Periodontal question- Bone loss after tooth extraction...?

I had 2 back teeth removed a number of years ago due to decay. Both of them had some damaged bone as a result of the decay so my dentist had to remove some of the bone along with the tooth. Due to uncontrolled circumstances at the time, I never got implants/bridgework for those missing teeth.


Now, a couple years later, those teeth have moved closer so there isnt room to put a bridge or implant so my dentist sent me to an Orthodontist to move my teeth apart. The orthodontist told me to consult with a Periodontist because she was worried about the bone loss in those 2 places. The Periodontist said I have significant bone loss in both places where the teeth were pulled (one spot being close to the sinus) and he proposed that I undergo the bone rebuilding procedure and then put an implant there


This procedure is expensive %26amp; takes a long time to heal... Would it still work out OK if i do NOT have the bone rebuilding done %26amp; just spread the teeth apart with braces %26amp; then get a bridge?

Periodontal question- Bone loss after tooth extraction...?
Braces are very hard on adult teeth and usually resut in a little bone loss when teeth are moved around. So, if you already have bone loss this can be a bad combination. Adding a bridge to teeth that already have bone loss (the tooth that has moved and tilted already has bone loss) can be very hard on those teeth. This is going to be a tooth providing all the support for a very expensive piece of work. If this tooth has bone loss now and then gets more bone loss from braces, it is not going to be a sturdy tooth without some help from a periodontist. Sounds like the dentist should have sent you to the periodontist instead of ortho. Otherwise, you are going to have a bridge that doesn't last.