 The Clarinet BBoard
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Author: stebinus2
Date: 2010-09-17 14:51
Well it's going to happen. Left front tooth is coming out. Now while I freak please can anyone tell me if I'm going to need an implant to play again or will a bridge do? How long before I can play again? Anyone else go through this?
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Author: Ed Palanker
Date: 2010-09-17 15:47
All I want for Christmas is my two front teeth. Yes, that was a popular song years ago, I'm showing my age. OK, I shouldn't make light of it.
Seems to me that you would want to have it replaced with something so you "look good" as well as play well. I would suggest you talk to your dentist to find the best solution to your loose and about to be missing tooth. You may actually find that it makes little or no difference in you're playing depending on how the MP touches your teeth or lower lip, you didn't say. ESP http://eddiesclarinet.com
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Author: stebinus2
Date: 2010-09-17 17:01
Yeah the joke's funny. :/ Maybe I'll laugh in a couple months. It's an upper front tooth. I play with a standard embouchure, not double lip.
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Author: Maruja
Date: 2010-09-17 17:45
I had a guard made up by the dentist because I was nervous about putting pressure on my 2 front teeth which are crowns. I actually didn't wear it much because it feels odd (although I do wear it in bed because I think it prevents teeth grinding). When I went to the dentist last time, he said there had been no movement in the front teeth and that I really don't need to worry....
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Author: jbutler ★2017
Date: 2010-09-17 17:48
Well, if it were me I'd make an appointment with my dentist as quickly as possible and let him/her tell me what my options were. It may be that they can do something to stabilize the tooth.
The was a chap on the BB who is a dentist. I don't know if he's still about or not.
John B
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Author: Tony Beck
Date: 2010-09-17 19:17
I started playing clarinet in the 4th grade and broke out my three upper front teeth the day before Christmas in the 5th grade. They have been crowns ever since (40 odd years). Your dentist should be able to recommend a good solution. Dental technology is improving very quickly. If you have a dental school nearby, you might want to give them a call.
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Author: clarinetguy ★2017
Date: 2010-09-17 20:34
I had an implant a couple years ago, although it wasn't a front tooth. I did a lot of research at the time.
As others suggested, see if there is any alternative to having the tooth pulled. If it has to come out, an implant is a much better option than a bridge. In some cases it isn't possible to put in an implant, but there are so many types of implants on the market that there is probably some type that will work for you.
In the implant world, the old school philosophy was to put in the implant, wait several months for it to fuse with the bone, and put the crown on about six months later. There are newer ways to do it today that speed up things considerably and work just as well (I'm speaking from personal experience).
You might want to consider trying double lip. I never played that way in the past, but I do now. I think it probably puts a little less stress on the top teeth.
Since you're in Michigan, it might be worth contacting the University of Michigan School of Dentistry.
Post Edited (2010-09-19 03:06)
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Author: RJShaw0
Date: 2010-09-18 13:39
Just make sure you get them so that they arent crooked!
One of my front teeth (real) is slightly sideways, so my clarinet naturally plays on a 20 degree angle to right! Doesn't seem to affect playing though, even when I have to force myself to hold it in the center.
RJS
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Author: BobD
Date: 2010-09-18 15:10
Speaking from much dental experience including implants and dentures: First of all to be regarded is your current dental health and prognosis of possible future problems. A Bridge will involve compromising the two adjacent teeth which may weaken them eventually. Implants are expensve....but I'd go for the implant route. You can plan on not playing for some length of time if you go the implant and you can anticipate maybe things not going perfectly. You can play with a complete upper denture if necessary but you won't sound the same.
Bob Draznik
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Author: Pete k
Date: 2010-09-19 00:36
I had to have a bad upper front tooth extracted a couple of years ago. I couldn't play at all with the tooth missing. I could not seal my lips around the mpc without air leakage. After the gum healed I was able to play with the temporary tooth and plate that fit into the roof of my mouth, but it felt weird and I'm sure I didn't sound the same. Before an implant could be placed, I needed a bone graft, as the bone had deteriorated and would not support the implant. After about a year the implant was placed and I'm very happy with it. It looks natural and more importantly I can play clarinet again, as it feels completely solid and normal. It was a long process, expensive as others have said, involved about 5 sessions with the dentist(specialist), but has ultimately been worth it
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Author: clarinetguy ★2017
Date: 2010-09-19 03:17
Pete K said:
Before an implant could be placed, I needed a bone graft, as the bone had deteriorated and would not support the implant.
I had an interesting discussion with the dentist who put in my implant about this point. He's very up-to-date and considered to be a real specialist in the field. He told me that the old philosophy was to let everything rest and heal for a few months after a tooth is extracted, and then put in the implant. According to him, this isn't a good idea because without a tooth, there is often serious bone loss. He likes to get an implant in as soon as possible after the loss of a tooth. If this is done, it is often possible to avoid a bone graft. Good luck to you! As others have said, implants aren't cheap.
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Author: stebinus2
Date: 2010-09-19 07:58
Is a retainer (removable partial) with the one tooth on it worth considering at all?
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Author: skygardener
Date: 2010-09-19 11:20
I recall reading in an old thread that clarinbass (might have been someone else, though) has a missing tooth on the bottom front and uses a plastic bite guard that covers the whole area so he has no loss of support. Maybe he can chime in and give some details??
Maybe your dentist could make one for you so that you put it in and it covers the top. These are normally for grinding, but many clarinet players have them for their lower teeth. It might take some getting use to, but it is a much simpler attempt than an implant.
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Author: Ian White
Date: 2010-09-19 15:10
I knocked the tip of one upper front tooth off about 50 years ago & it has been like that ever since. I played clarinet for a number of years using the standard embouchure without any problems. I changed to bassoon & contra along the way with bari sax added more recently (again single lip) with no problems.
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Author: Pete k
Date: 2010-09-19 19:30
clarinet guy said:
" He told me that the old philosophy was to let everything rest and heal for a few months after a tooth is extracted, and then put in the implant. According to him, this isn't a good idea because without a tooth, there is often serious bone loss. He likes to get an implant in as soon as possible after the loss of a tooth. If this is done, it is often possible to avoid a bone graft."
This is true. My dentist would have placed the implant as soon he pulled the tooth as well, except in my case the bone loss had already occurred. There was no option at that point except the bone graft. The lesson learned, is if you have a dental problem, get it dealt with immediately. Because this was a front tooth, I let the problem go on for years, as I was afraid to deal with it!
Pete
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