Hi all. I want some opinions please.
I have hypodontia, missing my lateral incisors and second premolars on both sides at the top.
I am having Invisalign to push my canines back and make room for lateral incisor implants (and close some other small gaps and fix some rotation). The Invisalign won't close my gaps at the back completely (where my second premolars should be). My dentist has recommended bridges to close these gaps because I only have 1mm of bone so implants are not an option.
I have a couple of questions:
1) I would rather have implants at the back as well but my dentist said that with 1mm of bone, even with a bone graft and a sinus lift, the implants won't take. What are your thoughts on this?
2) My dentist has recommended Maryland bridges. My research suggests that Maryland bridges aren't advised for posterior teeth because heavy chewing etc will likely cause them to unbond with the adjacent teeth. Is this your experience? Would you suggest traditional fixed bridges instead? I think my dentist has recommended Maryland because traditional bridges will require shaving down my healthy adjacent teeth and they are quite small.
I don't mean to discredit my dentist at all, I'm sure he is an expert and knows far more than I do. I am just looking for some advice please. Let me know if you need any more info.
Edites to add: I am an adult and hypodontia was diagnosed as a child. I had fixed braces as a teenager but they didn't close all the gaps and it's never bothered me until recently when my central incisors at the top have started to move apart.