Extraction of a Lower Front Tooth Does Not Affect Appearance

Mr. Zhou in his forties has crowded lower front teeth (Fig.1,2).  He does not work hard on his teeth.  He also has diabetes.  Therefore, his gum disease is severe, manifest as gum swelling and redness (Fig.1 >).  One of the front teeth is loose (Fig.1,2*).  He cannot eat properly.  The tooth needs to be extracted.  Mr. Zhou wonders whether removal of the tooth has long and short term effect on his appearance.

We assure him that since the neighboring teeth also have limited bone support (Fig.3 white line), they will shift to (Fig.3' arrows) the missing tooth area (*, which is quite narrow) shortly, in term of months.

Short term effect may be not a big deal, either.  To see the lower front teeth, we have to pull the lower lip (Fig.1,2,4: L) outward.  This does not happen in our daily life.  When we smile, the lower front teeth are usually not exposed.  After deep cleaning (Fig.1,2), the patient calmly let us take out the loose tooth (Fig.4).

The wound heals 12 days after extraction (Fig.5 ^).  It appears that the gap has been decreased (*).

Three months after extraction, the gap almost disappears (Fig.6 >).

Seven months after extraction, the gap is gone (Fig.7).  More important is that there is less tartar (>) than before (Fig.6), probably because Mr. Zhou takes better care of his teeth.  Straight teeth makes brushing easier.

Xin Wei, DDS, PhD, MS 1st edition 08/31/2013, last revision 05/21/2014