseo?”

5. Fiacla ar iarraidh agus Leigheas Cothromóide / Béim Chliste / Láimhseáil Clár Naoimh

Tá cothromóid na ndaoine fásta anois an-iomlán. Sa Bursa, freisin, libh, a lán othair i ndaoine 20, 30, 40, agus fiú 50 bliain d’aois ag dul i gcomhairle le Dr. Begüm Ulaşan ar leigheas cothromóide.

I chuid mhór d’othair:

1. Ceann amháin nó níos mó fiacla a tarlú roimh.
2. Fáinní nach bhfuil úsáidte le blianta anuas.
3. Droichid nó sean-phrozenais.
4. Caillteanais tar éis fadhbanna gumhóga a léiriú.

5.1. Príomh-Chuideachtaí i nDhaoine Fásta

Tá na spriocanna i gcomhcheangal na fiacla ar iarraidh d’fhásta – cothromóid ná:

1. Ceartú na fiacla coimeádte.
2. Feabhsú estethic gháire.
3. Regulating chewing function.
4. Bringing areas for implant/prosthesis placement to the ideal position.
5. Achieving a long-term, sustainable result while preserving gum health.

5.2. Braces Treatment or Clear Aligners?

In adults with missing teeth:

1. Classic braces (metal/aesthetic brackets)
2. Clear aligner systems (aligner treatments)

can be used.

Braces Treatment:

1. High control power.
2. Advantageous, especially in large gap closures and complicated movements.

Clear Aligner Treatment:

1. Very advantageous aesthetically.
2. Compatible with adult work and social life.
3. Can also be used in many missing tooth cases (depending on case suitability).

Bursa orthodontic specialist Dr. Begüm Ulaşan, if an adult patient has missing teeth, often plans the treatment around this trio:

1. Orthodontic adjustment of gaps and tooth positions.
2. Preparation of areas for implant/prosthesis, if necessary.
3. Preservation of the result with retention after treatment.

6. Frequently Asked Questions

"Can I get braces if my tooth is missing?"

Tá moltaí eprudach go héasca le fadhbadh teaghrán má tá fiacail ar ghalra ithe.

Go deimhin, is é an príomhdhícheall den chóireáil brága ná a chur chun críche áit na fiacaile ar ghalra — nó aire a thabhairt don bhealach a shocraíonn na fiacha/sórtáil.

"Tá fiacla neamhghlán agam ó bhreith, an bhfuil ciorraithe teaghrán amháin sách?"

Braitheann sé ar áit na fiacla ar ghalra:

1. Maidir le fiacail roimhbhaut sa réigiún taobh thiar, is féidir a dhúnadh leis na teaghrafaí i gceannas ar chuid mhaith cásanna.
2. Maidir le fiacail ar chlééalach ar an áit áilleachtúil, mar shampla, na smig dhúbailte uachtaracha, níos tráthúla é teacht ar an dóigh is fearr i ngnáth-chéim le haghaidh teaghrafaí agus a chur chun an áit sin le haghaidh implant nó le haghaidh éide-án áilleachtúil.

Is é an modh is fearr a bheith in ann a bheith faoi scrúdú ag teaghrafaí cosúil le Dr. Begüm Ulaşan i mBursa agus cloisteáil leis an bplean pearsanta duit.

"An gá dom implant ar dtús dóibh siúd atá mo chuid fiacla ar ghalra, nó an gá dom brága a fháil ar dtús?"

Ceist an-lábhartha í. Is é an dlíreodnarcadh gairmiúil ná: Éagsúil an cill mhór, ansin implant/posctheorais.

Mar gheall ar:

1. De réir mar a bhíonn na fiacla agus na bearnaí reáchtálta le teaghrafaí, cumadh an áit agus an uillinn ina gcuirfear an implant chomh maith.
2. Nuair a chuireann an implant, is é struchtúr chinnteoir atá comhdhéanta den chnámh, agus bíonn sé deacair gluaiseachtaí móra chonair a dhéanamh thart timpeall air.

Mar sin, nuair a dhéantar pleanáil i mBursa:

1. Tá an teaghrafaí ag déanamh dearaidh ar chnámh agus ar chothromú fiacla.
2. Ansin, forbraítear an tréimhse is oiriúnaí i gcomhréir leis an dentiste implant/posctheorais.

7. Críoch: Mura bhfuil fiacla agat, níl teaghrafaí “luxury” ach “plean bunúsach” i bhformhór na gcásanna

Táimid ag bailiú síos:

1. Mising-teeth-can-lead-to-tooth-shifting-tilting-and-chewing-bite-disorders.
2. This-is-not-just-an-aesthetic-problem-but-a-functional-and-long-term-health-issue.
3. Orthodontics-braces-or-clear-aligners-in-cases-with-missing-teeth-can:
4. Close-the-gaps.
5. Prepare-the-ideal-foundation-for-an-implant/prosthesis.
6. Correct-crowding.
7. Re-establish-jaw-balance.

If-you-are-thinking:

1. ”I-have-a-missing-tooth-can-I-get-braces?”
2. “Should-we-close-the-gap-or-get-an-implant?”
3. “My-child-has-some-congenitally-missing-permanent-teeth-when-should-we-take-them-to-the-orthodontist?”

especially-if-you-live-in-or-around-bursa-planning-an-examination-with-orthodontic-specialist Dr. Begüm Ulaşan-will-be-the-best-start-for-you.

Remember: With-correctly-planned-orthodontic-treatment-missing-teeth-can-cease-to-be-just-”a-lack-to-be-compensated-for”-and-become-the-first-step-toward-a-healthy-balanced-and-aesthetic-smile.