From Protrusion to Perfection: Navigating Aligner Treatment as a Smoker with Potential Periodontitis



Teleconsultation – 2023-07-14 19:03

I am 40 years and want to correct a protruding fron tooth. I am a heavy smoker and it seems that I might have a parodontosis. Is an Aligner a good idea?

Dear Patient,

Thank you for reaching out and expressing your concerns. I understand that you are considering Aligner treatment to correct the protrusion of your front tooth. However, as a heavy smoker with suspected periodontitis, it’s crucial to consider a few things.

Firstly, the Aligner treatment, specifically Invisalign, is a popular and effective method for correcting various dental misalignments, including protruding teeth. However, your smoking habit and potential periodontitis could complicate the treatment plan and effectiveness.

Heavy smoking can negatively impact oral health, leading to gum disease, tooth discoloration, and even loss of teeth. Periodontitis, a severe gum infection, can also lead to tooth loss if left untreated. Both these factors can affect the outcome of the Aligner treatment and prolong your treatment time.

However, this doesn’t mean you can’t pursue Aligner treatment. It just means that we may need to address your smoking habit and periodontitis before proceeding with the Aligner treatment.

Here’s a potential treatment plan:

  1. Initial Consultation: During this appointment, we will conduct a thorough examination of your teeth and gums. We will likely take X-rays and possibly a 3D scan of your teeth. This will help confirm whether you have periodontitis and assess the overall health of your teeth.
  2. Periodontal Treatment: If you do have periodontitis, we will initiate appropriate treatment, which could include deep cleaning, medications, and in severe cases, surgery. This process could take multiple appointments over a few weeks or months, depending on the severity of your condition.
  3. Smoking Cessation Support: We will provide advice and resources to help you quit smoking. This step is crucial, as continued smoking can hinder your recovery from periodontitis and interfere with the success of the Aligner treatment.
  4. Aligner Treatment: Once your periodontitis is under control and you’ve made significant progress in quitting smoking, we can proceed with the Aligner treatment. We will take impressions of your teeth, which will be used to create your custom Aligner. This treatment can take anywhere from 6 to 24 months, requiring regular follow-up appointments every 4-6 weeks to monitor your progress and provide you with the next set of aligners.

Remember, while this treatment plan may seem long and challenging, it’s designed to ensure the best possible outcome for your oral health. The Aligner treatment can indeed correct your protruding tooth, but addressing your smoking habit and periodontitis is equally, if not more, important for your overall oral health.

Please note that this is a research project and not medical advice.

Best Regards,

Dr. Dr. F. W.
Fachzahnarzt für Kieferorthopädie

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Kindly take note that this is a research project conducted by Michael Truppe, MD and should not be considered as medical advice. All rights reserved © 2023 Michael Truppe, MD.

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