Patient: 1 week ago None I am 37 years old. After the multiple teeth in the middle of the two incisors fell out, there is a large gap of 5 or 6 mm, how should I fix it? Is it better to have veneers or orthodontics? Li Yanfeng: For adults, orthodontics combined with restorative treatment is generally less time consuming and less costly. Simply put, you can use orthodontic methods to close the gap between the incisors first, leaving the gap in the far middle of the canine, and then consider restorative treatment. Of course it must depend on the specific situation, such as the relationship between upper and lower teeth, the size ratio of each tooth, etc. Patient: Thank you, Dr. Li, for pointing me in the right direction. Is it possible for me to have orthodontic treatment now? I just lost my middle incisors for more than 10 days, and the bone has not yet grown. And I just had a small invisible denture, I don’t know if I can wear it? Since I am from Henan Province, I don’t know how long orthodontic treatment will take, and if I always have to go to Beijing for follow-up? I hope you will give me an answer again! Li Yanfeng: You can start orthodontic treatment locally now, and don’t bring the invisible denture once you start. The orthodontic off-center incisive seam more say a few months time, but to move the seam backward will be slower, but if combined with restorative treatment, orthodontic half a year almost can be restored. Patient: Thank you very much, Dr. Li! I consulted at our dental hospital here, and they just said that orthodontic treatment can be done, regardless of the restoration, and it takes two years to do orthodontics, and it has to be kept for five or six years. And the upper and lower teeth also need to do at the same time, they do not know how to orthodontic combined with restorative treatment. Dr. Li: Does orthodontics have to be done at the same time for both upper and lower teeth? My other teeth are normal. Should I use porcelain or composite resin to fill the gap left after orthodontics? Which restoration method is more ideal? Can you recommend a hospital in Henan? Again, I look forward to your reply! Li Yanfeng: For adults, the combination of orthodontic and restorative treatment is short and effective. So I suggest that you can first talk to an experienced prosthodontist at a regular hospital, say what we have discussed, and if he understands, ask him to describe to you what he has designed for you to look like in the final restoration, so that if you can accept it, it is better for him to talk to their orthodontist again, so that maybe he can start the restoration treatment after a few months. If there is no effect on the final bite, you can certainly do without the jaw. One thing to remind the prosthodontist is that when you do a porcelain restoration after orthodontics, you must wear temporary crowns (provisional crowns) that contain multiple teeth, or else after only a week, the orthodontic teeth will run so far apart that eventually the denture will not carry. After the restoration will not usually relapse, because the joint-crown porcelain teeth itself is also a good retainer. Patient: Dr. Lee: Thank you very much for your detailed, thorough, patient, scientifically sound answers. If all doctors are like you for the sake of patients, then the doctor-patient relationship will be very harmonious, very harmonious. I will then go to the regular hospital to communicate with the doctor and tell him what you think. Li Yanfeng: Good luck in getting your teeth done soon.