Replacing a missing tooth sometimes requires the intervention of an orthodontist in order to prepare and optimize the teeth surrounding it.


Josée is referred to my office to replace her central upper tooth before she replaces her missing lateral incisor.

During her teeth examination, I notice that her canine next to the tooth that needs to be replace takes a part of the necessary space required to implant a tooth that will be the same size that the one already existing to the left. When she closes her teeth together, the central teeth overlap the bottom ones.

If her dentist attempts to place the new teeth without repositioning the teeth next to the new one, he will need to implant the tooth in an erroneous angle, and he might not have enough space to properly place it. All these factors also add chances to reach the teeth roots.

I explain to Josée that we will practice orthodontics only on her upper arch and not the rest of her teeth. She will have the option to choose between traditional braces or the invisible devices. The length of her treatment will be around 8 months.

Josée is preoccupied by the hole that this will create during the treatment. I reassure her that during her orthodontic treatment, an artificial tooth will have been fixed by her dentist on one side only in order to have a camouflage for the missing tooth. On my part, I will place a brace (bracket) on the artificial tooth to distract the eye, and to increase the solidity. If the treatment is done with the invisible aligners, the tooth will be covered in the device.


Dr. Alain Brault, Orthodontist in Montreal and Mont-Tremblant