[ { "id": 1, "title": "Is this normal appearance for tongue?", "dialogue": "wwwccceee2024: I think the scalloped edges are from bruxism but the white coating won’t go away Dr M: On the photo it does not appear that you have any white coating to be concerned about." }, { "id": 2, "title": "To ligate or not ligate", "dialogue": "Bruk: suppose a patient comes with a moderate midline diastema and it was closed for her with powerchains. Is it necessary to place ligature ties (metal) to settle the result after the gaps are closed ? If so for how long before debonding ? Dr M: A lot of times a retention wire is placed indefinitely. Midline diastemas have a tendency to relapse. If the retention wire is not something the patient wants, I would then strongly suggest a removable retainer to sleep with at night, also indefinitely. Bruk: Dr M said:\n\n\n\n\t\t\tA lot of times a retention wire is placed indefinitely. Midline diastemas have a tendency to relapse. If the retention wire is not something the patient wants, I would then strongly suggest a removable retainer to sleep with at night, also indefinitelyY\n\t\t\nClick to expand... Bruk: Thanks for your response but what i was referring to was actually the times before retainer placement ( before removing brackets and placing retainers). So i was thinking during those times placing continious ligature ties (2 months or more) might be helpful to settle the occlusion ? Am i wrong ? Dr M: No, this is a good idea. How long has the overall treatment been? Bruk: It's midline diastema. So 5-6 months." }, { "id": 3, "title": "Should my case have alternatives other than extractions?", "dialogue": "ssyx1234: my upper teeth have mild crowding and over jet, lower missing one teeth and slight midline deviation.\n\nMy reason for seeking treatment are wanting to improve overall aesthetic: my facial profile is protruding and my teeths are not straight / symmetrical when smiling.\n\nWound seek your expertise for other alternatives as i dont think my case is so severe to require extractions. Dr M: What extractions did the orthodontist recommend? ssyx1234: Dr M said:\n\n\n\n\t\t\tWhat extractions did the orthodontist recommend?\n\t\t\nClick to expand...\n\nupper two premolar and lower one extractions Dr M: If there is a severe space deficiency, extractions are sometimes recommend to provide space in order to align the teeth properly. \nYou can also get a second opinion from another orthodontist." }, { "id": 4, "title": "Should my case be considered as \"treatment completed\"?", "dialogue": "pds: I can see a lot of gap in there. How can this be the finished product? Dr M: Did you discuss your concerns with your orthodontist? What explanation did he give? Was this the best result that could be achieved with or without jaw surgery? pds: I told him this gap will look very strange if kept this way. Then he said I will have to go through uncomfortable situation to fix this. I said I have no problem with that. Then he asked his assistant if reverse arch was available, the assistant said no and then he gave me anterior box elastics. I just feel like he is being careless at this point. Previously he said he will close the gap. Dr M: Can you get a second opinion from another orthodontist? pds: I think I will. This is hard to accept" }, { "id": 5, "title": "Opinion: Final Fine Adjustment Phase", "dialogue": "christianlee: Hi All,\n\nMy orthodontic treatment has come to the final phase of fine tuning. My orthodontist asked if I'm satisfied with the current state, and if I have any other concerns.\n\n(1) The main thing I want to improve is that the top midline seems a bit asymmetrical, and that the top right central incisor (my right, FDI 11) seems a bit more tipped towards the midline than the top left central incisor (FDI 21). My ortho told me that from what he sees (visually, not by x-ray), the root is currently approximately in its neutral/straight position, and that if I decide to rotate it, then it might go slightly away from this neutral/straight position. Even if this estimate was true, would it be a concern to have the tooth slightly off from neutral/straight to achieve better midline symmetry, and do you think I should go ahead with rotating this tooth (top right central incisor) by what seems to be a little bit?\n\n(2) Any other fine tuning suggestions?\n\nThanks,\nCL Dr M: What is the plan for after the ortho has been completed? What I can see from your photo is that the one central incisor seems chipped and that there is also some black triangles present between the upper incisors. You can perhaps consider crowns or veneers in order to eliminate the black triangles, improve the chip and achieve your desired aesthetic outcome, without tilting the root out of its neutral position, which might increase the risks of relapse at a later stage.\nIf you want to keep it as non-invasive as possible, you can also consider resin veneers." }, { "id": 6, "title": "RPEs", "dialogue": "OrthoIC: I am with a provider's office. We are having issues with submitting for an RPE with Medicaid. Does anyone know the proper code to use for an RPE with Medicaid?" }, { "id": 7, "title": "MARTIN, EMILY AND ADAS QUESTION", "dialogue": "Martin29: Excuse me, could someone tell me about the orthodontic placement process? Dr M: Just a short summary.\nThe teeth are cleaned of any debris.\nThe teeth are etched in order to place the brackets.\nThe brackets are positioned according to the treatment plan, and then light cured to fix them in position.\nAfter the brackets are places, the arch wires are threaded through the brackets.\nSometimes elastics are placed in certain areas." }, { "id": 8, "title": "Porcelain veneers and biting problems", "dialogue": "Endurable5458: I received porcelain veneers about 5 weeks ago, but right away my bite was uncomfortable, and the dentist tried to adjust it but she could never get it quite right. There is no major malocclusion, but the bite does not feel comfortable.\n\nThe central incisors and lower teeth hit each other with too much force, and when I clench my jaw I feel that the molars do not make contact fully unless I use some extra effort. I feel that my jaw muscles feel tired then.\n\nBoth the first dentist and the one I visited for a second opinion said that there is no major malocclusion, but they said their knowledge about bites is not that of a specialist, and they suggested that I see a specialist.\n\nNow to my question: I noticed that when I eat some food that gets stuck in the molars, it will improve my bite a lot. The central incisors and lower teeth will not hit each other, and I do not have to bite down so deep for my molars to make contact.\n\nCould the solution be to get a tiny bit of composite resin in the molars? I noticed that even something as tiny as a peppercorn stuck in the molars is enough to improve the bite. I would like to explain it well to the specialist in case this could be a good solution. jacksmith22367: Endurable5458 said:\n\n\n\n\t\t\tI received porcelain veneers about 5 weeks ago, but right away my bite was uncomfortable, and the dentist tried to adjust it but she could never get it quite right. There is no major malocclusion, but the bite does not feel comfortable.\n\nThe central incisors and lower teeth hit each other with too much force, and when I clench my jaw I feel that the molars do not make contact fully unless I use some extra effort. I feel that my jaw muscles feel tired then.\n\nBoth the first dentist and the one I visited for a second opinion said that there is no major malocclusion, but they said their knowledge about bites is not that of a specialist, and they suggested that I see a specialist.\n\nNow to my question: I noticed that when I eat some food that gets stuck in the molars, it will improve my bite a lot. The central incisors and lower teeth will not hit each other, and I do not have to bite down so deep for my molars to make contact.\n\nCould the solution be to get a tiny bit of composite resin in the molars? I noticed that even something as tiny as a peppercorn stuck in the molars is enough to improve the bite. I would like to explain it well to the specialist in case this could be a good solution.\n\t\t\nClick to expand...\n\nYour observation about food improving your bite is definitely worth discussing with the specialist! It suggests a minor adjustment could be the answer. Adding a small amount of composite resin to your molars, similar to what you experience with food getting stuck, could be a possible solution.\n\nGood luck with your appointment! Hopefully, the specialist can use your observations to find a solution for a comfortable bite." }, { "id": 9, "title": "Best Treatment for a Misaligned Third Molar?", "dialogue": "morris2020: Hello everyone,\n\nI am dealing with a misaligned third molar that faces inward, causing some jaw asymmetry. I'm exploring the best treatment options to straighten this tooth, and I'm particularly interested in discreet methods. The rest of my teeth are properly aligned, so I'm looking for a solution that focuses only on the third molar without affecting the other teeth.\n\nHas anyone here dealt with a similar situation? What treatment did you find effective for correcting a single misaligned molar? I'm considering options like clear aligners, lingual braces, or any other less visible methods. Dr M: Have you considered removing the wisdom tooth instead? How does the opposing wisdom tooth like? morris2020: Dr M said:\n\n\n\n\t\t\tHave you considered removing the wisdom tooth instead? How does the opposing wisdom tooth like?\n\t\t\nClick to expand...\n\nThe molar on the right side is straight, extracting the left tooth is not an option for me, even now that it is crooked it affects the symmetry of my face and my left side is narrower than the right. I want to know the best way to straighten it Dr M: You can look into Invisalign, although any facial asymmetry is usually an indication of a more complicated issue. One tooth alone would not lead to facial asymmetry.\nThe best option would be to go for a consult with an orthodontist, so that a full occlusal analysis can be done. They can then discuss Invisalign with you as well as other options." }, { "id": 10, "title": "Desire for teeth to return to their previous positions after orthodontic treatment", "dialogue": "Haroja: Hello. I received orthodontic treatment between 2019-2022. Two teeth were extracted in my upper jaw and screws were placed in the roots of my front incisors, allowing my teeth to move upward. After my treatment was completed, retaining wires were glued to my lower and upper jaw. I used the night plate every night for 6 months. After the 6th month, I started using it every 2 nights for 3 months. After using it for 9 months, my night plate broke. I didn't go to my dentist and get a night plate again, thinking that using it for 9 months would be enough. . While I was eating, the adhesive on the retainer wire on my upper jaw came off. When the gap between my teeth started to open, I noticed it and went to my dentist. The adhesive was reapplied. \nCan you comment on the alignment of my teeth after the treatment is completed and the alignment of my current teeth? The teeth in my upper right jaw turned slightly inward. Can fillings be placed between my teeth? Is there a need for orthodontic treatment again? If I undergo orthodontic treatment again, how many months do you think it will take? Thank you Dr M: On the photo it is unclear if there was relapse. If the retainers were not worn or replaced when broken, there is a a high likelihood that your teeth moved.\nIf the changes are relatively small, you can consider aligner therapy, which is not as long as normal fixed braces, in order to align the teeth again. \nIt is my opinion that retainers should be worn every night after ortho has been completed, to prevent relapse, and I advise my patients as much. Haroja: Thanks for responding. What is aligner treatment? Unfortunately, I do not have a night plate, but I have retainers on both jaws. Dr M: You can google Invisalign to get a clearer picture. It is different sets of retainers, that is designed in such a way that it moves your teeth gradually. Haroja: Thank you for the answer. I think my teeth are crooked by 1 or 2 millimeters. Gaps started to form between my teeth. Do you think I should reconnect or seek treatment? Haroja: Should I also have my wisdom teeth extracted? My dentist says I don't need to have it removed" }, { "id": 11, "title": "Is my case too complicated for at-home orthodontics?", "dialogue": "joey87: Long story short... I have a complicated case of deep bite. I'm getting #21 extracted and can't get an implant or a bridge without full ortho. I have talked to or met every single dentist in my region who referred me to the only orthodontist in my region. I met the ortho, who made a treatment plan and payment agreement, but referred me to a general dentist to get a descaling and gum graft before we started Invisalign... when I came back to the ortho the next month, he told me he changed his mind, he doesn't have enough time and canceled the entire treatment, 2 days before Christmas. There is no other option in my region, it was my last hope.\n\nCould I use an \"at-home\" orthodontic treatment like AlignerCo, NewSmile, ClearCorrect, SureSmile, and similar alternatives? Or is my case too complex for that? I would have preferred having an in-person follow-up but I am out of options.\n\nFor reference, here are some pictures of my occlusion:\nhttps://photos.app.goo.gl/nAPdd4Z32zwfFteb9\nand a video:\nhttps://photos.app.goo.gl/EfvfRMp8YKbTsmxS7\nMore info about why I need full ortho:\nhttps://www.dentistry-forums.com/threads/why-dentists-dont-recommend-maryland-bridges.28153/\n\nInvisalign scan:\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\nInvisalign expected result simulation: joey87: Forget at-home orthodontics... I traveled 3 hours to go to 2 orthodontist clinics in a big city.\n\nOrthodontist #1 said Invisalign would work perfectly to correct my deep bite at 100%\n\nOrthodontist #2 said Invisalign wouldn't give good results and insisted on classic braces\n\nWhat am I supposed to do when specialists give conflicting information? I don't know which advice I should take... Both orthos were very experienced and they do clear aligners AND braces. Ortho #2 was so convinced that Invisalign would give a bad result that he said if I chose Invisalign he would not be able to help me and told me to see another ortho.\n\nI have been trying to find a solution to my problem since September 2023... I just want to pay the bill and start the treatment... but how can I decide?\n\nI'm a CEO, I have a lot of business meetings with finance guys having billions of assets under management, and I'm single at 36yo. Braces will destroy my self-confidence and I will avoid public activities. I would prefer Invisalign but ONLY if it makes sense for my case. Haroja: joey87 said:\n\n\n\n\t\t\tForget at-home orthodontics... I traveled 3 hours to go to 2 orthodontist clinics in a big city.\n\nOrthodontist #1 said Invisalign would work perfectly to correct my deep bite at 100%\n\nOrthodontist #2 said Invisalign wouldn't give good results and insisted on classic braces\n\nWhat am I supposed to do when specialists give conflicting information? I don't know which advice I should take... Both orthos were very experienced and they do clear aligners AND braces. Ortho #2 was so convinced that Invisalign would give a bad result that he said if I chose Invisalign he would not be able to help me and told me to see another ortho.\n\nI have been trying to find a solution to my problem since September 2023... I just want to pay the bill and start the treatment... but how can I decide?\n\nI'm a CEO, I have a lot of business meetings with finance guys having billions of assets under management, and I'm single at 36yo. Braces will destroy my self-confidence and I will avoid public activities. I would prefer Invisalign but ONLY if it makes sense for my case.\n\t\t\nClick to expand...\n\nHello. I had the same problem too. When I asked orthodontists how to fix it quickly, they suggested classical orthodontics. Dr M: It all depends on what type of malocclusion you have. These days Invisalign can correct a lot of malocclusions. If the first orthodontist felt comfortable correcting it with Invisalign and self-confidence is an issue, I would suggest sticking with him. Alternatively you can get a third opinion." }, { "id": 12, "title": "External resorption in multiple teeth, possibly caused by orthodontics", "dialogue": "confusedandscared: I went to a dentist for extreme tooth pain/sensitivity in several molars. I get mild, brief pain when any food or drink touches the area between those teeth, and if the food or drink is hot, cold, or extremely sweet, forget it--the pain will almost bring me to tears (though it lasts only a few seconds). This pain/sensitivity started about 6 months ago and only got worse. I'm 24 years old and female. I don't smoke or drink. I floss daily and brush 2x/day for a while now.\n\nThe doctor performed the cold test, and I had sharp pain, lasting about 3 seconds. He looked at my X-rays and found that I had signs of external resorption in 3 molars. (Although almost all of my teeth have developed similar sensitivity to lesser degrees. He only took X-rays of the ones that were hurting the most.) He referred me to an endodontist that I will be seeing in 2 days.\n\nAfter googling what external resorption means, I'm freaking out. Most sources are saying that in the majority of cases, the teeth will need to be extracted, which is alarming since all of my teeth have developed the same sensitivity/pain to varying degrees. My dentist couldn't answer why the resorption occurred and said it could be idiopathic.\n\nI've never had trauma. I did braces from about 2013-2015 and Smile Direct Club invisible aligners from about 2017-2019. I've been wearing my retainers nightly since completing my last alignment treatment. Throughout the day, my teeth will shift slightly and putting on the retainers at night will be a bit tight/painful. I explained all of this to my dentist and he said it's unlikely that an orthodontic treatment I completed years ago and/or the retainers are causing the resorption and he said that the mild shifting throughout the day is normal as some people have faster relapse speeds than others.\n\nAs of about a month, I also developed some other symptoms I believe may be related like occasional, mild ear and jaw pain (ears will feel mildly painful pressure, jaw is more of an ache and stiffness. I'll have the urge to open wide and stretch it out) and random, brief numbness or pain in my hands and feet 10-20 times a day. Both the facial pain and bodily numbness occur on both sides of my body, but more on the left, which is also where I experience more dental pain.\n\nPlease help, I'm really at a loss. Dr M: Do you have any x-rays that you could share that indicates the external resorption? confusedandscared: Dr M said:\n\n\n\n\t\t\tDo you have any x-rays that you could share that indicates the external resorption?\n\t\t\nClick to expand...\n\nWill get them to you tomorrow after my endodontic appointment! Thanks so much confusedandscared: Dr M said:\n\n\n\n\t\t\tDo you have any x-rays that you could share that indicates the external resorption?\n\t\t\nClick to expand...\n\nAttached are the photos from my endodontic visit today. These are teeth 18, 19, and 30, I believe. She said she doesn't see any external resorption and it might've been artifacts on the previous dentist's X-rays. She said the extreme pain/sensitivity I feel might be from a wisdom tooth that just erupted and 2 cavities in the very back molars, 1 on each side. I asked her if a wisdom tooth/cavity could cause pain in teeth that aren't adjacent, or on teeth above, and she said yes. We're gonna get the wisdom extracted and cavity filled and see if that does the trick.\n\nHowever, the borders of some of my roots still look fuzzy/gone completely (eg right side of first pic), and this is what the previous dentist thought was resorbed. What do you think? Thanks so much. Dr M: No signs of resorption can be seen here. Have your wisdom teeth extracted and see how it goes. confusedandscared: Dr M said:\n\n\n\n\t\t\tNo signs of resorption can be seen here. Have your wisdom teeth extracted and see how it goes.\n\t\t\nClick to expand...\n\nThank you!" }, { "id": 13, "title": "Questions on Mewing in relation to Orthodontics/Night Guards", "dialogue": "Electric Boobs: It took me a while to realise the obvious, but if mewing slowly widens your palate over time, then am I right in saying there's ultimately no point in someone - who as a retainer or night guard - to do mewing if their hope is to enhance their facial profile. Apart from the health benefits of mewing, if it's not possible to widen one's palate, then I guess the only other aesthetic benefit to mewing would be that you support your upper face.\n\nSo in the case of myself, I can think of it as that during the day while mewing I'd be forcing my teeth outwards, and then my night guard would push in the opposite direction to this during the night. So there would be an ongoing battle?\n\nIn this video from the 6:00 mark Dr Mike Mew emphasises that it's important that habits supporting the 'inner U' to go in balance with habits that support the 'outer U'. It made me wonder, what if someone were to just mew for the 'inner U' without doing chewing excises for the 'outer U', or vis versa? If you were to do all mewing and nothing for the jaw, then could that mess up one's bite?\n\n\n\n\n\n\nMy other question, is that I've had invisalign so I've had a small amount of IPR. If my smile were instead perfected by making space for the teeth, then the orthodontist would need to widen my upper and lower palate, giving me a heathier looking face. Dr Mike Mew used an image with a almost identical to the fourth one attached below, to demonstrate what a perfect looking arch should look like. So if I wanted my arch to be perfect like that one, then this would involve introducing gaps between my teeth. So if I wanted this done, would those gaps needs to be filled with composite? Mike Mew claims that this can be done on most individuals under the age of 40. Below are three images of my own (before and after for the lower, and after for the upper). The invisalign has widened my arch a very small bit at the front only. But invisalign doesn't seem to have the ability to move the molars.\n\nAnother question I have, is that a lot of videos on youtube seem to indicate that mewing improves the jawline, which confuses me slightly. Am I right in saying that mewing is for the inner U and has little influence on the jawline? I would also like to know more about these functional appliances, and are there many orthodontists that use them?" }, { "id": 14, "title": "Advice on Braces", "dialogue": "Lotts_10: Hi, I went to the orthodontist last week for a braces consultation and have a question whether this is standard procedure or not. My teeth are crooked with slight gaps but my bite is normal. However, the orthodontist said that the only way to get straight teeth in my situation was to align all my teeth and especially my two central incisors together but leave two gaps between my two central incisors and my lateral incisors, then to get ceramic dental fillings over the gaps to make it neat and straight. Is it seriously not possible to have straight teeth by just getting metal braces without having to go through a second procedure to make it straight? The orthodontist told me it was because he usually pushes the teeth in in order to make it straight, but since my bite was normal, he couldn't just push it in. My teeth are slightly smaller in size but I've seen videos of other people with smaller teeth than me that still got straight teeth through braces. This orthodontist charges more for braces than other orthodontists so I want to make sure its seriously not possible to avoid going through dental fillings just to get a good smile before I make my decision, I really thought my situation was simple and can be solved with just braces \nThank you for reading this. Dr M: Difficult to say without more information, but if you are unhappy, you can discuss this with the orthodontist, or consider going for a second opinion at another orthodontist." }, { "id": 15, "title": "Uneven bite and asymmetrical face caused from closing gap of first molar extraction with braces - Can i still do anything about it?", "dialogue": "intr0spection: I had my first upper molar on the right side extracted instead of a root canal. I had braces during this time so my dentist decided to close the gap (using elastics iirc). I was almost done with my braces but this gap closure delayed it for a few months. My bite was uncomfortable for a while but it religned as if my second molar was my first.\n\nI still did not have my wisdom tooth come in during this time. It come out a year later and took the place of where my second molar used to be.\n\nNow, my braces are about to be taken off. The lower and upper teeth create a perfect aligned arch. When seen through the Y plane it looks perfect. The problem is in the bite.\n\nThe gap closure made the top-right half of my palate narrower? When I feel the roof of my mouth with my tongue, the right side (where the gap was closed) always feels narrower than the left, as if the teeth were pulled in.\n\nWhen i bite, only the left half of my teeth make actual contact. The top set of the right half feel raised upwards, creating an open bite. Even if i shift my jaw. the right side never fully bites. This is also visually evident.\n\nI am most concerned with the assymetry of my face ever since. The right side of my face looks like it had melted downwards. The cheek is much more sunken on the right side, there is a deep nasalobial fold only on the right side, my smile droops down on the right side, and my jaw is also drooped.\n\nMy dentist says that the bite is already perfect and there is nothing more to be done. The prolonged stay of brackets on my teeth are causing more dental problems (such as cavities) but i am debating whether the brackets can still be used to correct my facial asymmetry (with another dental professional).\n\nAlso it may be important to note that i just recently got the lower-right 1st premolar extracted as well. I think i may have broken both the upper and lower teeth chewing on something hard before and both succumbed to cavities. Though, i will never close the gap this time and just have a false tooth attached to my permanent retainers to avoid my second molar sinking into the open space.\n\nIs there still anything to be done? Or is the asymmetry irreversible? Thanks in advance to anyone who answers!\n\nlink to the photo: \n\n\n\nhttps://imgur.com/a/jTa6m9s Dr M: There is clear asymmetry visible in the photo. Is your dentist a general dentist or an orthodontist? It does not make sense that the molars don't touch on one side, unless the treatment is being stopped prematurely." }, { "id": 16, "title": "Invisalign re-treatment for midline discrepancy/misalignment without TADs?", "dialogue": "GettingInvisalignSoon29: Hi everyone,\n\nI had braces roughly 10 years ago. The result is overall great: bite is normal (no overbite or overjet), no spaces between teeth, smile looks great. Only issue is that while my upper and lower arches are aligned with each other, they are not aligned with my the midlines of my lips - i.e. both arches are skewed a couple mm to the side.\n\nI was offered an Invisalign plan; however, the orthodontist is not looking to use TADs for the retreatment. When I spoke to my previous orthodontist (the one from 10 years ago), he told me that the Invisalign plan looks good, but that without TADs it'd be very difficult to correct the midline discrepancy. In other words, some sort of anchorage is necessary in order to pull the arches and correct the 'skewness' / asymmetry / discrepancy (sorry, I'm not an expert when it comes to using the right medical terms).\n\nI am not sure why the current orthodontist doesn't include TADs in the plan. I understand that he doesn't want to worsen my already-pretty-good-and-satisfactory condition, but can this plan work without TADs?\n\n*I've gone to a couple of consultations.\n\nI would appreciate your insights and expertise as I need to make a decision and want to make the best decision for me.\nThank you very much! alithedentalguy: Hi,\n\nIn order to correct the midline issue (following the braces treatment) with the invisalign might brutal. The reason is to move whole jaw to correct it. Think about it, they will not extract any of the teeth and the only thing that they can do is to move the whole teeth and if they provide a gurantee that they will fix %100 go for it but the time scale will be very long. \n\nPlease keep me updated. GettingInvisalignSoon29: Thank you for your response. They are not going to extract any teeth but rather to create more spacing by IPR on a number of teeth (in the back of the jaw) thus achieving more space. My question was whether they can fix the midline without using TADs ? There is not anchoring.\n\nThanks,\n\nZack" }, { "id": 17, "title": "Is my palate narrow + do I have an open bite?", "dialogue": "Questionsaboutteeth: Questionsaboutteeth: For context I’m 14f and the last time I went to a dentist was a year ago and they mentioned potentially getting a palate expander and getting some chain for my impacted canine but nothing ever came about it. I’ve done some research and believe I have a narrow palate from constantly sucking on blankets when I was younger and because of this as-well I think I might have an open bite but I’m not too sure so I’m checking on here. (in the first picture I was purposely aligning my teeth usually my bottom teeth are almost completely covered by my front teeth) Dr M: It is difficult to judge these things from photos alone. Are you biting on your back teeth? The best option would be to seek a consult with an orthodontist. You can then ask your questions in person. Questionsaboutteeth: Dr M said:\n\n\n\n\t\t\tIt is difficult to judge these things from photos alone. Are you biting on your back teeth? The best option would be to seek a consult with an orthodontist. You can then ask your questions in person.\n\t\t\nClick to expand...\n\nThis is what it looks like when I’m biting my back teeth but I’ve noticed that only one side of my upper back teeth will touch the bottom back teeth at a time Dr M: On this photo it does not appear that you have an open bite in the front. I would still suggest seeing an orthodontist for evaluation of the occlusion of your back teeth. alithedentalguy: Hi,\n\nI can confirm that there is no bite issue however, Invisalign will be a good option for you to straighten the appearance of your smile line. \n\nAli" }, { "id": 18, "title": "Are my TAD's/mini-screws placed CORRECTLY?! a bit concerned (X-RAY INCLUDED)", "dialogue": "SpoonOfChair: I just got my tads/mini screw placed 5 hours ago.. I had my panaroma done afterwards and I'm a bit worried if they're placed correctly\nespecially the third mini-screw one from the left. He placed the mini-screws without even looking at my xrays to begin with.\nI'm not a dental student/professional but I spoke to my orthodontist about my concerns and he said they all look fine but to me it looks as if the mini-screws may have pierced the tooth?!\nI'm in a bit of pain so I took some analgesics but I'm OK for now.\nI just wanted a second opinion I'm afraid of root resorption. Dr M: Good day\n\nIt is important to consider that this x-ray is a 2 dimensional picture. For a more accurate assessment, a 3D CBCT scan is usually the go to. This x-ray might therefore be misleading when it comes to the actual positioning of the teeth and screws." }, { "id": 19, "title": "Additional Opinions: Top Dental Midline Alignment", "dialogue": "christianlee: Hi Orthodontists!\n\nI am 10 months into my orthodontics treatment, and I am currently at a crossroad to decide whether to correct the top midline alignment. My orthodontist has given me some factors to consider, but the final decision is up to me, so I would like to get some more opinions given the facts, risks, and other disadvantages of pursuing the correction.\n\nFacts:\n\nMy top central incisors’ midline is slightly towards the left, approximately 1 mm off-centered\nMy bottom central incisors’ midline is further to the left by another 1 mm, approximately\nSolution:\nCurrently, I’m only aware of temporary anchorage devices (TADs) as the most appropriate and least invasive method of aligning the top dental midline to my face’s midline.\n\nRisks of TADs and Disadvantages of Aligning the Midline (based on what I read/heard):\n\nI was told that the aligned teeth midline may rebound towards its original position after the orthodontic treatment even with the use of retainers (fixed or unfixed), because retainers hold the attached teeth’s relative position to each other, but do not prevent the movement of the entire row of teeth. Therefore, the whole row of teeth can shift, causing the midline to relapse towards its original (current) position.\nTADs can damage the root of the adjacent teeth, which can lead to complications ranging from simply needing to monitor it closely, to the complete extraction of the damaged tooth.\nThe use of TADs to move teeth will result in not just the desired lateral movement, but also undesired movement towards the inside of the mouth (adversely affecting the arch).\nQuestions I have:\n\nAre all the listed risks and disadvantages significant to the degree that they should prevent me from pursuing midline alignment?\nAre there other solutions other than TADs that I should consider?\nIs there any good solution to prevent the midline from relapsing by way of the entire row of teeth shifting by itself after the end of the orthodontics treatment?\nIf I am inclined to pursue the top row’s midline alignment, would you recommend against it based on the above risks/disadvantages or other information I’ve missed?\nBelow are photos of my teeth with my head as centered as possible. Throughout the pictures taken, I’ve progressively increased the degree of my smile while trying to maintain my philtrum/lips as centered as possible to provide the least-biased perspective.\n\n\n\nI appreciate your advice very much!\n\nThank You!" }, { "id": 20, "title": "Additional Opinions: Top Dental Midline Alignment", "dialogue": "christianlee: Hi Orthodontists!\n\nI am 10 months into my orthodontics treatment, and I am currently at a crossroad to decide whether to correct the top midline alignment. My orthodontist has given me some factors to consider, but the final decision is up to me, so I would like to get some more opinions given the facts, risks, and other disadvantages of pursuing the correction.\n\nFacts:\n\nMy top central incisors’ midline is slightly towards the left, approximately 1 mm off-centered\nMy bottom central incisors’ midline is further to the left by another 1 mm, approximately\nSolution:\n\nCurrently, I’m only aware of temporary anchorage devices (TADs) as the most appropriate and least invasive method of aligning the top dental midline to my face’s midline.\nRisks of TADs and Disadvantages of Aligning the Midline (based on what I read/heard):\n\nI was told that the aligned teeth midline may rebound towards its original position after the orthodontic treatment even with the use of retainers (fixed or unfixed), because retainers hold the attached teeth’s relative position to each other, but do not prevent the movement of the entire row of teeth. Therefore, the whole row of teeth can shift, causing the midline to relapse towards its original (current) position.\nTADs can damage the root of the adjacent teeth, which can lead to complications ranging from simply needing to monitor it closely, to the complete extraction of the damaged tooth.\nThe use of TADs to pull teeth will result in not just the desired lateral movement, but also undesired movement towards the inside of the mouth (adversely affecting the arch).\nQuestions I have:\n\nAre all the listed risks and disadvantages significant to the degree that they should prevent me from pursuing midline alignment?\nAre there other solutions other than TADs that I should consider?\nIs there any good solution to prevent the midline from relapsing by way of the entire row of teeth shifting by itself after the end of the orthodontics treatment?\nIf I was your patient and wanted to pursue the top row’s midline alignment, would you recommend against it based on the above risks/disadvantages or other information I’ve missed?\nBelow are photos of my teeth with my head as centered as possible. Throughout the pictures taken, I’ve progressively increased the degree of my smile while trying to maintain my philtrum/lips as centered as possible to provide the least-biased perspective.\n\n\n\nI appreciate your advice very much!\n\nThank You!" }, { "id": 21, "title": "Alternative to braces", "dialogue": "Coldste: Hi this might sound stupid but are there any alternatives to braces? I have over crowding on my lower teeth along with wear and grinding and an overbite. I don’t think I could afford braces here in the UK. I asked my NHS dentist if there is anything that can be done a few years ago, since I was and still am finding them hard to keep clean. He just said oh your teeth are fine and just pull your bottom lip down to clean them, basically he wasn’t interested. So I‘m going to make an appointment with a private dentist at the same surgery, and see what he could recommend. If he recommended something that the NHS covers then obviously I‘d go back to my NHS dentist and tell him your colleague has said this is possible so why won‘t you do it?\n\nOther than dentures, could bridge fix my bottom teeth? Had a top brace when I was a kid, but I’m an adult now so obviously don’t qualify for NHS funded ones. I‘ve included a photo of my bottom teeth, to. Before anyone says anything about the gap on my upper teeth, I broke my front tooth when I was a kid, had it glued back on but it kept breaking off, and I haven‘t had it repaired as an adult because I‘ve grown that used to the gap MattKW: You really need an ortho opinion, and they will also look at your top teeth. The upper and lower teeth have to work together, so simultaneous treatment of both is needed.\nSimply extracting teeth and making a bridge is not going to work here. Coldste: MattKW said:\n\n\n\n\t\t\tYou really need an ortho opinion, and they will also look at your top teeth. The upper and lower teeth have to work together, so simultaneous treatment of both is needed.\nSimply extracting teeth and making a bridge is not going to work here.\n\t\t\nClick to expand...\n\nAy thanks for that, if I remember right my NHS dentist always says “class 3 malocclusion“ to his nurse. I’ll make an appointment with a private dentist at the practice and see if he can recommend or point me in the right direction for decent ortho, since he’s been there 30+ years\n​ gapsinteeth: Aligners such as Invisalign. ginab62: I had invisilign and it worked well Pooja: You can try aligners. I used clear aligners from makeO toothsi and thought they are more aesthetic than ugly metal braces I had for a while." }, { "id": 22, "title": "Who owns STL files from orthodontic treatment / Invisalign treatment?", "dialogue": "Justme778899: Hello. I am new to the forums and I registered to ask a specific question the answer to which might be valuable to other people, too.\n\nAre there any orthodontists in the forum? I am trying to understand a subject matter better.\n\nI had orthodontic treatment at a dental clinic and chose Invisalign. During treatment there were two 3D mouth scans performed with an iTero scanner - the first at the beginning of the treatment, the second after the treatment with aligners was finished in order to get the data needed for my retainers to be manufactured. I opted for Invisalign brand (Vivera retainers).\n\nThe entire treatment took place in a country which is not my native country (not the US). Becoming more mindful of my finances and knowing that the retainers have to be eventually replaced I recently asked the dental clinic in which I underwent treatment to send me the STL (the 3D scan files) that were taken during treatment. The reason is that I believe in owning the data myself and being able to in the future being able to choose a contractor that manufactures spare retainers according to my own preferences which might include financial attractiveness of options as well as access to the data if I want to use it with an orthodontist in my home country.\n\nThe clinic disclosed the first file with me but told me they are unable to send me the second file (of the scan that was performed after the aligner treatment had finished). I didn‘t just accept this as an answer, yet since I do not know if this is correct, if this can be handled differently and therefore what options I have.\n\nThe clinic stated that they are unable to do so because they could not access the file as it - according to them - is blanketed under Invisalign.\n\nTechnically my understanding is the following:\n\nSince both files were taken with the same equipment and both times files had to be stored after the scan was completed both files should be equally accessible to the dental clinic In which there created. I think that is obvious.\n\nI am aware that both the dental clinic, as well as Invisalign are not likely to be cheerful that I want access to the files as it might lessen the chance that they will earn money from me in the future but I would like to know what is actually happening.\n\nI am aware that this is likely controversial. I have my interests. The clinic has their interests. Invisalign has their interests.\n\nI could argue that I paid for the treatment including the scans and therefore am entitled to receive the scan files. Invisalign could argue that the second scan was performed as part of their proprietary Vivera retainer manufacturing process and that they are under no obligation to disclose the file - just as an artisan could argue that a physical or digital model they created as part of manufacturing a commissioned work for me is their property unless agreed otherwise beforehand. The dental clinic could argue - I am not exactly sure and in any case would or will likely have to look into the contract but I would like to understand the intricacies.\n\nAre there any orthodontists who can comment on this?\n\nI can also commission a 3D scan of one of my untouched pairs of retainers and commission a retainer manufacturing contractor of my choice to create retainers from that file. I am confident that I can find a workaround but I don’t want to waste my resources. The question is: Do I have the right to owning that file? And: Is the clinic actually able to provide the file to me?\n\nObviously Invisalign earns a lot of money with re-commissions for Vivera retainers because the margin is very large. It’s part of their business model. Personally speaking, I will not throw away my money if I can commission retainers to be made that work just as well for a fraction of the cost by people who specialize in the manufacturing of such. I am - obviously - searching for a solution to minimize costs for my orthodontic maintenance - and considering the actual manufacturing and material cost of retainers I believe this is a wise choice.\n\nI‘m curious if there is anyone here who can comment on this in a qualified way. If there is, or if there are several people I would be eager to hear what you know.\n\nI‘d like to say I am not so much interested in discussing the ethical side of things. So if you have an opinion on the subject matter but cannot provide further value I would encourage you not to discuss this. Maybe there are other people interested in this question. In any case the people who could truly provide value would be those who know - likely professionally. Thank you. happy_okapi: This is unfortunate and I have the same issue. It seems your best option would be to order retainers that come with a 3D printed model. This way you'll have a physical \"copy\" of the scans, even if you don't have the scans themselves. This is what I'm doing. It's truly absurd that they don't share these files with us - I've had a week of back and forth interactions with my dentist's office just to get a replacement pair of retainers. They did give me a 3D Model when I finished treatment but it's entirely useless because they scanned me before I got my lingual wires, which are the v-loop kind and are quite bulky. If it's any consolation, most labs won't accept scans anyway unless they come directly from a doctor's office. Good luck to you! alakuni: The ownership of STL files from orthodontic or Invisalign treatment can be a source of concern, especially when it comes to your own dental health records.\n\nIn most cases, the STL files, which are digital 3D models of your teeth and mouth, are typically owned by the orthodontist or dentist who provided the treatment. However, it's essential to discuss this with your dental provider to clarify any concerns you may have about access or ownership of these files.\n\nYour dental professional should be willing to explain their policies and procedures regarding patient records and files. Transparency and open communication are essential to ensure you have a clear understanding of your own dental data, allowing you to make informed decisions about your treatment and future dental care.\n\nYour peace of mind and trust in your dental team are vital, so don't hesitate to ask questions and seek clarity on this matter. Your oral health is a personal and important part of your life, and you deserve to have a full understanding of your own dental records. joey87: Shareholders of Align Technology owns it, which is a public company making $1 billion in revenue per quarter with $1.3 billion cash on the balance sheet. Gross profit margin of 77%.\n\nAlign Technology makes $165 million per quarter from Imaging Systems. Those STL files are a gold mine." }, { "id": 23, "title": "Can these impacted canines be pulled down?", "dialogue": "teethyt00thyteeth: Dr M: Difficult to say based on the type of x-ray provided. In a case as severe as this, a 3-D CBCT scan would provide a better idea of the exact positioning of the canines in relation to the roots of the surrounding teeth. This will then provide a better idea of the future treatment possibilities." }, { "id": 24, "title": "I have a crowded teeth could invisalign help ?", "dialogue": "Rabion123: Which degree of Crowded teeth is this , does someone know could invisalign help ?\nI had my teeth straightened with braces but after i didnt take the 8ths or wisdom teeth out so this happened to me , i am looking for someone with experience is there a chance to fix this with invisalign ?\n\nHere is a picture of teeth \n\n\n\n\n\n\n\n\n\t\t\t\t\t\tUntitled hosted at ImgBB\n\t\t\t\t\t\n\nImage Untitled hosted in ImgBB\n\n\n\n\n\t\t\t\t\tibb.co Dr M: It does seem like you are a candidate for aligner therapy. I would suggest booking an appointment for a full consultation with a dentist that does Invisalign. alakuni: Having swarmed teeth can influence your certainty and by and large prosperity, and it's great that you're thinking about Invisalign as a possible arrangement.\n\nInvisalign has been a unique advantage for some individuals managing swarmed teeth. The prospect of fixing your teeth without conventional supports can bring help and energy. Invisalign aligners are cautious, agreeable, and compelling in step by step repositioning your teeth.\n\nIt's fundamental to talk with an accomplished Invisalign supplier who can evaluate your particular case. They will make a customized treatment intend to address your swarming issues. The possibility of accomplishing a straighter and more sure grin with Invisalign is without a doubt a profound excursion worth setting out on.\n\nEmbrace the potential chance to change your grin and recover your confidence. Invisalign can be a way to an additional wonderful and agreeable future, and your dental expert will direct you constantly. Your grin merits the interest in your joy and prosperity." }, { "id": 25, "title": "Wire removed temporarily", "dialogue": "elenasub: Hello\nOn Monday 23 october i had to remove my braces wire temporarily as i need to get fillings on friday 27 october. As soon as this is done i will wear my wire again. \nWill this move my teeth? Or ruin my progress\nplease let me know.\nThank you Dr M: No, this is normal practice in order to do fillings on teeth where the wire would normally cause interference." }, { "id": 26, "title": "Second opinion on X-ray needed", "dialogue": "fmillar: Hi there!\n\nI had a dentist app yesterday about getting aligners, and they took an X-ray of my teeth. My dentist said he would need to refer me to an ortho which would take some time, but he was worried about letting me go ahead with aligners due to my roots in the bottom front of my mouth. He wanted a second opinion. I’ve had braces in the past which has probably worsened matters. I really want to straighten my front teeth, but also don’t want to loose them! Any opinions would be greatly appreciated.\n\nThanks,\nFlo\n\n\n\n - X-ray here MattKW: Analysing lengths from an OPG alone can be misleading if your jaw is not positioned correctly in the focal trough of the machine. For example, although your lower incisors appear unusually short, your upper incisors appear unusually long. Periapical Xrays would resolve this more accurately.\nOn a side note, your lower wisdom teeth appear only partially erupted - why are you hanging onto them? fmillar: MattKW said:\n\n\n\n\t\t\tAnalysing lengths from an OPG alone can be misleading if your jaw is not positioned correctly in the focal trough of the machine. For example, although your lower incisors appear unusually short, your upper incisors appear unusually long. Periapical Xrays would resolve this more accurately.\nOn a side note, your lower wisdom teeth appear only partially erupted - why are you hanging onto them?\n\t\t\nClick to expand...\n\nThanks for the response! Ah, I see. I’ll need to see if that’s an option then, hopefully it will be. \n\nRe the wisdom teeth, I live in the UK, so the NHS will only really remove them if they become a problem (which they’re not, yet). More concerned about fixing my wonky bottom front teeth! MattKW: Ah, good old NHS still sticking to NICE Guidelines from 2000 and haven't reviewed them despite deadlines and contrary evidence. You can always think about getting them removed privately." }, { "id": 27, "title": "Ideas", "dialogue": "daynick: Hello. May i please ask for ideas about my 12 year old son’s 2 adult teeth coming in at an angle? MattKW: This was taken by an orthodontist. What did he/she say? I'd be concerned. daynick: Yes. The doctor said he is concerned about the left upper tooth causing damage to the adult tooth below it. He is recommending that we have the 2 babies pulled to allow for a clear passage. daynick: Here is a progression from 2020 - 2022 - 2023." }, { "id": 28, "title": "Is surgery my only option? Pictures included", "dialogue": "Jacjac8668: 30y.o. Female. I went through 2 phases, an expander and top set of braces in elementary and then full set with rubber bands 8-10th grade. My orthodontist also had two top teeth removed… fast forward to today and my mouth, face and side profile are killing me. I can’t ever find a comfortable place to rest my mouth closed. My top and bottom teeth don’t sit together well. I have a gummy smile, and my chin is recessed causing terrible self confidence issues.\nI’ve received a couple consults and both told me my only option is double jaw surgery. The one mentioned, closing the overjet/openbite would cause my gummy smile to only be more prominent. \n\nMy wish list for improvement is: improved side profile(chin protrusion), less gum when smiling, jaw/teeth sit comfortably together, and I would also like to noticeably widen the smile. \n\nPlease tell me there are options other than surgery. I’d love to hear recommendations even if not all can be addressed. Jacjac8668: Jacjac8668: Jacjac8668: Jacjac8668 said:\n\n\n\n\t\t\t30y.o. Female. I went through 2 phases, an expander and top set of braces in elementary and then full set with rubber bands 8-10th grade. My orthodontist also had two top teeth removed… fast forward to today and my mouth, face and side profile are killing me. I can’t ever find a comfortable place to rest my mouth closed. My top and bottom teeth don’t sit together well. I have a gummy smile, and my chin is recessed causing terrible self confidence issues.\nI’ve received a couple consults and both told me my only option is double jaw surgery. The one mentioned, closing the overjet/openbite would cause my gummy smile to only be more prominent.\n\nMy wish list for improvement is: improved side profile(chin protrusion), less gum when smiling, jaw/teeth sit comfortably together, and I would also like to noticeably widen the smile.\n\nPlease tell me there are options other than surgery. I’d love to hear recommendations even if not all can be addressed.\n\t\t\nClick to expand... MattKW: Jacjac8668 said:\n\n\n\nView attachment 6222\n\nClick to expand...\n\nJaw surgery is a huge step with risks. I suggest you first see a prosthodontist to see if they can suggest a restorative solution for you. It might still require further ortho or even the surgery as you mention, but so far your occlusion seems to have been neglected. The most important function of teeth is eating and speaking." }, { "id": 29, "title": "Question about age", "dialogue": "America Valle: there is an age limit? MattKW: No." }, { "id": 30, "title": "Is this a deep bite or an excessive overbite?", "dialogue": "Moggie: Is this a deep bite or an excessive overbite or is it in the acceptable range? I am aware that it's probably not the \"perfect bite\" but I am fine with that as long as it doesn't require a correction. I am satisfied with my smile and the bite is feeling natural in a day to day environment. MattKW: If you can eat and talk then that's usually good enough. As for beauty, that's a subjective thing - I like the look of your teeth. If you were my child, I would be reluctant to put you through ortho treatment to try and make that look \"better\"." }, { "id": 31, "title": "Question about effect of braces on occlusal plane and the angle of the mandible.", "dialogue": "Luca4496: My question is could using braces with archwires anchored on the 2nd permanent molar before it has fully erupted cause the extrusion of the front teeth and/or the steepening of the occlusal plane, especially when the splee is curved?" }, { "id": 32, "title": "Concerned about effects of braces on facial growth and profile.", "dialogue": "Luca4496: I had braces for 9 months a few years ago when I was 14, and am concerned about the impact it had on my facial growth and profile. It would really put my mind at ease if someone could explain to me if these changes were partially caused by orthodontic treatment or just normal growth. Here is a before(\n\n\n\n) and after(\n\n\n\n) x-ray. The main changes I'm concerned about are the position of my chin and lower jaw. For clarification I simply had fixed braces for 9 months. Dr M: Orthodontic treatment does affect jaw growth and facial profile. Growth is stimulated in certain directions in order to achieve a more harmonious occlusion. However your normal skeletal growth was not finished after that. This continues into your early 20's. If you are worried about your profile and chin now, normal skeletal growth could have had a major influence as well. Luca4496: In this case do you think the treatment I received could have significantly impacted my profile or jaw growth? Dr M: It most likely did have an influence alongside your normal growth as well. Luca4496: Dr M said:\n\n\n\n\t\t\tIt most likely did have an influence alongside your normal growth as well.\n\t\t\nClick to expand...\n\nSorry to pester you but could you explain how it could have had an impact? It's really eating me up inside and I'd like some closure." }, { "id": 33, "title": "Sceptical of Invisalign Consent Form", "dialogue": "Electric Boobs: Hi,\n\nI have been comfortable with the cosmetic dentist who I've decided to have Invisalign with so far and that was one of the main reasons I haven't had a consult anywhere else. When taking impressions he said he needed to take various photographs of my teeth that he'd upload to the \"invisalign app\". The two of these photos I wasn't entirely comfortable with were a facial photo from the front and one from the side. I'm sure it would have possible to opt out from these, but in any case I let it happen. I didn't think a whole lot of this until I read a particular part of the 3 page consent & agreement form.\n\nIt reads \"I authorise my doctor to release my medical records, including, but not limited to [pretty much everything...] to other licensed dentists or orthodontists and to Align, its representatives, employees, successors, assigns, and agents for the purpose of investigating and reviewing my medical history as it pertains to ortho treatment with product(s) from Align and (ii) for educational and research purposes.\"\n\nI did a google on this to see if any others shared their suspicions. The Invisalign form that I found online (link below) seemed to be almost identical except for the end of the every last paragraph, where it read \"My medical records will only be shared with third parties if this is covered by my consent or otherwise permitted by the applicable law\".\n\nhttps://www.omniadentalspa.co.uk/pdf/invisalign-consent-form.pdf\n\nSo why is there a difference? who made it? and when? Wouldn't this be off-putting to most!\n\nI guess I don't mind photos of my teeth going about, but I don't the idea of an image of myself up in some lecture hall 10 years from now, where a lecturer is explaining teeth movements in the context of facial profile. I know some people probably have no issue with this, but it makes me reconsider the price alongside the feeling of a lack of privacy.\n\nInterestingly, on the very top of the form it says that it has to be signed by the patient prior to treatment and kept for their records, and should not be sent to Align Technology, Inc. This gives the impression that there is no way that I can go ahead with this treatment without agreeing to this.\n\nThe dentist gave me the form to take away with me, read and sign. As he gave it to me he highlighted certain parts of it, giving the impression that I need only read those parts. These were points that related to what we'd just discussed in the operating room. I hope that he wasn't hoping that I wouldn't bother reading the part I'm sceptical of. As this was my third appointment of the process so far, and as I was happy, I agreed to pay the first installment (€700) as we finished our discussion in the operating room. He wasn't even expecting me to pay until the next appointment. He told me that since I'm going ahead with it that he'd need to refer me to another clinic to get an X-ray. He didn't mention that this would be extra... that clinic called me to arrange it and it'll be €50.\n\nThe other thing is that he'd sent an email to me of the entire 3D representations of the plan, and that email (which I'd seen but not opened) has since been retracted.\n\nThanks for reading MattKW: This is normal type of consent. It is often used in many dental practices where patients have photos taken. Yes, your teeth may appear in a lecture sometime (if you're really that interesting) but personal details that are not related to treatment (name, address,...) won't be identified. If you don't like that, then put a line through that part of the Consent and keep a copy.\nThe dentist keeps the Consent form as he is your primary provider that has discussed this with you, not Align. Electric Boobs: MattKW said:\n\n\n\n\t\t\tThis is normal type of consent. It is often used in many dental practices where patients have photos taken. Yes, your teeth may appear in a lecture sometime (if you're really that interesting) but personal details that are not related to treatment (name, address,...) won't be identified. If you don't like that, then put a line through that part of the Consent and keep a copy.\nThe dentist keeps the Consent form as he is your primary provider that has discussed this with you, not Align.\n\t\t\nClick to expand...\n\nThanks for replying,\n\nThe problem is that they took photos of my face... that's what makes all the difference. Did you read those few sentences in the other form? and see how they are completely different... in a better way! I do wonder why? \n\nI don't know if it'll make much difference if I put a line through some part of the consent form as my facial photos are on the app, so Align may already have them. They're not going to see that I've put a line through that particular part of the form. MattKW: If it concerns you that much, then talk to your dentist about having photos removed." }, { "id": 34, "title": "Getting Invisalign and looking for advice", "dialogue": "Electric Boobs: Hi all,\n\nSo I need this for my top front incisors which are tilted inwards. The front left of my right incisor takes all the force when I bite. I chipped a few pieces off my right incisor (left in photo) and you can see the crack. The dentist said he needed to sand off some of the tooth on the other side in order to make create space to do the aligning, so you might notice the difference between the two photos. But what other changes could I make to my teeth while I'm at it? I wasn't actually recommended it for my bottom teeth, but I decided to go ahead with bottom aligning too, as I've a few crooked teeth there... particularly the bottom lateral incisor on the right (left in photo). After asking I was surprised to hear my dentist say that he'd be able to move teeth up and down as well. After sending off the impressions he said he'd she'd come up with a plan and that I could tweak that plan if I wanted to. He says he just needs to rotate the incisors, and that he might need to bring the teeth a bit outwards, so he mightn't need to do any IPR.\n\nMy initial thoughts were that I'd like to bring my upper teeth down a bit as they can't really be seen when I talk. It's mainly the lower teeth the show when I talk. I had to sneer (rather than smile) for the below photo. I think this is due to two reasons; firstly that I've a lip that comes further down than most, and secondly that I've grinded some of them away due to bruxism. Having a closer look at my upper teeth I realised that my lateral incisors could be brought down a bit when compared to the others. But I'm wondering could this have some sort other visual consequence that I mightn't anticipate. It would of course bring down the gum line in that area... which should be fine as I'd never really smile enough to have my gums showing.\n\n\n\n\n\n\n\n\nThe other thing is that (as I have bruxism) 20 months ago this dentist added some composite material onto my upper canines, in order to stop side-to-side grinding. I don't know if you can tell that by looking at them, but you'll notice they are a bit longer than the lateral incisors. The point being is that it gave me a thought... I'm wondering if I could ask him - to instead - do the same to my upper lateral incisors as what he did to my canines in order to give them more length. I figure if I could get my upper teeth a bit longer I might be able to get a smile like Bryan Cranston, where you don't see too much of his upper set, but you still see a bit.\n\n\n\n\n\nMy dentist said he could do it all in about 4 months, with me visiting him once a month. So with each tray being in use for 10 days, I'd basically be seeing him every once for every 3 trays. I'm wondering does that sound quite fast, considering that I'm 34 years old? I also what this to be done in a way that will ensure my teeth are quite stable into old age.\n\nAnd in case it's relevant, here's a photo of my night guards both old and new. It's the old one that I wear as I'm afraid to wear the new one after cracking that incisor off it two months ago while sleeping.\n\n\n\n\n\nAlso, feel free to share any thought about how much of my teeth you think I've grinded off over the years.\n\nThank you MattKW: Impossible to say. Why not go to an orthodontist and get a more detailed analysis and possibly other options? It's worth the money for at least a consultation.\nBTW, canines are usually longer than lateral incisors, but sometimes wear down over time. Electric Boobs: MattKW said:\n\n\n\n\t\t\tImpossible to say. Why not go to an orthodontist and get a more detailed analysis and possibly other options? It's worth the money for at least a consultation.\nBTW, canines are usually longer than lateral incisors, but sometimes wear down over time.\n\t\t\nClick to expand...\n\nAh please... say something about my teeth! MattKW: Electric Boobs said:\n\n\n\n\t\t\tAh please... say something about my teeth!\n\t\t\nClick to expand...\n\nI couldn't give an ortho opinion based just on photos. Electric Boobs: MattKW said:\n\n\n\n\t\t\tI couldn't give an ortho opinion based just on photos.\n\t\t\nClick to expand...\n\nOh right, that's fine. If you'd like to shed any light on the following, please do.\n\nSo in my 3rd invisalign appointment yesterday my dentist showed me his 150 day plan for the treatment. I asked him if it would be possible to do it more slowly as I'd heard (rightly or wrongly) that orthodontic treatment reduces the lifespan of teeth. He explained that there's a certain amount of bone loss during any orthodontic treatment, and that it's inconsequential. I didn't think to ask at the time, but if I lose bone in one place, then does that mean that I'll be gaining it in another? He said that if I was more comfortable that he could have it done over 200 days instead... he just clicked a button and the software displays the trays accordingly.\n\nI was under the impression that the amount of bone loss was related to the amount of time the course takes, but he then explained that the amount of bone loss is related to the amount of movement, and not the amount of time. It all sounded fine but then when I later read the agreement form and in the \"risks and inconveniences\" section it read \"the length of the roots of the teeth may be shortened during orthodontic treatment and may become a threat to the useful life of teeth\". What do you think?\n\nThanks" }, { "id": 35, "title": "Should I get debraced looking like this?", "dialogue": "abduladhlazeez: So my orthodontist has told me that he will remove the braces next month. Here's my problem\n1) When I bite down, there is a huge gap between the top and bottom teeth and they don't meet (both sides)\n2) My lower front teeth still are kinda crooked.\n\nPlease advise me on if it is okay to get braces removed. Pleasehelp919: abduladhlazeez said:\n\n\n\n\t\t\tSo my orthodontist has told me that he will remove the braces next month. Here's my problem\n1) When I bite down, there is a huge gap between the top and bottom teeth and they don't meet (both sides)\n2) My lower front teeth still are kinda crooked.\n\nPlease advise me on if it is okay to get braces removed.\n\nView attachment 6071View attachment 6072\n\nClick to expand... Pleasehelp919: please please call me at 682 358 2224. watch what you eat," }, { "id": 36, "title": "SNA, SNB and ANB", "dialogue": "ha1999: Anyone can please explain what can the SNA and SNB angles say about the direction the jaws moved in (forward/backwards) in table 1 and table 2.\n\n Also how come the ANB is different for the same patient pre-op?\n\nAny help would be much appreciated.\n\n\nPre-op\n Planned 3DSNA\n 83\n 82.9\nSNB 83.8 \n 83.5ANB 1.3 \n 1.4\n\nTable - 1 \n\n\n\n\n\n Pre-op\nPlanned 3D Post-opSNA\n82.5\n 82.6 82.8\nSNB\n 84\n83.7 84.8\nANB\n 1.9 1.7 2.6\n\nTable -2" }, { "id": 37, "title": "Crowding- how to prevent it in the future", "dialogue": "Teethyweethies: Hi ,\nI had braces to fix crowding issues with my teeth at age 21. My teeth were really crowded, one on top of another. The braces did a good job (at the time) and my teeth were nicely lined at the end. I’m now 38 and will need aligners as my teeth have begun crowding again. I also one of my bottom teeth sticking out atop. This was not fixed the first time around so the constant trauma from the top jaw has cause gun recession at the bottom.\nAnyway, aligners are quite expensive and I’m disheartened to know that crowding can keep happening and the one time I had braces was not a solution for life.\nAnything I can do to prevent this from happening again? \nThank you! MattKW: With braces, the orthodontist takes your stable altho crooked bite and tries to rearrange the teeth in a better-looking and hopefully stable bite. But no ortho will promise they will stay that way, so retainers (removable or fixed) may be necessary for the rest of your life. Or you can live with a bit of relapse. \nYou could get new suckdown retainers at a relatively minor cost which would maintain where you are right now, but you'd have to wear them every night or so." }, { "id": 38, "title": "Tightening my Hawley retainer", "dialogue": "Ralph: Hi, my Hawley retainer has become quite lose (slides on/off) and I would like to tighten it\n\nI can see that from the front few teeth it is slightly further away\n\nHow would I do this please? MattKW: You go back to someone who knows how. This is not a DIY job. Maybe it looks simple, but one wrong bend and it'll all be out of kilter. Ralph: MattKW said:\n\n\n\n\t\t\tYou go back to someone who knows how. This is not a DIY job. Maybe it looks simple, but one wrong bend and it'll all be out of kilter.\n\t\t\nClick to expand...\n\nHello Matt, funnily enough, I’ve been to get it tightened twice (and it’s cost me £24 each time), was hoping I could do it at home? MattKW: It's an art. Maybe your retainer doesn't have much capacity to be adjusted (depending upon your tooth shapes and position). I think I can bend wires quite well, but it's still a bit chancy." }, { "id": 39, "title": "I wanted to ask if I have a narrow palate or not?", "dialogue": "random987654: Can someone tell me from this picture if I have a narrow palate or not, if so would an expander help me widen my palate? MattKW: Doesn't look narrow. Why do you think an expander might be necessary? random987654: MattKW said:\n\n\n\n\t\t\tDoesn't look narrow. Why do you think an expander might be necessary?\n\t\t\nClick to expand...\n\nWas just curious. Thanks for the reply." }, { "id": 40, "title": "Will my Herbst appliance disfigure me?", "dialogue": "Naveen: The lower cap of my Herbst appliance is pushing against my cheeks. It's evident from the outside and makes my face look like that of a monkey. I read a quora answer by someone who had a similar experience. Their face retained the shape even after removing the appliance. Will my face end up being in the same manner? MattKW: No, it won't change your cheeks. Naveen: MattKW said:\n\n\n\n\t\t\tNo, it won't change your cheeks.\n\t\t\nClick to expand...\n\nI'm extremely happy that I got a reply so quickly. However, I'm still concerned since the protrusion of the cap ends and the bars is quite pronounced. The other Quora user wore it for a year and had the changes stay. On top of that, the cap ends rubbing against my cheeks are causing pain. MattKW: The other Quora user Vs the thousands of cases with same or similar appliances and no side-effects. We'd have stopped using such devices if there were these sorts of problems. If they are causing you unremitting pain, talk to your dentist. My own daughter spent years in braces and a functional appliance which was uncomfortable, but the alternative would have been surgery. Naveen: MattKW said:\n\n\n\n\t\t\tThe other Quora user Vs the thousands of cases with same or similar appliances and no side-effects. We'd have stopped using such devices if there were these sorts of problems. If they are causing you unremitting pain, talk to your dentist. My own daughter spent years in braces and a functional appliance which was uncomfortable, but the alternative would have been surgery.\n\t\t\nClick to expand...\n\nThat's true. I guess I should discuss it with the dentist. The pain I have in my cheeks is what's fretting me. Thanks for the help, doc. I can't articulate how great a boon it is to get free help from an expert." }, { "id": 41, "title": "Root Canals After 9 Months - Should I Be Concerned?", "dialogue": "nowicki2023: So I had two root canals done on my front tooth on the right side and the tooth next to it because of a large infection caused by trauma to them when I was younger about nine months ago.\n\nIt took quite a long time for it to heal as far as not feeling anymore pain or weird sensations are concerned, almost six months. My mouth has felt perfect for a couple months now, but a couple days ago I'm starting to get weird sensations in the area of my infection again. I'm not in any pain at all though. \n\nI know online forums aren't the best place to be getting medical or dental advice, and I have a cleaning appointment with my dentist in July, but I'm just posting this for hopefully a positive piece of mind until then. Should I be concerned about anything? Dr M: Difficult to give an opinion here without more information. A new x-ray would need to be taken in order to rule out any recurrent infection. nowicki2023: Dr M said:\n\n\n\n\t\t\tDifficult to give an opinion here without more information. A new x-ray would need to be taken in order to rule out any recurrent infection.\n\t\t\nClick to expand...\n\nDefinitely true, I have an appointment in July, if it gets any worse I'll move my appointment up sooner, I'm keeping my fingers crossed though. I meant to post this under Endodontics not Ortho but it wouldn't let me delete it, thanks for replying." }, { "id": 42, "title": "Gaps in my bite despite having braces?", "dialogue": "choy360: attached above are pics of my teeth right now\n\nmy dentist says there's nothing he can do to close these gaps because that's just how my teeth shape are and maybe it's because I only have 12 teeth on my top and bottom \n\nis this really the case or should I get a second opinon? Geparddent: The job looks well done, I suggest you trust your dentist as there are times the problem you described is true gapsinteeth: I cant say bc the pic is empty/wont load. MattKW: gapsinteeth said:\n\n\n\n\t\t\tI cant say bc the pic is empty/wont load.\n\t\t\nClick to expand...\n\nHello, welcome aboard. Some of the posts are quite old. This one dates back to June 2022, so pics have been deleted and the OP probably doesn't require an answer anymore. Cheers." }, { "id": 43, "title": "Do i need braces?", "dialogue": ".......: My teeth have a few gaps and I my incisors are long and make my teeth not touch" }, { "id": 44, "title": "Bite Off - Slight CR-CO Shift Question", "dialogue": "countryrocks247: Hello,\n\n3 weeks ago I fractured my left mandible. After surgery, heavy elastics were placed the first week and a half to get my teeth used to my new bite. I had a follow-up appt today with my surgeon and addressed an issue I had with my bite, left side feels 'off' like the teeth are touching/clashing when I close my mouth. Dr found that I had a slight CR-CO shift of approximately 1 mm with premature contact left premolar region. What can be done to fix this? He suggested an occlusal adjustment with my primary dentist after I am fully healed, how likely is that to resolve the issue?\n\nI'm currently wearing lass I box elastics for 2 more weeks per my surgeon's instructions and have been for the past 2 weeks now, not sure if this will help or hurt or have no effect on the shift or not. MattKW: Have you seen an orthodontist? They are more likely to diagnose and treat the residual bite discrepancy. countryrocks247: MattKW said:\n\n\n\n\t\t\tHave you seen an orthodontist? They are more likely to diagnose and treat the residual bite discrepancy.\n\t\t\nClick to expand...\n\nI haven't, just been to follow-ups with the surgeon and he told me to see my dentist afterward because an occlusion adjustment would likely be helpful. He told me to wait until after we've wrapped up my broken jaw treatment, which will be in about 3-4 weeks. MattKW: I'm surprised that the surgeon sent you back to the general dentist for correction of CR-CO shift. Yes, he might be able to correct it by shaving off part of your teeth but this will damage your teeth irreversibly. Rather, an ortho should be able to analyse your bite and probably correct it with little or no damage at all. It will cost you significantly more, but you will get a better long-term result. countryrocks247: MattKW said:\n\n\n\n\t\t\tI'm surprised that the surgeon sent you back to the general dentist for correction of CR-CO shift. Yes, he might be able to correct it by shaving off part of your teeth but this will damage your teeth irreversibly. Rather, an ortho should be able to analyse your bite and probably correct it with little or no damage at all. It will cost you significantly more, but you will get a better long-term result.\n\t\t\nClick to expand...\n\nI think because the shift was so slight, and because there was premature contact I think he thought an adjustment at the dentist might be all that is needed to fix this specific issue. \n\nSo if I went to see an ortho, do you know if they would probably correct it with braces or if they have other techniques they can use to properly align the bite/teeth again?\n\nAlso thank you for your responses! MattKW: I don't know how significant your bite discrepancy is - maybe selective grinding will do it, maybe not. For a general dentist, it's hard to tell unless diagnostic models are taken and mounted in an articulator. Orthodontists usually have sophisticated 3D imaging software that can also do this, plus be able to plan detailed braces treatment if required." }, { "id": 45, "title": "Best dental insurance for adult braces", "dialogue": "Needbraces: Hello,\n\nDoes anybody know if there's any dental insurance that would cover braces for adults ?" }, { "id": 46, "title": "Recommend me", "dialogue": "Bruk: Recommend me an Ortho book that goes by case by case apart from proffit and graber." }, { "id": 47, "title": "Orthodontics in case of missing one canine tooth.", "dialogue": "ortho2.0: Hey everyone, \n\nWhen I was 14 years old, I had two impacted canines in my upper jaw. One of them was extracted by a doctor, and now I'm left with just one impacted canine. Recently, I found out that this is considered a crime. There is also a decayed tooth in the same row as the impacted canine. One doctor said that the decayed tooth should be taken out and braces wouldn't work because of the missing canine. Another doctor said that the decayed tooth should be removed and that braces would still work. I'm not sure what to do and how to achieve a good smile. I've struggled with insecurity about my smile for a long time.\n\nhere is some pictures that shows my teeth \n\n\n\n\n\n\n\nhere an image with annotation\n\n\n\n\n\n\n\nas you can see decayed tooth as long as the impacted canine \n\n\n\n\n\n\n\n\n\nin the last picture you can that my lower jaw is having a lot of issues but the canine still there \n\n\n\nlast thing is that all 4 wisdom teeth (last tooth in every row) are impacted\n\n\n\nI hope you can guided me to the right way to fix my smile and thanks a lot Dr M: Good day\n\nOrthodontics is definitely the route to follow here. I would firstly seek a consultation with an orthodontist. He/she would then advise you on which teeth need to be extracted, i.e wisdoms and decayed pre-molar, as part of their comprehensive treatment plan. The gap where the premolar was, could be closed orthodontically. The ectopic canine can also be brought into position with the help of a chain, if the orthodontist decides to utilize this tooth.\n\nMostly likely you are looking at fixed upper and lower braces. The correct starting point would be a consult with an orthodontist however. MattKW: You have more serious issues than the canine:\n\nYou appear to be at least 18yo. I strongly doubt that the impacted canine can be pulled down at this late age. To discuss with your orthodontist. It may also have to be extracted.\nYes, the upper right 2nd premolar is unlikely to be salvageable.\nYou appear to have many areas of decay apart that I can see on this grainy OPG (pink arrows). More detailed intra-oral Xrays are needed to be sure.\nThere appears to be deep decay happening on your lower left 2nd molar from the adjacent wisdom tooth (thick pink arrow). This 2nd molar may also be unsalvageable.\nYour wisdom teeth appear to have some decay: upper left, lower left. I would extract all 4 wisdoms (yellow crosses).\nThen... you go to an orthodontist to see what might be possible. MattKW: zixcool said:\n\n\n\n\t\t\tcould you annotate the decay you mentioned\n\t\t\nClick to expand...\n\n\n\n\nSorry, must've not loaded with previous reply." }, { "id": 48, "title": "Braces/orthodontics to close UL6 first molar extraction gap?", "dialogue": "JamesH: I’m 42 and currently have all my adult teeth. I have a few composite fillings but have had no dental work other than that, so the prospect of losing a tooth, and an important one at that, is pretty daunting.\n\nA CBCT scan has revealed a cracked root in my UL6 (first molar), with extensive external root resorption, which apparently means the tooth is unrestorable. The tooth isn’t causing me any pain but I’ve been told that it needs to be extracted.\n\nThe obvious treatment option is to have an implant (a bone graft would be needed at the extraction site for this due to the bone loss).\n\nBut coincidentally, shortly before discovering the UL6 issue I had an orthodontist consultation with a view to correcting moderate crowding and an upper midline shift to the right-hand side.\n\nAfter hearing that I was considering orthodontic treatment, the specialist who diagnosed the UL6 problem (who actually offers implants) recommended closing the gap left by the UL6 extraction with braces, and felt this was a better solution than an implant.\n\nI’ve seen two orthodontists to get their opinion about closing the post-extraction UL6 gap, and have had two very different opinions/recommendations:\n\nOrthodontist 1: \n\nTold me the space could be closed by moving UL7 (the second molar) forward into roughly half the space that will be left by the UL6 extraction, with the other half space filled by correcting the midline shift, which means moving my front teeth, canine, premolars, etc, over to the left.\n\nI asked about moving my UL8 (wisdom tooth) forward as well – as otherwise there would be a new space created between UL7 and UL8 – and was told it might be possible but that it would be more difficult to move this tooth than it would UL7.\n\nI was told the treatment time would be approx. 2 to 2.5 years.\n\nOrthodontist 2: \n\nTold me the above (treatment recommendation outlined by orthodontist 1) was possible but that at the end of treatment my front teeth \"wouldn’t look right\" (I think maybe due to creating another midline shift) unless they also extracted a healthy tooth on the upper right, which obviously I want to avoid.\n\nInstead, their recommendation was to leave the gap left by the UL6 extraction and correct the crowding/midline shift by moving the teeth forward without further extractions and using only about 1mm of space left by the UL6 extraction. (Estimated treatment time for this would be 1 to 1.5 years).\n\nIn their view, after treatment, it would be fine for me to leave the gap caused by the UL6 extraction or, if I wanted, to have an implant in the space. But they said there were no issues with just leaving a gap.\n\nHowever, orthodontist 1 has advised against leaving a gap after the UL6 extraction because of \"unstable occlusion and bone loss to the area\" and because it is \"unnecessary when UL7 could provide good occlusion for the mandibular antagonists\".\n\nConfusion\n\nI'm really confused by the two differing opinions and not sure who to believe. Both orthodontists have orthodontic masters degrees and plenty of experience.\n\nHas anyone on here, as an adult, tried closing a gap left by a molar extraction via braces? If so, did it work? Were there any problems?\n\nWould also be great to hear the views/thoughts of any orthodontists or dentists if poss.\n\nMy teeth and gums (apart from the UL6 tooth) are generally in pretty good health/condition and my original enquiry about getting braces was for cosmetic reasons to improve the appearance of the front teeth.\n\nMany thanks MattKW: Either recommendation (if possible) is still going to leave a gap. You might find this irritating.\nYour front teeth are fully settled into their \"happy\" position. Any ortho changes are likely to upset this balance and require long-term use of a fixed or removable retainer. Do you want this nuisance? Did the orthos advise you of this?\nThe chewing surface anatomy of a 7 is different to that of a 6. This could upset your chewing comfort and cause you occlusal issues (pain on chewing, cusp cracks). If this happens, you could get around it by crowning the 7 to make it \"fit\"the opposing 6, but this raises other risks.\nI suggest you leave the gap and save for an implant. There is a possibility that if the gap is left too long, the 8 may push the 7 forward, but tip it over. If the 8 has no opposing tooth with which to chew, I would consider extracting the 8.\nPut up an OPG Xray if you have it available. JamesH: MattKW said:\n\n\n\n\nEither recommendation (if possible) is still going to leave a gap. You might find this irritating.\nYour front teeth are fully settled into their \"happy\" position. Any ortho changes are likely to upset this balance and require long-term use of a fixed or removable retainer. Do you want this nuisance? Did the orthos advise you of this?\nThe chewing surface anatomy of a 7 is different to that of a 6. This could upset your chewing comfort and cause you occlusal issues (pain on chewing, cusp cracks). If this happens, you could get around it by crowning the 7 to make it \"fit\"the opposing 6, but this raises other risks.\nI suggest you leave the gap and save for an implant. There is a possibility that if the gap is left too long, the 8 may push the 7 forward, but tip it over. If the 8 has no opposing tooth with which to chew, I would consider extracting the 8.\nPut up an OPG Xray if you have it available.\n\n\nClick to expand...\n\nReally appreciate your reply, Matt. Thank you.\n\nThere seem to be potential risks/issues with every option. It would mean dipping into savings but I can afford an implant. The specialist who diagnosed the UL6 tooth issue (and offers implants, so would benefit financially from ‘selling’ me one) for some reason felt closing the gap orthodontically was a better option for me. They pointed out the need for constant meticulous cleaning around the implant and that there’s a raised risk of gum disease in the area.\n\nThanks for raising the point about the chewing surface anatomy of a 7 being different to that of a 6 and the problems that may pose (neither ortho mentioned this).\n\nHere is a recent OPG x-ray: https://photos.app.goo.gl/2EFikk5wexSMc9Ho6\n\nAny thoughts/suggestions you may have after seeing the OPG would be gratefully received.\n\nRetainer/Ortho treatment\n\nRe: the need for a fixed or removable retainer. Yes, both orthos advised this. I could opt for a removable retainer at night only, but they both said having a fixed retainer as well is the best way to minimise the chances of the teeth moving/returning to their old position post-treatment.\n\nFrom what I’ve read, and please correct me if I’m wrong, people generally get used to using a retainer, and over time it may be possible to reduce wearing to every other night. The continued use of a retainer (providing it isn’t uncomfortable) seems like an okay trade-off for straight front teeth.\n\nI’ve been told, due to signs of wear, that I probably grind my teeth in my sleep and that it would be a good idea to get a mouth guard (which I’m going to look into), so I guess a removable orthodontic retainer would do a similar job – with a similar nuisance factor – to a mouth guard, which it seems I need anyway.\n\nAlso, I have some uneven wear on the edges of my upper central incisors that I’m told is caused by my bite and, as things stand, will get worse over time. So aside from the cosmetic reasons, I believe ortho treatment should be able to halt this problem and the edges then restored with composite bonding. MattKW: Thanks for info and OPG.\n\n I haven't had many patients successfully wear removable retainers for the rest of their lives from my orthodontists for a long time, most eventually find it a nuisance. \nUneven wear on your incisors is difficult to comment upon without a photo and examination. However, you have all your teeth present, and some minimal wear is expected over a lifetime. I'm 64 and mine aren't the same as 16yo, but orthodontic treatment to somehow \"prevent\" further wear is wishful thinking. I have seen many strange bites over the years that work quite happily, and it's a brave dentist who wants to start defying Mother Nature.\nI have seen the results of orthodontists trying to move molars forward, and I have yet to see a case where they really put in the effort and managed to keep a molar perfectly upright; the roots on your 2nd molars are long. If the molars are not upright after treatment, you won't be able to clean as easily as you can now, and decay follows; I really don't like the risk. If the orthodontists can show you similar cases they have treated successfully, then maybe I'm wrong.\nOn the good side, you have good bone thickness around your molar. Even after extraction, I think you'd be a good candidate for an implant.\nI'd still go for simultaneous extraction of the 1st and 3rd molars, then implant later.\nSo, you have lots of conflicting suggestions, and this is a big decision. Maybe go see a specialist prosthodontist for another opinion. Take along my comments. Keep in touch. Cheers. JamesH: MattKW said:\n\n\n\n\t\t\tThanks for info and OPG.\n\nI haven't had many patients successfully wear removable retainers for the rest of their lives from my orthodontists for a long time, most eventually find it a nuisance.\nUneven wear on your incisors is difficult to comment upon without a photo and examination. However, you have all your teeth present, and some minimal wear is expected over a lifetime. I'm 64 and mine aren't the same as 16yo, but orthodontic treatment to somehow \"prevent\" further wear is wishful thinking. I have seen many strange bites over the years that work quite happily, and it's a brave dentist who wants to start defying Mother Nature.\nI have seen the results of orthodontists trying to move molars forward, and I have yet to see a case where they really put in the effort and managed to keep a molar perfectly upright; the roots on your 2nd molars are long. If the molars are not upright after treatment, you won't be able to clean as easily as you can now, and decay follows; I really don't like the risk. If the orthodontists can show you similar cases they have treated successfully, then maybe I'm wrong.\nOn the good side, you have good bone thickness around your molar. Even after extraction, I think you'd be a good candidate for an implant.\nI'd still go for simultaneous extraction of the 1st and 3rd molars, then implant later.\nSo, you have lots of conflicting suggestions, and this is a big decision. Maybe go see a specialist prosthodontist for another opinion. Take along my comments. Keep in touch. Cheers.\n\n\nClick to expand...\n\nThanks again, Matt, for the info and insight. It sounds like you have a lot of experience of seeing how the dental decisions people make turn out for them in the long-term.\n\nRegarding the uneven wear on the incisors, here are some photos:\n\nFront 1:\n\nhttps://photos.app.goo.gl/y3mXEEhhQ1wx1c2M8\n\nFront 2:\n\nhttps://photos.app.goo.gl/aJrup1BDRo8CLFfa9\n\nLeft side:\n\nhttps://photos.app.goo.gl/q3BGrTNbqrMeGzKx8\n\nRight side:\n\nhttps://photos.app.goo.gl/o7RQT6WbYyJpc9Gc8\n\nI guess, as things stand, the incisors would most likely continue to function without causing me problems for a good many years, but I presume that as the uneven wear continues, the teeth will look increasingly unsightly (although obviously there are far worse things in life than worn/crooked teeth).\n\nIt sounds like I might need to reconsider moving the UL7 into the UL6 space, and perhaps go the implant route instead. I’d been told that I’ve lost a fair amount of bone around the UL6. Perhaps that only shows up on the CBCT scan. Here is a CBCT image of the area:\n\nhttps://photos.app.goo.gl/66pfKEmQrWLmVKFx9\n\nIf I opted for an implant in the space after extraction of UL6 and also went ahead with ortho to straighten//improve the appearance of the front teeth, would it be okay to have these two treatments more or less concurrently? Or is it best to have the implant first, then do the orthodontics later? Or do the orthodontics first and then the implant after the brace has come off perhaps two years or so down the line?\n\nWould you recommend extracting UL8 in any case or is that just if I plan to leave an unfilled UL6 gap for a long period of time?\n\nSorry for all the questions. I greatly appreciate all the thoughts and insight you’ve given me already, and totally understand if you don’t have time to answer them all. MattKW: Thanks for all the pics. Hmm... interesting!\n\nIt'll be interesting to see what difference the ortho treatment makes to your front teeth. I'm no ortho, but that looks challenging. Looks like a Class II div 2, usually best addressed in the teenage years. Have they given to a print-out of what they think it'll look like at the end?\nI would have the ortho done first. Once you put in an implant, you can't change the position. This is more of an issue for anterior implants, but yeah, I'd avoid the implant for now. The orthodontist can keep the space open.\nLeave the 18 in place during ortho treatment. It might be useful as anchorage for the ortho treatment.\nOnce the ortho treatment is completed, and the implant has been placed, get rid of the 18. It probably doesn't contact much on the lower (maybe a bit of the lower 7 because of 1. above?), but they are difficult to keep clean for the rest of your life (90+?) and there is an unnecessary risk of developing either decay in the 8 itself, or decay in the back of the adjacent 7. JamesH: UmarBerry said:\n\n\n\n\t\t\tI would suggest seeking a third opinion from a trusted orthodontist or even a dentist who specializes in implantology. They can give you a more comprehensive and impartial perspective on your situation.\n\t\t\nClick to expand...\n\n\nThank you. Yes, that's a good idea. I've seen a couple of orthodontists and a couple of restorative dentists with slightly different specialisms. Trouble is that each of them has a vested financial interest, so they aren't really impartial. JamesH: MattKW said:\n\n\n\n\t\t\tThanks for all the pics. Hmm... interesting!\n\nIt'll be interesting to see what difference the ortho treatment makes to your front teeth. I'm no ortho, but that looks challenging. Looks like a Class II div 2, usually best addressed in the teenage years. Have they given to a print-out of what they think it'll look like at the end?\nI would have the ortho done first. Once you put in an implant, you can't change the position. This is more of an issue for anterior implants, but yeah, I'd avoid the implant for now. The orthodontist can keep the space open.\nLeave the 18 in place during ortho treatment. It might be useful as anchorage for the ortho treatment.\nOnce the ortho treatment is completed, and the implant has been placed, get rid of the 18. It probably doesn't contact much on the lower (maybe a bit of the lower 7 because of 1. above?), but they are difficult to keep clean for the rest of your life (90+?) and there is an unnecessary risk of developing either decay in the 8 itself, or decay in the back of the adjacent 7.\n\n\nClick to expand...\n\nThanks again, Matt. That’s really useful.\n\nIs it advisable to get a bone graft at the UL6 extraction site at the time of extraction if I have ortho treatment first and delay the implant by, say, two years or so?\n\nJust wondering, as I’ve read/been told different things about this. Some that it’s only worth getting a bone graft a short time before an implant is placed, others that it’s best to get a bone graft at the time of extraction to help preserve bone and gum, even if deferring an implant for a longish time.\n\nNo, they haven’t given me a printout or shown me what the teeth are likely to look like after treatment. Both orthodontists seemed confident the front teeth could be straightened, and the ortho who advised against trying to close the gap said the front teeth issue is ‘pretty easy to sort out’ with 12 to 18 months in braces.\n\nClass II div 2, yes, you’re absolutely right. Here is the finding of the ortho who took the OPG (not that I fully understand all of the wording):\n\n“He presents with a class II, division II incisor relationship on a skeletal II base with a reduced maxillary mandibular plane angle. The overjet is positive at 1mm and the overbite is increased and complete. There is moderate crowding in the upper arch and mild crowding in the lower arch. The upper centre line has displaced to the right and the lower centre line has displaced to the left. The molar relationship on the left is a full unit class II and on the right the molar relationship is class I. The x-rays show that the upper and lower incisors are retroclined and he has a horizontal impacted lower left wisdom tooth.” MattKW: Oh, didn't you get my consultation fee by email? JamesH: MattKW said:\n\n\n\n\t\t\tOh, didn't you get my consultation fee by email? \n\nClick to expand...\n\nHaha, you’ve been super helpful and clear with all the advice/suggestions! Really do appreciate it.\n\nDefinitely feel I owe you a beer, or non-alcoholic drink, if you’re ever in the UK! \n\nI’ve replied to your last message (thanks again), but it’s awaiting moderator approval." }, { "id": 49, "title": "Retainers dont fit anymore", "dialogue": "Henry 1: Hi, my top set of wired retainers don’t fit anymore (unless I really force them on) and I’ve found out that it’s due to my front 2 incisors moving forwards \n\nWhat are my options here please to correct those incisors?\n\nCheers Dr M: Are you talking about fixed wire retainers or removable retainers? If they are removable, have you been wearing it as prescribed? If the teeth have indeed shifted, the only way to fix this, is to either opt for an orthodontic appliance ( fixed or removable, based on the amount of movement needed ). This can include options such as Invisalign or other removable orthodontic appliances." }, { "id": 50, "title": "Occlusal equilibration", "dialogue": "Emma B: Hi my dentist has recommended Occlusal equilibration to fix my bite. Bit worried about filing down healthy tooth any opinions on whether this is a good or bad treatment to have long term. Although my bite isn't perfect not causing me any issues. MattKW: Yeah, was a bit of a fad in the 80s. I didn't think anyone did it anymore. Can lead to other problems, so best avoided. Emma B: MattKW said:\n\n\n\n\t\t\tYeah, was a bit of a fad in the 80s. I didn't think anyone did it anymore. Can lead to other problems, so best avoided.\n\t\t\nClick to expand...\n\nMany thanks for your advice" }, { "id": 51, "title": "Wisdom teeth and Protrusion", "dialogue": "cfrost: Hello! Doctor told me to remove all 4 wisdom teeth, because they cause issues. \n\nI have mouth protrusion and narrow palate. He said that he could widen my arch with braces, but didnt say anything else.\n\nI want to fix my protrusion, but I dont want to extract my premolars. Is it possible for the doctor to use the wisdom teeth space to retract my teeth?\n\nThank you. MattKW: No. Not enough info about whether you will benefit from premolar extractions (which ones?). If unsure, get another opinion. cfrost: MattKW said:\n\n\n\n\t\t\tNo. Not enough info about whether you will benefit from premolar extractions (which ones?). If unsure, get another opinion.\n\t\t\nClick to expand...\n\nGreetings Dr MattKW.\nThe reason I'm asking is because I want to avoid extractions of any of the premolars, as I have heard that it may have negative consequences in the future.\n\nSome people have told me that doctors can use the wisdom teeth space to retract teeth and some others say that they can't, or they can but it is hard work (teeth need to be pulled back one by one).\n\nMy protrusion is not that severe, but it makes me self conscious and causes me mouth discomfort. I also have a narrow palate and TMJ.\n\nThank you for your answer, I appreciate it. MattKW: Premolar extractions in teenagers or younger is uncommon nowadays, except in more severe cases. Usually the orthodontist will look at maxillary expansion at an early stage in order to avoid premolar extractions. However, if you get ortho treatment as an adult, maxillary expansion doesn't work, and premolar extractions may be an option to consider." }, { "id": 52, "title": "Bone graft and flap surgery", "dialogue": "nikroute: How long I should expect to get relief from pain and irritation things after doing bone graft and flap surgery .\n\nBone graft will be of 27 , 17,16 and flap surgery of 26,27,28 , 15,16,17,18 \n\nPlease tell me MattKW: Like all wounds, it will take about 2 weeks for initial healing. You should be able to cope with simple meds, just keep within daily limits." }, { "id": 53, "title": "Perfect bite & alignment for 53 years but during last 2 years they're shifting. What best to do?", "dialogue": "David Jones: Hi,\n\nAs my heading states I've had perfect bite and alignment all of my life but in the last 2 or 3 years my bottom 2 front teeth have started moving outwards and developed a 3 MM gap between each other when previously there was not gap.\n\nI suspect that braces are the only answer? \n\nBut if so, won't the teeth start moving again once that procedure has ended?\n\nAny advice very appreciated.\n\nThanks.\n\nDavid" }, { "id": 54, "title": "Dental impression with braces on", "dialogue": "Patsyp: Can dental implant impression be done if I have my braces on.? My ortho said that my implant dentist can place wax on the brackets for impression he doesn’t want my teeth to shift when I’m waiting for my crown.\nHe didn’t mention about taking the wire out. I have my impression on Friday. Dr M: Good day\n\nYes. The brackets can be blocked out with dental wax. Patsyp: Dr M said:\n\n\n\n\t\t\tGood day\n\nYes. The brackets can be blocked out with dental wax.\n\t\t\nClick to expand...\n\nMy ortho said that they don’t need to take the wire out too can impressions be done with the wire still in place.? Dr M: It does make it tricky. I would recommend to wait for impressions until the braces are off. If the implant is designed digitally, you can scan the implant with a scan body and then the brackets or arch wire does not interfere. Depends on the method your dentist is going to use." }, { "id": 55, "title": "Urgent opinion or referral needed", "dialogue": "Olga: We are really in a very bad situation with my DD's teeth. The early treatment was not recommended by several orthos, but now it gotten so bad that ortho wants to pull 4 teeth. I am not comfortable doing it and prefer to get her teeth as good as we can get it. Ortho said it is impossible without pulling teeth, bc of the small mouth. Looking for opinions and maybe names of any brilliant orthos across US for second opinion on treatment. Overbite 14.5 mm flared out 4 front teeth, mild crowding on the bottom with 2 front teeth growing too high into soft tissue (needs extra space to be pulled down) His opinion-underdeveloped bottom jaw, overgrown top jaw. Wants to pull 4 teeth, wear headgear and still does not think that she will not avoid the jaw surgery later. Does not want to use expander or Herbst. Said Herbst is going to make it worse without pulling teeth. She is 13.\n\n\n\n\n\n\n\n\n\n\n\t\t\t\t\t\tPre Tx-Left Model.jpg\n\t\t\t\t\t\n\n\n\n\n\n\n\t\t\t\t\tdrive.google.com\n\t\t\t\t\n\n\n\n\n\n\n\n\n\n\n\n\n\n\t\t\t\t\t\tPre Tx-Front Model.jpg\n\t\t\t\t\t\n\n\n\n\n\n\n\t\t\t\t\tdrive.google.com" }, { "id": 56, "title": "Lower Jaw Crowding", "dialogue": "abduladhlazeez: I've three questions regarding my lower jaw crowding.\n1) Will springs or elastics be required if I am getting braces?\n2) What is the most probable thing that the orthodontist will do to correct the tilted canine teeth.\n3) Is extraction really necessary? The ortho I got an opinion a while ago said that a palatal expander will cause the teeth to look \"pushed out\"\nThanks for reading and answering. I apologise for the number of questions.\nI'm 21 and I'm attaching some pictures below. nikassam: An OPG required abduladhlazeez: nikassam said:\n\n\n\n\t\t\tAn OPG required\n\t\t\nClick to expand...\n\nAttached here sir sorry for the grainy footage. The hospital won't provide a digital copy." }, { "id": 57, "title": "Indecisive on what procedure to undergo", "dialogue": "arclaw: Hello I have been insecure all my life rregarding my gummy smile together with my side view that indicate I somewhat have a very protruded jaw.\nI visited some orthodontists a while ago and some suggested jaw surgery, some suggested braces and some said it's fine as it is. I'm still undecisive on which treatment i should undergo and I would really appreciate your opinions and suggestions. I have attached a couple of photos attesting to my condition. Feel free to take a look and writing a feedback. Any help would be appreciated. Sorry for the edits on my photos. Much thanks Dr M: Good day\nIt does seem like you are leaning towards what we refer to as a class III jaw relationship, with either an overdeveloped lower jaw or underdeveloped upper jaw. Orthodontics with jaw surgery can definitely improve your profile. Additionally or alternatively, you can then maybe consider crown lengthening, where the gums around your top teeth are \" cut away\" surgically or with a laser and then shaped in order to reduce the amount of gum that shows when you smile.\nBoth these options should be carefully planned and will most likely form part of a comprehensive treatment plan" }, { "id": 58, "title": "Should retainers after braces cover all teeth?", "dialogue": "person156: I have always been given retainers that just cover my first molar teeth. I recently have been told that retainers are meant to cover all the teeth as this prevents an open bite forming. Is this true? Is there any medical orthodontic reason why I would possibly be given retainers after braces that do not cover all my teeth. Many thanks. Dr M: Good day\nOrthodontic retainers prevent relapse of your teeth after the treatment is finished. Relapse means your teeth shifting to the original position it was prior to treatment. \nSometimes the retainers don't reach all your teeth, because some of the molars might still be erupting or moving into their final position.\nRetainers don't last forever. At a later stage, you can make a new retainer that covers all your teeth." }, { "id": 59, "title": "Clicking Jaw", "dialogue": "Lotspain: I have developed clicking in predominantly one jaw , worst when I eat. Dentist is suggesting a mouth guard but I am wondering if taping the jaw would have any benefit honestdoc: You are on track for joint (TMJ) degeneration. I have that too. It is best to minimize stress to your jaw such as not chewing gum. You may consider evaluation from TMJ specialist on the most appropriate mouth appliance therapy." }, { "id": 60, "title": "Wax", "dialogue": "dassjk: my dental wax won’t come off at all. it’s orange hard wax . it has been over 3 days since i got braces, i tried everything. there’s no edge where i can take it off. it’s like melted on my molar? Dr M: Good day\n\nThis is strange since it shouldn't be that hard to remove and to replace. You can try rinsing with some luke warm water, to soften the wax. It might be easier to remove." }, { "id": 61, "title": "Aesthetic over quality of life? 2 sets of molars missing", "dialogue": "UnfairFun: I have Bimaxilary prognathism and im very conscious about my appearance, my dentist proposed the idea of Extracting the second molars (all 4) to smooth my side profile, making my teeth go back only for aesthetic purposes. But I already got my wisdom teeth extracted, meaning that I only would have 8 out of the 12 molars left\nI'm in a middle ground where ive been dealing with insecurity and I'd do anything but also I don't wanna take an impulsive decision that'll change my whole life.\nIt might not be that serious, but it's really intimidating" }, { "id": 62, "title": "Simplest way to alleviate pressure pain from crowded incisor without invisalign/braces?", "dialogue": "sagA*: I am 60-yr old man who has lived with a crowded right incisor my entire adult life (photo attached). When I was a teenager my dentist never thought it was significant enough for braces. And frankly, I don't really care how it looks. However, I've lived with a dull pain from the pressure on that crowded tooth all of my life. On a scale of 1-10, it's only about a 2 or sometimes a 3, but the pain is always there. I would like to relieve the pressure/pain in the simplest way possible.\n\nI asked my dentist if it could be removed and replaced with an implant. She does not want to remove an otherwise healthy tooth. Instead, she wants to sell me Invisalign for about $5000, which she says would need to be for both upper and lower teeth. I can afford the cost, and would do it if the correction was fast. However, I really don't want to wear those Invisalign retainers for the next 6-18 months, 22 hours per day, with all the hassle I read about eating, brushing, lisping and the intermediate treatments that go with it.\n\nIs there some simpler, faster solution to relieve the pressure on one crowded tooth?" }, { "id": 63, "title": "Braces on lower arch", "dialogue": "TianaP: Hi everyone!\nI’m 18 and I got my braces removed when I was 13. \nSince then I noticed some dental movement in my lower arch which resulted in an orthodontic relapse of just two teeth that ,unfortunately, are frontal.\nMy question is: how much would it cost approximately to put braces back just on the lower arch? And how much would it take for the lower teeth to align all over again?\n\nP.S.\nAs far as the cost is concerned, I’m based in Europe, don’t know if that might help. honestdoc: Did the orthodontist have you wear a retainer? Unfortunately a lot of people do not comply with our recommendations and relapses like your case will occur. MattKW: If there has not been much relapse, then probably less than 6 months would be enough. If you go back to the original orthodontist, he/she may give you a better price than a new practitioner. Ask them about a lingual wire retainer." }, { "id": 64, "title": "Fast Braces- need help", "dialogue": "FastBracesChick: I have had the worst experience ever. My braces have been on for three years. I believe this is due to my dentist who is not an orthodontist has neglected me as a patient. I see that he does not take time to really know what’s going on with my case.There are so many things to say about this case. I paid for having my midline fixed and of course my lower teeth fixed. Now he is saying that it’s going to take too much time to fix my midline and he wants to fix it with bonding. If he does bonding and not fixes my midline with braces, like I paid for , my two front teeth will still be off center. I have teeth that are still squished together on both sides. My bite is off. My mouth is leaning more towards the left hand side. My mouth looks like it makes a half frown on the left-hand side when I clench down. One of my teeth on the right hand side has turned which is impossible to chew on my right hand side. We used that tooth to pull my midline . But now with the braces coming off in September I’ll be left with it turned which he said he could fix with a crown . With all this going on, he said we should be done by the end of September. He just now started asking me to wear bands at night to fix my bite. I don’t see how my bite could be fixed in four weeks. I need help and if anyone knows anyone in Sacramento or Elk Grove Ca, can you please refer me to your friend?? I need a second opinion I would really appreciate it and of course I’ll pay. A year and a half ago right before Covid I called around and no one would see me because I have braces already on and they don’t want to take the time to give me a second opinion . I feel like I am in this alone. In the meantime can I please have advice?? There is so much more to the story and so much is been left out as I’m sure you don’t want to read a novel about my bad experience. Thank you MattKW: There's not much advice we could give in such a complicated case. I'd strongly suggest you go see an orthodontist before the braces come off. If your general dentist has not achieved what he promised, he may be willing to refund some of the cost so that you can get it corrected by a specialist orthodontist. Is the crown going to be an extra cost that was unplanned? FastBracesChick: I’ve called every orthodontist within 50 miles, no one will see me. MattKW: And why is that?" }, { "id": 65, "title": "Is wisdom teeth removal a must if they are crowding bottom teeth", "dialogue": "mangorangutan: My orthodontist recommended wisdom teeth removal as they are crowding my bottom teeth.\n\nBut so far they aren't causing problems so I'm wondering if I can get away with just wearing removable retainers to maintain the lower teeth structure.\n\nThey are coming in almost horizontally, and I'm worried about nerve damage. I would like to to avoid surgery unless it's extremely favorable. If I go with removable retainers, will this cause problems down the line? Thanks.\n\nWhat are the odds of nerve damage if the wisdom teeth are almost horizontal? Dr M: Good day\n\nIf your orthodontist recommends removal, it might influence your treatment process or outcome. Partially erupted wisdom teeth also sometimes lead to pericoronitis or food traps with cavity formation.\nDo you perhaps have any xrays of your wisdom teeth for more information? MattKW: Xray?" }, { "id": 66, "title": "Which Practice should I go for?", "dialogue": "GGG: Okay so what do I do? \n\nI need a load of work doing and have been failed by UK Dentists in the past. I’ve done lots of research and had plenty of assessments done. One practice was my preferred but is out of my price range in central London. \n\nThe second practice is a local London team who seem very experienced with the dentist overseeing the orthodontics being a consultant, qualified lawyer (how did he get time to do that?) and on a professional board of dentists. He assessed me, did a report and would oversee the orthodontics with a specialist consultant who works in hospitals and lectures doing the restorative work. Obviously they’re very experienced but I can’t find reviews on their work and from patients and the one treatment I had from that specialist dentist I have no way of assessing how good it is but I know that it took 2 1/2 hours in the chair (cleaning out decay and putting a post in) with a lot of dribble around my mouth. I also don’t find him particularly good at explaining things.\n\nThe other practice is a slick modern practice focusing on cosmetics/aesthetic’s which appeals to me actually because if I’m spending all this money I might well have a good looking smile and beautiful teeth. However, I found it a little concerning that the principle Dentist charged me £79 for an initial consultation but I’m getting no report from that and it was really just a chat about what I want and what his approach is. He refuses to give me a report or even a rough estimate first saying that I need the orthodontics done before they can look at what I need doing.\n\nOpinions please!" }, { "id": 67, "title": "How long can I be without my invisalign tray after finishing invisalign treatment?", "dialogue": "ryank940: I finished my invisalign treatment, but i'm currently without a tray as I had some composite bonding done (and has now been removed as I don't like it)\nI've been without a tray for my upper teeth for 4 days, and my dentist had advised that it will be another 10 days or so because the new tray comes back.\nI'm being informed by my dentist that 2 weeks is ok for me to not have a tray, but i'm interested to hear your thoughts.\n\nI do technically still have a tray for my upper teeth, but there have been holes cut on the front six teeth so it's doing nothing to keep my front 6 teeth in shape. It is keeping all of my other upper teeth in shape however.\n\nI don't see any movement in my teeth yet, but 2 weeks seems like a long time to wait for a new tray, and i'm getting really worried that my teeth are going to move a lot in the next 2 weeks.\n\nthank you" }, { "id": 68, "title": "Chipped front tooth fix while on incognito", "dialogue": "Lestavez: Need advice.\n\nI am on incognito braces to fix midline and overbite. I chipped a bit of ny front tooth and don’t want bonding since it’s not permanent solution. \n\nOrthho said it is possible to Adding length with rubber/and braces to a chipped tooth then sand later on, \n\nBut will the gums also go down when tooth is pulled?\n\n———\n\nMy tooth chipped and they said instead of bonding, later on, after the entire treatment, they can use rubbers behind or something to pull the tooth down to increase length which was shorten then it can be smoothen by sanding? \n\nMy two front ones are big enough but the chip made the other one short after straightening it temporarily.\n\nCan a chip front tooth be fix by pulling down the tooth using rubbers to increase length, instead of bonding which can chip later on?\n\n*Chipped tooth\n\n\n\n\n\n\n\n\n\t\t\t\t\t\t7896-BAB1-F95-A-4-CB2-A4-A1-EC1-E6-DD3-CE8-E hosted at ImgBB\n\t\t\t\t\t\n\nImage 7896-BAB1-F95-A-4-CB2-A4-A1-EC1-E6-DD3-CE8-E hosted in ImgBB\n\n\n\n\n\t\t\t\t\tibb.co\n\t\t\t\t\n\n\n\n\n*After it was smoothen temporarily \n\n\n\n\n\n\n\n\n\t\t\t\t\t\tD0049-ACB-1945-4-AE6-89-C1-D94-AA516-C8-A2 hosted at ImgBB\n\t\t\t\t\t\n\nImage D0049-ACB-1945-4-AE6-89-C1-D94-AA516-C8-A2 hosted in ImgBB\n\n\n\n\n\t\t\t\t\tibb.co\n\t\t\t\t\n\n\n\n\n\n\n\n\n\n\n\n\t\t\t\t\t\t6-AFF7316-AF75-4-AA1-8447-3-ABD265-FEDF7 hosted at ImgBB\n\t\t\t\t\t\n\nImage 6-AFF7316-AF75-4-AA1-8447-3-ABD265-FEDF7 hosted in ImgBB\n\n\n\n\n\t\t\t\t\tibb.co\n\t\t\t\t\n\n\n\n\n\n\n\n\n\n\n\n\t\t\t\t\t\t8-E1-BA96-E-007-C-4-A73-B116-3208968-EA4-CC hosted at ImgBB\n\t\t\t\t\t\n\nImage 8-E1-BA96-E-007-C-4-A73-B116-3208968-EA4-CC hosted in ImgBB\n\n\n\n\n\t\t\t\t\tibb.co\n\t\t\t\t\n\n\n\n\n\n\n\n\n\n\n\n\t\t\t\t\t\tFCF66055-AAA9-4-F58-9-C3-A-8-DD9-A9-FD3316 hosted at ImgBB\n\t\t\t\t\t\n\nImage FCF66055-AAA9-4-F58-9-C3-A-8-DD9-A9-FD3316 hosted in ImgBB\n\n\n\n\n\t\t\t\t\tibb.co" }, { "id": 69, "title": "invisalign Question", "dialogue": "george3: Male mid thirties and asian. I have pretty bad teeth. Years ago I was considering about invisialign but never got it. Im from the US but also abroad most of the year so i could actually get it done. But the thing is im not sure how long i would stay abroad which kept me from doing it. But i been abroad for years in that country so i could have easily done it.. but didn't.\n\n\nI heard it was like two years max doing it but to me at the time, it seemed so long so i didn't bother. I heard most treatments are one to two years with average being l.5 years right? But people who do it probably could do l year if their teeth aren't bad? My teeth is bad. But even when you do invisilign even if it take two years... well after few months, you see smart improvement right?\n\n\nNow I am a bit considering doing this when abroad again. But my main issue is if i do it abroad... for say 6 months and then come back to the US permanently or something like that... how would it work finishing the invisilign back in the US? Or imagine half the work was done abroad... and i need to finish half the work back in the US. Surely it won't cost the full amount in the US as abroad right? george3: Now because I didn't do this... i also wanted to know... is it possible to get temporary teeth? By that i mean wearing it for a few occasions or rare events. Obviously never wearing it always as it would be like fake.. as if you wear it like that... then people find out you have real bad teeth that is not good. So i only would want to wear it on rare occasions. \n\n\nI heard something like this could be done and it requires a visit to who? Is it a dentist or like those surgeons? Like i want to have good perfect teeth but temporary to wear... but i only wear it few times. How much would that cost and would you recommend that?\n\n\nAnyone here done this and have experience? How long would it take for them to construct the fake temporary teeth for you?\n\n\nI did post a bit of this on the general forum but my question would be on invisilign.\n\n\nThanks. george3: Anyone?" }, { "id": 70, "title": "Overbite/Removable braces issue!", "dialogue": "Pastelli3: Hello, I have a not severe overbite and I've was given removable braces 2 days ago to help with it. However it's completely changed my face shape and now I hate how my face looks so much that my self confidence has deteriorated so much and it's only day 2 of these braces. I'm really worried that this is how my face is going to permanently look when it's time to get rid of these braces. Are these braces going to permanently ruin my face shape? Prior to these braces I had a pretty round face that I was happy with but now my cheeks are much more square and my chin is absolutely massive. honestdoc: Removable braces does not move teeth as effectively as bonded brackets. With braces, you teeth are not intended to move too rapidly or bone and or root damage may occur. With 2 days of removable braces, there should not be much movement if any at all. I cannot explain your changed facial profile. Check with your dentist about your concerns." }, { "id": 71, "title": "Do you think it requires urgent attention?", "dialogue": "Rrrrr: When I was 4-5 I had a surgery where four of my baby teeth (molars) had to be removed because they were causing me pain. The thing is that this created a disaster growing up and, some adult teeth have grown and moved in wrong positions which weren't theirs. They took the spot of two premolars that were supposed to come out and consequently didn't have space to do so, for this reason now I've got a premoral under my tongue right next to other teeth which have a natural positions on the left, and on the right I've got one that is a little shifted from its natural spot (it doesn't look as bad as the other on the left which basically on the floor of the mouth). Do you think it needs urgent treatment? Thanks for time! Dr M: Good day\n\nI would not classify this as urgent treatment. Sometimes the premolars can cause chronic ulcerations to the tongue and then you have to consider removal. If it also makes cleaning difficult, and predisposes the other teeth to cavity formation, you can consider removing them.\nWhen you have time, you can seek the opinion of your local dentist, to evaluate if anything needs to be done." }, { "id": 72, "title": "Was IPR necessary?", "dialogue": "Draney3: Hi all,\n\nI have a question regarding some IPR I had done. Back in January 2020, I went to an orthodontist for an Invisalign consultation regarding a 4 mm overjet of my two front teeth and minor spacing between them and the teeth next to them, among other issues I was not as concerned with. The orthodontist looked at my teeth for a few minutes, did some measurements, then said I'd need aligners on both arches. He then looked again and said he thought he could get it done with just an aligner on the top arch, coming to this conclusion without any scan of the teeth. This past October, I went to another orthodontist who said I'd probably need IPR on some bottom teeth so I could fix the overjet. He was surprised the other orthodontist thought he could do this with only a single arch treatment. After scanning my teeth, I did indeed need IPR, so I went with that. I understand a double arch treatment is generally recommended so bite issues won’t occur, but I wish I got a third opinion, so I'm asking here after the fact. \n\nHere is my ClearCorrect plan from my teeth scan so you can how they looked before: https://dr.clearcorrect.com/treatme...9FEF222E/8DD8E0BF-F006-4E85-B9A4-36DE086768A7. The second orthodontist said the plan would \"align both arches and relieve any crowding while correcting the rotations and angulation of the teeth. The general shapes of both arches are improved and your lower mid-line will be slightly shifted back towards the center. We will need to perform IPR (tooth shaving) in the lower arch to improve the overjet and overbite.\" \n\nI completely understand if no one can have an informed opinion considering you only have the scan to go off of. \n\nThanks! MattKW: I couldn't say if IPR is necessary. It is very rare (impossible?) for any orthodontist to guarantee that your teeth won't want to move after the treatment is finished. IPR does not guarantee this either. All ortho patients have to be prepared to wear retainers for the rest of their lives if they want to keep their teeth perfectly aligned.\nPersonally, I don't like IPR because it's taking away good enamel, and it makes a broader contact point between the teeth that is only harder to keep clean. My son's orthodontist wanted to IPR his lower incisors so that he could close the gaps in the upper incisors completely; I said \"No\", and just closed the upper gaps with composite bonding." }, { "id": 73, "title": "Can I go to work from Europe to the USA?", "dialogue": "Ewan: Hello, I would like to ask if it is a big problem to go to work from Europe to America when I have completed all the necessary schools for this job? (studied in Europe)\n\nThank - Ewan honestdoc: What kind of job are you trained for?" }, { "id": 74, "title": "Teeth loose 1yr+ after aligners - eligible for bonded retainers?", "dialogue": "Hols-Ford: Back in 2019 I began a private course of treatment by online aligners, of which I needed 16 plus a retainer. Post-treatment, I’ve been wearing the retainer religiously for just over a year (20-22 hours a day, never missed 1 night, literally only take them out to eat!)\n\nIf I take them out for even 2 hours, I get splitting headaches and my teeth loosen quickly - I’ve been living on painkillers and dependent on my plastic retainer day in day out which affects my speech. It’s clear that after a year they just won’t stay put.\n\nI’ve contacted several private dentists and they won’t fit a fixed retainer if they themselves haven’t done the orthodontic treatment (no luck with the original company either). I’m desperate at this point as my chance of relapse is definite without a fixed appliance, visiting my NHS dentist soon hoping I’ll be eligible for a bonded one - what do you think?\n\nedit: 2nd time having orthodontics at age 25, I was considered a severe case for braces at age 7 but thanks to my wisdom teeth they started to shift back again" }, { "id": 75, "title": "Need help with diagnosis", "dialogue": "Tonyrob: Ive been experiencing a white coat on my tongue. I went to the doctor and she said it was geographically tongue. I was wondering if anyone could shed some light. I’ve been very anxious about this. honestdoc: Look up migratory glossitis geographic tongue and its images. I have the condition too." }, { "id": 76, "title": "rare bite?", "dialogue": "Finklechips: My bottom middle teeth touch my upper gum when I bite. I'm 9. Is that unusual?" }, { "id": 77, "title": "Potential 'remoulding' of teeth", "dialogue": "howso: Hello there\n\nI was intending to investigate my daughters orthodontic dental treatment earlier on in the year but got cold feet. But now she has had the brace removed and correction work done I am really curious as to whether she has been treated well.\n\nShe had the brace on for 5 years in order to reposition an impacted canine. This procedure was unsuccessful and has left her with the tooth ankylosed. Our local hospital has done an excellent job of repairing this problem and built on what has been exposed and fingers crossed it lasts a long time. However her two front incisors have been left sloping at the edge and at approx. 30 degrees angles opposite each other. As if she has been chewing on a pen for a hell of a long time. There was signs of wear to the edge of those teeth at the beginning of treatment but now those signs are so much worse that expensive repair has been necessary. I have looked into this and had looked at x-rays and it appears to me (someone who know nothing about dental treatment) that the two teeth have been remoulded over time. Yet after complaining to the practice the orthodontist has written to us stating that the crown and roots of the teeth can not move independently and no remoulding has taken place. I have sought second opinions but these are only concerned with best ways to move forward and don't want to comment on how they got into this state. It is very frustrating and I would welcome any advice. Dr M: Good day\n\nDo you perhaps have a photo the affected teeth? howso: Hi there and thanks for your interest.\n\nI have attached three images. The first is the progress of the teeth over 5 years brace treatment. And then one collection of x-rays taken over the years. The last one is a close up of the first x ray image. Please let me know if you want them any bigger.\n\nMuch appreciated. Dr M: I have never heard of remolding of teeth after orthodontic treatment as you are describing it. On the clinical photos it almost seems as if the teeth were rotated and angled in such a way in order to close the diastema. \nSo it seems that your problem is maybe an angulation problem? howso: I understand what you are saying about it being an angulation problem in order to close the diastema. That is the first conclusion made by most. However if you look at the X-ray from October 2017 and tilt the front teeth back into central position (so as to appear in the same position as October 2019) the angulation of the edge of the teeth remains the same as in October 2017. Surely the angulation would drop if remoulding wasn't a thing and tilting was all that had been done and was needed? Believe me I have tried this with Photoshop and if it was a simple case of angulation the edge would be in a different position to it is now. Basically with enough constant strain over 5 years can the crown and the roots act as if moving independently, particularly as they are still growing?\n\nSurely if the teeth are still growing and being pulled by both the brace and the root pocket (whatever that is called) then over 5 years they could actually become twisted or 'remoulded'? Please find attached illustrations which may explain what I am trying to get across. \n\nAgain thanks for any help or advice." }, { "id": 78, "title": "Is it possible to fix this situation?", "dialogue": "calico950: Hi, so I have had this false tooth in since I was 13 (I'm 19 now) and as you can see it has moved the tooth next to it out of position considerably. I'm visiting my dentist in a week, but I can't calm myself down during this wait due to me thinking this is unfixable. Any ideas on if this able to be fixed? Maybe they could remove my wisdom teeth to help create more space? honestdoc: Braces first to widen the palate, then implant on the missing tooth and crown both front central incisors. When you widen the palate, you must wear a retainer for life or the palate will revert back to original position. calico950: honestdoc said:\n\n\n\n\t\t\tBraces first to widen the palate, then implant on the missing tooth and crown both front central incisors. When you widen the palate, you must wear a retainer for life or the palate will revert back to original position.\n\t\t\nClick to expand...\n\nWow, thanks for the response! I was beginning to think I was hopeless and was going to have to be missing a front tooth for the rest of my life. Also, are the retainers the ones you wear during the night? honestdoc: calico950 said:\n\n\n\n\t\t\tWow, thanks for the response! I was beginning to think I was hopeless and was going to have to be missing a front tooth for the rest of my life. Also, are the retainers the ones you wear during the night?\n\t\t\nClick to expand...\n\n \nYes. A lot of people I encounter do not take the retainers seriously and when they finally see me, the palate went back to before and the $6000 treatment went down the drain. calico950: Yeah I think it’s no big deal if it’s something to do overnight, during the day it would be a pain though. I think the price would be enough reason to scare someone into wearing them, guess I better start saving." }, { "id": 79, "title": "Retainer Brace", "dialogue": "GSA2019: Hi. I had braces fitted 15 years ago, I then was given a retainer to wear. I wore this for a few year then I stopped wearing it. Recently I have noticed my teeth have moved and are not straight any more, I decided to wear the retainer over night, it was quite tight but it did go on. However, when I woke this morning my front teeth are slightly wobbly.\nMy question is, can I still wear my retainer even though I haven’t worn it for nearly 10 years? Also, should my teeth be wobbling? Any advice would be greatly appreciated. Dr M: Good day\n\nThe retainer does not fit anymore and is now actually acting like an orthodontic appliance, causing your teeth to try and move back to its original position, leading to slight mobility.\nI would not advise continue doing this without a consult with your dentist or orthodontist. Too much force in the wrong direction could cause damage to your teeth and/or their nerves" }, { "id": 80, "title": "How do I explain my dentist about my concern", "dialogue": "Elle J: It doesn’t seems to be on the correct position. What is the problem and what would I tell my dentist? Please help. honestdoc: Did you address your concerns with your orthodontist? You are correct that the midlines are not aligned. I'm not able to fully diagnose base on the images. You should always feel comfortable communicating with your providers before you start treatment(s)." }, { "id": 81, "title": "5 Year Old With Underbite", "dialogue": "Fergus Miller: Hi All,\nMy 5-year-old daughter has an underbite and her dentist has recommended potentially making a correction now. Having researched as much as I can, it seems at her age this may be too early and we should wait until she is around 7 years old. Is it normal to do it at this age? Is there any advantage or disadvantage to doing this now? Any opinions would be greatly appreciated. I've attached some photos.\nThanks honestdoc: My daughter who is almost 8 has it worse. Usually lower anterior adult teeth erupts behind the baby teeth but her's were still in severe underbite where it is unopposed with the top teeth. We started her therapy last summer 2019 and in 3 months, it was corrected. However, her top baby teeth fell out and for over a year, the top front adult teeth never erupted. 2 months ago, I had to cut into her gums to expose the top adult teeth and they erupted the next day (she wasn't very pleased with the process due to receiving numerous painful shots).\n\nI would wait until your daughter's adult teeth starts to erupt. They may self correct since the top teeth erupts more on the lip side and the bottom as mentioned, closer to the tongue side to an ideal overbite. Fergus Miller: honestdoc said:\n\n\n\n\t\t\tMy daughter who is almost 8 has it worse. Usually lower anterior adult teeth erupts behind the baby teeth but her's were still in severe underbite where it is unopposed with the top teeth. We started her therapy last summer 2019 and in 3 months, it was corrected. However, her top baby teeth fell out and for over a year, the top front adult teeth never erupted. 2 months ago, I had to cut into her gums to expose the top adult teeth and they erupted the next day (she wasn't very pleased with the process due to receiving numerous painful shots).\n\nI would wait until your daughter's adult teeth starts to erupt. They may self correct since the top teeth erupts more on the lip side and the bottom as mentioned, closer to the tongue side to an ideal overbite.\n\t\t\nClick to expand...\n\nThanks very much. Makes sense. seems best to wait until her permanent teeth have come through. MattKW: Yes, you normally wait until the first adult molars erupt at ~6yo and also changeover of adult incisors, which brings you to about 8yo. Also, an 8yo is more likely to tolerate an appliance than a 5yo. Isabella White: I think you should wait till your daughter grown up as she is too small now to handle all this pain." }, { "id": 82, "title": "How bad is my Overbite? (Xray includes)", "dialogue": "zoemay: Recently I’ve been very self conscious about my overbite. As a child, every dentist appointment I went to, no doctor ever told me I had one. It isn’t until a few years ago that I brought it up to my dentist and they were like “yeah yours is pretty severe.” \n\nI’m 20, and have been considering Invisalign. I’m wondering, is it too late for my jaw and teeth to be corrected with just retainers/braces?\n\nI feel like my chin and lower mouth is so much smaller than the rest of my face and it’s really bothering me.\n\nMy big question is... with the photo I’ve included, how bad are my teeth misaligned? Is my bite abnormal? Is my overbite actually really severe? Would correcting my teeth show a big impact?? Would my lower jaw push forward?\n\nMy two front teeth dig into my lower lip and recently I’ve been hyper aware of the indentations they leave on my flesh. Dr M: Good day\n\nBy looking at your lateral x-ray, it does look like you are in a Class II skeletal relationship, which means either your lower jaw is under-developed or your upper jaw is over-developed.\nTo determine exactly which is which, more calculations will be needed.\nSevere overbites, might not be problematic at this stage, but as you grow older, the malocclusion might cause problems due to excessive wear on the back of your upper teeth and then lead to more severe problems.\nFortunately you are never too old to have braces, although the long -term success is better when the treatment is started when at a younger age.\nTo determine if only braces is needed in order to achieve some sort of camouflage outcome, or if complex treatment with or without jaw surgery is needed, it is best to go for a consult with an experienced orthodontist. The specialist will do the necessary calculations, and then draw up one or two treatment plans, that will best suit your specific case.\nAsk your dentist for a referral." }, { "id": 83, "title": "How much IPR can be done without issues?", "dialogue": "plzhelp: I had made a post prior to this but am wondering how much IPR can be done without causing any issues to the enamel. I had my front teeth done 3 times and my bottom teeth done once with a hand strip the doctor had used. I have discomfort weeks after the 3rd IPR but on the day it was done and two weeks later my teeth felt fine. I would like to do additional shaving in one tooth in the front since it shifted weird and close the small holes on the bottom teeth, but I am wondering if this is risky to do. My orthodontist said if I did not have any sensitivity that it would be okay to do some slight ipr. How many times can one do IPR using hand stripping without complications to teeth?" }, { "id": 84, "title": "Sore and Sensitivity Weeks After 3rd IPR", "dialogue": "plzhelp: I have braces for over 3 years and have gotten an ipr done 3 times on my front teeth and once on my bottom teeth. I did not feel any abnormal discomfort a few weeks after that last appointment. Maybe 3 weeks after, the teeth that have gotten an ipr done started feeling sore and sensitive. This has lasted over a month and is still currently happening. My teeth are shifting in the front and are very sore and sensitive and its not going away. This has never happened to me in my entire experience with braces and every ipr done and Im getting worried. Usually the discomfort after a procedure has been done lasts a week maximum but after the first week of discomfort, my teeth felt normal. It wasn’t until 2-3 weeks in that I felt this weird discomfort. The dentist says they don’t notice any wearing of the enamel. Since then I have tried sensitive tooth paste, flossed daily, and used a fluoride mouthwash. My teeth shifted weird and I would like to do some slight additional ipr in certain areas but Im worried this will add onto the issue. I also noticed the front two teeth that hurt the most have started browning above the gum line which is strange but idk if this is related, I just noticed this today. Can anybody please tell me what you believe the issue is and what I can do about it because this is unbearable or if this has happened to you as well. I am 18 years old and have never had any dental issues related to this. Dr M: Good day\n\nDo you have pictures of the teeth? It is possible that with excessive IPR, the dentine could have been exposed, leading to the sensitivity you are experiencing now. If this procedure has been done many times, the dentinal tubules could have been exposed in certain areas. Unfortunately the only solution for this would be IDS, with possible restorations after the ortho has been completed and there is space available for these restorations.\nIs your ortho treatment being done by an experienced orthodontist? plzhelp: I was initially afraid that I had done an excess in ipr as well but I visited both my orthodontist and dentists and I was reassured that my teeth still have thick enamel based on x rays as well. I believe my orthodontist is experience and I was told that I could do additional ipr for some crooked spots if my teeth stopped becoming sensitive. You briefly mentioned an IDS and would you care to elaborate further on this? I have attached a photo of my teeth currently and would like to get some opinions. Do you believe this is a normal process of the teeth moving or is there something more to this that I should get checked out? Dr M: Sorry, the photos are a bit blurry, so it is difficult to see. \nFirst things first, I assume that you understand why IPR was done in the first place. This is usually done when there is a minor space discrepancy. A few mm of enamel is then taken off to provide space for the teeth to move into their optimal position and allignment within the arch. There are limiting factors to this procedure such as the size of the discrepancy as well as the amount and quality of enamel present. \nIt could be that the sensitivity you are experiencing is only transient and will disappear with time. I have found that sometimes when I advise my patients to take a toothpaste designed for sensitivity, and then rub the toothpaste with your finger all over the affected teeth, it helps to relieve the symptoms. The key is that you have to leave it on the tooth for at least 5min before rinsing with water.\nIf the teeth sensitivity doesn't disappear, it might be that you exposed dentinal tubules in certain areas and then this has to be sealed in order to prevent movement of fluid, located in the dentinal tubules, that lead to the sensitivity. \nIDS or immediate dentine sealing is a procedure done to seal dentine by applying a dentine sealing agent to usually freshly exposed dentine under indirect restorations. Although your IPR was done a few weeks ago, I have found some dentists achieving success by applying this procedure, before placing a resin restoration, and thereby eliminating the sensitivity. It helps to seal the dentinal tubules.\nI would give it some time, to see if the the pain disappears, but if not, I would bring this up the next time you visit your orthodontist. It might be that you are reaching the limit of what is possible with IPR and that alternative methods should be considered for creating more space to move your teeth. plzhelp: I have attached the photos again hopefully they are visible. I really am hoping this discomfort will go away. I also am not sure if what I am experiencing is soreness of shifting teeth or not. My teeth feel this discomfort mostly when I am able to shift my front teeth with my tongue. Additonally, may I ask if it is possible to see if you have exposed dentines through dental xrays? My dentist did not see any issues with my teeth in regards to enamel when an xray was perfomed. Dr M: Good day\n\nUnfortunately it is difficult to see exposed dentin on a x-ray. It is important to note that as your teeth move, you will have some periods of discomfort. I also had braces and I had times were some of my teeth were very painful and even slightly mobile. This was only for a short while and then it stabilized again. So my advice would beto wait and see." }, { "id": 85, "title": "Biolactual Crossbite, 2 upper canines are baby teeth!", "dialogue": "sophianess: I have a biolactual crossbite and my two upper canines are baby teeth (I'm 29 years old). One of my adult teeth can been seen behind one of the baby tooth the other is hidden within the roof of my mouth. I went to see an orthodontist yesterday and was told he was unable to help me and that I needed to find someone more specialist. I'd read about the possibility of braces with chains to bring the adult teeth into place however didn't know I had this crossbite issue as no one has ever mentioned it before. The orthodontist also said there was a high chance the tooth in the roof of my mouth wouldn't move into position and the brace/chain action in itself could do more damage potentially leaving me with a large gap and that I might struggle to get implants if all failed? My parents never took me to the dentist as they saw my teeth as 'perfectly fine'. I found out at 18 that this was not the case. 10 years on I finally have the money to look to fix these things and worry it's too late. Do I leave it and have my fingers crossed for later life? Do I mess about with my teeth with a risk of it not working and messing my teeth up further? If implants are the last option and they will work for me I feel I'll be less worried about the risks of permanent toothless caused by the braces. Just want normal straight teeth and not have to worry about future gaps ! Would love to hear your opinions! Dr M: Good day\n\nIt is difficult to give an exact opinion without any x-rays or a consultation, but usually impacted canines can be moved into the position with braces with or without a chain. If the tooth can't be moved, then usually you can either camouflage your front teeth, by shaping the remaining teeth so that everything appears normal. This is done by various prosthodontic methods. Or an orthodontist can re-space the other teeth, to create space for possible implants.\nIn severe cases, and in combination with a severe cross-bite, it might be necessary that you will require some sort of surgery. Your orthodontist will then collaborate with another type of specialist-usually an maxillo-facial surgeon.\nMy opinion would be to get a second opinion from another orthodontist." }, { "id": 86, "title": "My bite", "dialogue": "thatman: How can I tell whether my bite is good or not? What teeth should be touching? I feel my right molars aren't touching for some reason." }, { "id": 87, "title": "Stitches that ripped due to bruxism", "dialogue": "Greenlight123: I had oral surgery 7 days ago. The other day I woke up to ripped stitches and since then they have been poking me and the skin where they were are now exposed. Under that skin is white stuff inside a whole. I have been following all after care guidelines but I am still worried if it is just the creamy white granulation tissue that forms during healing or if it is dry socket? Dr M: Good day\n\nMost oral surgeons use a form of resorbable sutures. They usually only last for about 7-10 days, and then start to dissolve with the water in your mouth. So don't stress too much about this.\nThe photo isn't the best quality, but I don't believe you have a dry socket. A dry socket usually appears after 3-4 days, and is extremely painful.\nIf you are not in pain, then it is my conclusion that everything is healing as it should.\n\nHope this helps." }, { "id": 88, "title": "Never seen that before!", "dialogue": "martinfr: Hi,\n\nMy daughter recently went to the orthodontist's.\nHer upper canines are way too high. One of which is somehow \"hidden\" in the gum.\nThe orthodontist:\n\n1) dug a hole with a laser (!) to get to the canine teeth. Scary.\n2) plugged some kind of \"button\" onto this teeth (the white-ish button you see, first image)\n3) plugged some kind of nail onto a molar (I think ; second image)\n4) wired both things.\n\nShe said it would take maybe 2 months for the teeth to \"show up\", by doing this.\n\nDoes this approach seem OK to you? I have never seen anything like this before!\n\nThank you Dr M: Good day,\n\nWhat your daughter had was an impacted canine,which means it couldn't erupt due to an obstruction.\nThe method that you are describing is a common approach that is sometimes used to guide the canine into the correct position.\nDon't stress" }, { "id": 89, "title": "Eligible for Invisalign", "dialogue": "thatman: Hi. My bottom teeth are quite small and some of them are chipped. I have gaps between every front bottom tooth could it possible that I am eligible for invisalign. I know more testing is needed by could invisalign cater for these type of teeth? MattKW: You should go see an orthodontist for a proper consultation." }, { "id": 90, "title": "Braces issues", "dialogue": "Muskopia: Hi. I'm 36 and 11 weeks ago (just before shutdown in the UK) I had stainless braces fitted.\n\nI had finished teeth whitening a month prior to fitment, and the orthodontist commented on the fact they looked 'nice and white'.\n\nHowever, despite taking extremely good care of my teeth with the braces fitted, they're now discoloured to the point I'm extremely self-conscious about it. The discoloration is uniform across all my teeth to the point I'm questioning if I have an enamel issue and whether or not braces are even a good idea :/\n\nAdd in the fact it's been 11 weeks with no adjustment (dentists are allowed to reopen today in the UK) and no current appointment made to do so has left me extremely frustrated. I'm regretting not going the smile direct club route; I'd be half way through treatment now :/ \n\nI would really like to just have the braces taken off, and go the smile direct club route(maybe there is a second wave of Corona and further shutdowns) but if I do that, my teeth are liable to move before I get my retainers sent.\n\nCan anyone offer any advice. I'm facing 45 weeks + of this. Absent the discoloration, it wouldn'te an issue, but as it is, I'm finding it tough.\n\nThanks in advance! honestdoc: Why can't you get any appointments when the office is reopened? Are you able to use the same whitening system as before? Can you provide images? Muskopia: The system I used before was retainer based. Emergency appointments are first, then cases such as mine. Capacity has been severely impacted as a result of Covid safety measures.\n\nI'm now brushing 3x per day. Mouthwashing 4x per day and using a charcoal powder mouth rinse( 2 mins long) 2x per day. Seems to be helping somewhat.\n\nI will post pics a little later. honestdoc: Are you using Chlorhexidine rinse? It can discolor your teeth. Maybe you can use a general tray for whitening. Muskopia: Hi. This is the one I'm using and it doesn't have that particular substance:\n\n\n\n\n\n\n\t\t\t\t\t\tOnline Food Shopping | Grocery Delivery | ASDA Groceries\n\t\t\t\t\t\n\nShop online at ASDA Groceries. The same great prices as in store, delivered to your door or click and collect from store.\n\n\n\n\n\t\t\t\t\tgroceries.asda.com honestdoc: Do you consume anything that could discolor your teeth? Does any Over the Counter whitening products help? Could you reuse your previous whitening system? Muskopia: I'm very careful with my diet. \n\nI take tumeric powder 3x per day. Buts that's in gelatin capsule form. That's the only thing in my diet I can think of that may stain. I Only drink water and am very careful with what I choose to eat (plenty of powdered oats and protein powder in shakes for me!).\n\nI'm guessing I cant have some whitening retainers made which fit over my braces? \n\nThanks for the help so far" }, { "id": 91, "title": "Impartial opinion", "dialogue": "howso: Hello everyone.\n\nI have been trying to establish whether my daughter's lengthy orthodontic treatment has been carried out properly. I have sought and paid for 2nd opinions but have been greeted with a bit of a closed shop. (I get the feeling the orthodontist are very well connected in my area). Practitioners are not willing to discuss how the teeth came to be in their current state, (which is not great), and are only interested in how to correct them from now on. Which is, off course, an expensive procedure which we do not feel we should have to pay.\n\nIs there somewhere I can go to get an impartial review of her treatment. I have x rays and records etc.\n\nAny advice would be fantastic as we have been struggling over this for a long period of time.\n\nMany thanks\n\nhowso honestdoc: What are your concerns and what were the other practitioners' opinions? If you have exhausted all options, you may consider your state or province licensing authorities. howso: Many thanks honestdoc.\n\nIt is only recently that we have all the xrays and records so I should go for another opinion, however like I said, I suspect all practitioners may know one another so being sure of a neutral opinion is difficult. I have considered flicking through the phone book and asking an orthodontist in a random town hundreds of miles away but was afraid that this my come across as weird. I was hoping someone on here may be willing to take a look. MattKW: Talk to the authorities. They will sometimes have someone they use for opinions." }, { "id": 92, "title": "I think my orthodontist may have killed one my teeth", "dialogue": "Maaag: I got my braces out 6 weeks ago, and have recently started noticing that one of my teeth are turning yellow. When my braces were taken out it was extremely painful (I was literally crying in pain). They 'squeezed' my teeth the day before they were taken out with elastic bands so my teeth were super sensitive too, I think that's why it hurt so so much. Literally, the most painful thing that has ever happened to me. At the time, I thought it was normal, but then I read online and asked friends and apparently no one else felt pain or very minimal pain when they got their braces off. \n\nSo I have reason to believe that when my orthodontist was taking the braces off, this has caused the tooth to become yellow as it experienced trauma, and it has only started turning yellow after this. Today when I visited my orthodontist, he noticed the yellow tooth too, and he said that it was internal. (I didn't realise it was internal) and he asked if I had experienced any tooth trauma. I said that perhaps it was when my braces were removed and he dismissed it. (Someone else removed my braces - not him, so he didn't see me in that much pain). He suggested it was when I had my 2 supernumerary teeth removed, which was abovish where the yellow tooth is. But this was over 2 years ago! \n\nIs this tooth on its way to dying?\nAnd is it possible that my orthodontist was the cause of this? indra219: Its hard to explain without picture of your tooth.\nI can only assume you got enamel chipping, This usually occurs when removing the orthodontic braces. TheresaF22: Maaag said:\n\n\n\n\t\t\tI got my braces out 6 weeks ago, and have recently started noticing that one of my teeth are turning yellow. When my braces were taken out it was extremely painful (I was literally crying in pain). They 'squeezed' my teeth the day before they were taken out with elastic bands so my teeth were super sensitive too, I think that's why it hurt so so much. Literally, the most painful thing that has ever happened to me. At the time, I thought it was normal, but then I read online and asked friends and apparently no one else felt pain or very minimal pain when they got their braces off.\n\nSo I have reason to believe that when my orthodontist was taking the braces off, this has caused the tooth to become yellow as it experienced trauma, and it has only started turning yellow after this. Today when I visited my orthodontist, he noticed the yellow tooth too, and he said that it was internal. (I didn't realise it was internal) and he asked if I had experienced any tooth trauma. I said that perhaps it was when my braces were removed and he dismissed it. (Someone else removed my braces - not him, so he didn't see me in that much pain). He suggested it was when I had my 2 supernumerary teeth removed, which was abovish where the yellow tooth is. But this was over 2 years ago!\n\nIs this tooth on its way to dying?\nAnd is it possible that my orthodontist was the cause of this?\n\t\t\nClick to expand...\n\nI know this is an old thread but I'm having the same issue as well. The pain is unbearable and my orthodontist is saying that usually happens after removing the braces like indra said. But the pain is consistent and I don't like taking painkillers. Were you able to find a solution to this? indra219: TheresaF22 said:\n\n\n\n\t\t\tI know this is an old thread but I'm having the same issue as well. The pain is unbearable and my orthodontist is saying that usually happens after removing the braces like indra said. But the pain is consistent and I don't like taking painkillers. Were you able to find a solution to this?\n\t\t\nClick to expand...\n\nIf you get cracked enamel, it's better to have veneer on it, or composites restoration so that the dentin is no longer exposed. In the meantime, you can try using tooth paste for sensitive teeth to soothe the pain a little" }, { "id": 93, "title": "How to fix class 1 Malocussion?", "dialogue": "KeepMewing: Hello, I am pretty sure I have a class 1 Malocussion as I have a slight overbite and I've had bad habit of tongue thrusting (for my whole life now) which has caused my mandible to extend further than I'd like. Is there any procedure where I can retract the mandible rather than pulling the maxilla forwards? I personally prefer this aesthetic as I would like a softer looking jaw. Thank you! MattKW: A normal molar relationship exists but there is crowding, misalignment of the teeth, cross bites. You appear to have a normal bite with a relatively normal facial profile (Rickett's E-line). I don't think your jaw protrudes at all. If you still think you have a problem, go see an orthodontist for a full evaluation. KeepMewing: MattKW said:\n\n\n\n\t\t\tA normal molar relationship exists but there is crowding, misalignment of the teeth, cross bites. You appear to have a normal bite with a relatively normal facial profile (Rickett's E-line). I don't think your jaw protrudes at all. If you still think you have a problem, go see an orthodontist for a full evaluation.\n\t\t\nClick to expand...\n\n\nThank you for replying. \nSo does this mean I have a maloccussion? And also, I personally would prefer a smaller jaw as I grew up in a society with such beauty standards. Will they carry out the process even if they think I don't need it? Because I would like them to consider my view on aesthetics too! MattKW: You don't appear to have a malocclusion. You don't appear to have a large jaw. KeepMewing: MattKW said:\n\n\n\n\t\t\tYou don't appear to have a malocclusion. You don't appear to have a large jaw.\n\t\t\nClick to expand...\n\n\nPreviously many koreans told me my face is too long. So there is no way of me having my mandible moved up and back to give the appearance of a smaller chin? MattKW: Change your friends. Each culture (and era) has had it's own perceptions of beauty. At one time, bound feet were thought to be beautiful in China. You want to do surgery? Go see a surgeon. KeepMewing: MattKW said:\n\n\n\n\t\t\tChange your friends. Each culture (and era) has had it's own perceptions of beauty. At one time, bound feet were thought to be beautiful in China. You want to do surgery? Go see a surgeon.\n\t\t\nClick to expand...\n\n\nThank you, I appreciate the wisdom." }, { "id": 94, "title": "Best braces for me please?", "dialogue": "Catherine013: Hi, I'm 38 years old and my bottom teeth bother me. I spoke to a dentist a few years ago and he said braces wouldn't be an option as there is no space for the teeth to be moved in to. Do you agree? What type of brace would be best for me? I'd prefer a train track style over Invisalign but want the most effective option. Also, I have some gum recession. Could braces worsen this? Thank you for your help. honestdoc: I don't do braces but it can cause complications such as gum & bone recession, root damage, and sometimes internal & external root resorption. We can't evaluate your case with your image alone. We need models, ceph x-rays, and multiple profile images to have a game plan." }, { "id": 95, "title": "Gaps & Implants - Please Help!", "dialogue": "Irishman: Hi everyone,\n\nI am really tired of trying to find the best solution to help my terrible teeth. \n\nSo as you see from the photos I have teeth missing and as a result I have huge gaps.\n\nWhat I'm trying to do is straighten the lower front teeth by closing the gaps on either side of my incisors. My incisors are good and so are my canines, but the canines need moved in closer to the incisors. Once I've done this then I wanted to get implants either side on my canines left and right side. Does this make sense?\n\nYou will also notice one of my first pre molars has moved a considerable distance and you can see from the xray the angle of the tooth is significant.\n\nI have had a smiledirect simulation of how my teeth would move with clear aligners but to be honest I'm not sure and it looks like the aligners would just move all my incisors and canines backwards into my mouth, thus closing the gaps, but I'm not sure if I could get an implant to fit between the canine and first pre molar.\n\nDoes anyone have any better suggestions? \n\nI really stuck on this but am keen to do something as it's getting me down.\n\nHappy to provide further details.\n\nMany thanks in advance. MattKW: You won't simply close gaps with aligners. Some considerations:\n1. Get opinion from specialist orthodontist to close front gaps.\n2. In conjunction with orthodontist, see a prosthodontist if you can afford it. Maybe the orthodontist can suggest someone with a good reputation. Get the ortho to collaborate with the prosdo. Together they will give you a much better overall plan if contemplating implants.\n3. Lower right premolar looks like doubtful root canal treatment (RCT). Get opinion to see if worth saving. Might be better to extract now and place 2 implants in this area. Get other RCTs checked too because an OPG is poor resolution and you want to make sure before starting this journey. Irishman: Hi,\n\nThank you so much for your prompt and detailed reply, very informative indeed and all points duly noted.\n\nI have subsequently spoken to a well respected implant specialist and they are of the opinion that it may be more prudent to remove the premolar to allow room for a cantilevered implant. The same cantilevered type implant would also be fitted on the other side meaning one implant beside each canine teeth on the lower jaw, giving 4 teeth.\n\nI haven't done much research on cantilevered implants but he seemed to think this would be a satisfactory solution to fill the gaps based on the location.\n\nThis would still leave a gap on my left side lower jaw beside a molar but I am fine with this.\n\nThanks again for your time and insight.\n\nAll the best and stay safe!" }, { "id": 96, "title": "Help - Teeth growing in upper gums", "dialogue": "Craigd87: Hey there!\n\nI’m looking for a little advice please. My teeth are a mess and I have always had issues for as long as I can remember. Due to self neglect I am in the position I am in now at 32 years old where I have never smiled for a photo and I’m conscious of talking to people because my teeth are on show.\n\nSo I have a tooth each side of my front teeth that have grown through the upper part of my gums. Can these be removed? Would it look worse without them? Ideally would just love to have it all removed and start a fresh but that isn’t an option The last photo is me trying to grit my teeth together.\n\nAm I beyond help? MattKW: Your first step would be to see a dentist and get your hygiene up to date. Then see an orthodontist for an opinion. You can't simply pull out a tooth and expect everything to slot into place automatically." }, { "id": 97, "title": "Do teeth straightening kits work?", "dialogue": "LucasH1992: Do kits like these work?\n\n\n\n\n\n\n\t\t\t\t\t\tTeeth Straightening Orthodontic Retainer Tooth Orthodontics Alignment Braces for Adult (Blue): Amazon.co.uk: Health & Personal Care\n\t\t\t\t\t\n\nTeeth Straightening Orthodontic Retainer Tooth Orthodontics Alignment Braces for Adult (Blue): Amazon.co.uk: Health & Personal Care\n\n\n\n\t\t\t\t\twww.amazon.co.uk\n\t\t\t\t\n\n\n\n\nI wore braces around 10/11 years ago and was told to ease off my retainers after 6/7 years of not wearing a brace.\n\nAfter doing this, over the last 3 years, 2 of my bottom teeth have moved (only slightly, but they have moved)\n\nThe dentist said to correct this, it would be a case of another £2000 for more braces! (which was a little upsetting because i only followed their advice about stopping with the retainers - and all my teeth are perfect apart from the bottom two)\n\nSo i looked online and other people have used products like this to re-allign them. I'm a little sceptical and i'm wondering if anyone had ever used anything like this before?\n\nOr maybe, is there anything else out there that could help someone in my situation? Buying another set of braces for that much seems so harsh.\n\nThanks in advance, LucasH1992: Bump!\n\n\n\n\n\n\t\t\t\t\t\tDr.Howellan Trainer Dental, Teeth Straightening Kit For Adults/Invisible Orthodontic Trainer Dental Tooth That Avoids The Use Of Tools For Alignment Of Attachments（Three Stages Are Optional）: Amazon.co.uk: Kitchen & Home\n\t\t\t\t\t\n\nDr.Howellan Trainer Dental, Teeth Straightening Kit For Adults/Invisible Orthodontic Trainer Dental Tooth That Avoids The Use Of Tools For Alignment Of Attachments（Three Stages Are Optional）: Amazon.co.uk: Kitchen & Home\n\n\n\n\t\t\t\t\twww.amazon.co.uk\n\t\t\t\t\n\n\n\n\nAnother kit sold on amazon - should I avoid these or give them a go?" }, { "id": 98, "title": "Invisalign or Expander?", "dialogue": "Smilee97: My teeth are quite narrow. they are straight (could be straighter) and I want them to be more wider to also widen my mouth for a better smile. I don’t have any biting/ breathing issues or anything. \n\nFrom the pictures provided, could you tell what makes my smile less attractive ? and what non surgical treatment I need to make it better\n\nThank you Smilee97: Anyone got any opinions?" }, { "id": 99, "title": "Unaligned teeth", "dialogue": "SJ0: Hello! I had orthodontic treatments when I was a teenager. I noticed my front incisives (superior and inferior) are not aligned (see picture). Do you think it is possible to correct that? Do you have an idea why my orthodontist did not correct that? Also, do you have an idea about what kind of stain I have on one of my incisive? Does whitening my teeth can be a solution for this stain? Thank you! MattKW: Orthodontics does not always give perfect results. Who would really look that closely at that small discrepancy? Who would care?\nCan't see the stain you're talking about. Go see a dentist; some stains just need to be polished off." }, { "id": 100, "title": "Medical necessity?", "dialogue": "cheyxie: hey guys, i currently suffer with an underbite and overcrowding in lower teeth, and it's to the point i actually need jaw surgery to realign my teeth and get braces on top of that as well.\n\ni wanted to know if my case is deemed as a medical necessity because my health insurance will be able to cover the surgery if it is, and i'm quite not sure if my case really is a medical necessity because i don't suffer with sleep apnea or tmj, so please let me know what you think. i am also not sure if surgeons will consider how severe the bite is to make it medical necessity.\n\nimages honestdoc: In the US, any insurance carrier is in the business of making money and will find a way to deny covering that treatment. Look into the carrier's coverage details. I had a crown denied after 2 months of completing it." }, { "id": 101, "title": "Orthodontics possible with maryland bridge", "dialogue": "soph9840: Hello, I am a qualified dental nurse looking for some advice...\nWhen I was 12 I had an accident and knocked my UR1 out, I currently have a maryland bridge with 1 wing attached to my UR2.\nI have a few crooked teeth now and am extremely unhappy with my smile, I have zero self condidence and really feel that braces could help me. \nIs it possible, can i have both invisalign or fixed brace? would i be able to keep my current restoration in place? \nthanks MattKW: Braces. Then the orthodontist can work around the Marylands. He'd also be able to judge if it will get in the way or appear unattractive at the end result, and you can plan accordingly." }, { "id": 102, "title": "Bad bite - braces needed?", "dialogue": "MrBiggs43: My bite isn't great as the only way to get all my molars to touch each other (so I can eat) requires me to move my jaw out of it's position which results in a popping sensation (TMJ). Whenever I eat and whenever I speak, I experience this popping sensation...\nImages below show my natural (?) bite.\n\nhttps://ibb.co/Myd7ScS\nhttps://ibb.co/yqJ4psP\nhttps://ibb.co/55bzGRx\n\nMy chin looks like this - is it out of alignment?\n\n\n\n\n\n\n\n\n\t\t\t\t\t\tScreenshot-2020-03-01-at-10-55-43 hosted at ImgBB\n\t\t\t\t\t\n\nImage Screenshot-2020-03-01-at-10-55-43 hosted in ImgBB\n\n\n\n\n\t\t\t\t\tibb.co\n\t\t\t\t\n\n\n\n\nThis is what my bite looks like when I move my jaw out of it's position (?) so all the molars touch. I have to do this to eat and often to speak:\n4. https://ibb.co/kx8Qt5x\n\nMy chin looks like this - or is this one out of alignment?\n\n\n\n\n\n\n\n\n\t\t\t\t\t\tScreenshot-2020-03-01-at-10-56-07 hosted at ImgBB\n\t\t\t\t\t\n\nImage Screenshot-2020-03-01-at-10-56-07 hosted in ImgBB\n\n\n\n\n\t\t\t\t\tibb.co\n\t\t\t\t\n\n\n\n\nI'm not sure whether my \"natural\" bite is the first 3 images I showed you or the fourth one... Can you tell by my chin shape which one is out of alignment and which one is in alignment? Or are they both out of alignment???\n\nI am pretty sure that my TMJ is linked to my bad bite (?) so I am wondering whether braces would be a solution to this - as it'd fix my bite and get rid of TMJ? MrBiggs43: Forgot to mention. I believe I have what's known as a mandipular displacement. It perfectly describes what I think's happening.\n\nI was also wondering whether this was a cause enough to get braces on the NHS?" }, { "id": 103, "title": "Teeth reshaped after 5 year brace", "dialogue": "rogerblack: Hi everyone\n\nI am looking for some technical information. My 17 year old has just had her brace removed after 5 years. It was on place to try and re position an impacted tooth. The trouble is that during the lengthy process her two front teeth seem to have been bent out of shape and the edges are now at opposing sloping angles. I have looked at x rays and they clearly show how the teeth were 'bent' and seem to have been 'remoulded' or 'reshaped' over the 5 years.\n\nIs there a name for this kind of process where teeth are reshaped due to them being restricted when growing or being pulled by a brace over a sustained period of time?\n\nAny help of advice would be most welcome.\n\nthanks MattKW: I'd have to see digital Xrays pls. rogerblack: MattKW said:\n\n\n\n\t\t\tI'd have to see digital Xrays pls.\n\t\t\nClick to expand...\n\n\n\n\nMattKW said:\n\n\n\n\t\t\tI'd have to see digital Xrays pls.\n\t\t\nClick to expand...\n\nMany thanks for getting back. Could I send these privately? MattKW: rogerblack said:\n\n\n\n\t\t\tMany thanks for getting back. Could I send these privately?\n\t\t\nClick to expand...\n\nIf you want to. It's no big secret." }, { "id": 104, "title": "Why has a molar on the top left and top right of my mouth dropped down?", "dialogue": "99sobi: I've had my top set of braces since the end of November.\n\nThe bottom set were put on today. I looked in the mirror and very clearly saw these teeth dropped down; they were never like that before, and I check my teeth regularly every day. Images: \n\n\n\n\nCould the orthodontist have purposely done this as part of the treatment? MattKW: We can't tell just from a blurry photo. Ask your orthodontist." }, { "id": 105, "title": "Invisalign and crowns", "dialogue": "LMGOG: Hello,\nI’ve recently have had the bad luck of cracking my back molar (T31). Yes, I’m a grinder and a clencher.\n The dentist has told me she’d like to put a temporary crown on the tooth while my teeth are shifted by the Invisalign and that the permanent crown would be put in after the Invisalign treatment is finished. I was told that the be temporary crown would be worn for a year.\nIs this standard? Would I really need a temporary instead of getting a permanent crown? \nThe reason the dentist gave is that my teeth would shift and that she’d like to see where things are before putting in the permanent crown in. My teeth are very close together, my three crooked teeth are in the front and my palate is narrow (as is the floor). How does the back molar come into play in this scenario?\nCan someone shed some light on this subject? Should I get a second opinion? \nPS- The dentist has also mentioned that appliances shift bone not teeth. I found this interesting. Can someone expand on the statement.\nTIA for the help honestdoc: I agree with your dentist. It is inconvenient to have a temp crown but you will have the best outcome after the Invisalign treatment. LMGOG: Thanks for the confirmation and professional opinion, it’s much appreciated. MattKW: The temporary crown will need a permanent cement to last that long. It will hold the temp crown better and only require a bit of inconvenience to remove after the Invisalign is complete." }, { "id": 106, "title": "Having symptoms of sleep apnea", "dialogue": "Jtola: I have symptoms of sleep apnea, I wake up with a tight chest and a dry mouth almost every morning feeling unrested, what do I do to get it checked out? I’m in the uk it’s seriously taking a toll on my life all because of an overbite that I cannot fix, I was refused braces when I was younger and now it’s making my health worse i am becoming depressed \nThe Gp & dentist don’t want to help me everytime I go in they don’t understand honestdoc: Sleep apnea is very serious and can cause a lot of heart stress and damage. You air way is obstructed and your body is deprived of oxygen. I would get different opinions until you get one that suits you best." }, { "id": 107, "title": "Is my overbite or extracted tooth causing this?", "dialogue": "Jtola: Hello, I am a 26 year old male going through severe depression, well how do I start, from the ages of 18 to about 20 my face was In a good shape then around 22 to say 24 my face started slimming down \nI lost abit of tooth when I was around 21 but I didn’t get it removed\nI got my tooth extracted this summer July 2019, after that my face started slimming down again all this is causing me , aesthetic psychological & medical problems \nI don’t know what the cause of this could be it gives me a younger appearance too making me look less masculine and less like my age I’m 26 and people think I’m 19, I’m not taken seriously I can’t get jobs it is affecting my life deeply, no one seems to know what the cause is everyone thinks it is genetic, but I’ve looked at pics when I was younger and I could say my face looked normal now it just doesn’t & also as you mature isn’t your face supposed to mature too?\nCan a overbite or extracted tooth cause your face to shrink? MattKW: Simple answer, no. Your face stopped changing in late teens, and an extraction won't make any difference.\nIf you are receiving psychological counselling for your depression, then discuss these feelings with your psychiatrist or psychologist. honestdoc: Do you have any eating disorders and or compromised medical conditions? Do you have any unexplained weight loss? If so, have them corrected and or managed. Afterwards, consider growing facial hair to look older and perhaps hit the gym free weights to look more masculine." }, { "id": 108, "title": "Slated Teeth", "dialogue": "Anonimo9541: What should be done to correct this problem ? My ortho keeps bending the wire and I’ve had braces for almost 2 years and I have seen little improvements, my teeth pretty much look the same. My biggest concern was the two front teeth not being even and overall slanted smile. MattKW: What does your orthodontist say? Anonimo9541: He says that it’s going to take as long as it takes to be perfect and he keeps bending the wire to “adjust” everything, problem is I don’t think there is any space for what he’s trying to do but I’m not an expert. I feel like there isn’t very much progress. MattKW: Then he's aware of your concerns, and there's nothing you can do but wait and see. Every ortho case is different." }, { "id": 109, "title": "Replacement retainer", "dialogue": "Sunflower1234: Hi\n\nI've been given a replacement retainer today as my old one was not doing its job properly and my front tooth has shifted slightly. \n\nDo i need to wear the new replacement full time or just as normal i.e. (at night)? I can't eveb speak properly in this new ine so i hope i can just wear it as normal! MattKW: You should've been told. Usually it's just at night." }, { "id": 110, "title": "Can you have Invisalign/braces after having crowns and veneers?", "dialogue": "Harling78: I'd like to know the suggested order to go about this. If I eventually wanted to do veneers on the top 6-8 and bottom 6-8 teeth and do need a less aggressive orthodontic treatment anyway for the entire mouth, should I do the orthodontics (Invisalign/braces) first and then move onto the veneer process? I assume this is the order?\n\nAlso, is it completely safe to do Invisalign or braces after having a few crowns and fillings?\n\nThank you! MattKW: Orthodontics first. It is OK to do Invisalign with crowns and fillings, but standard fixed braces can be troublesome if you have crowns. Harling78: Excellent, thank you for the reply and direction. This helps!" }, { "id": 111, "title": "Orthodontics post wisdom teeth removal/crowns, etc.?", "dialogue": "Harling78: I am in my mid-30's, male and am trying to weigh a few things and understand the best order to go about things. Some background...\n\nI have recently had two wisdom teeth removed, a few root canals and crowns on the right and left side along with some fillings. Essentially a lot of work that needed to be done is getting done. I still have to get one more crown completed on a tooth on the right side of my mouth that has had a root canal done so far. I am though noticing after the work that has been done thus far that my overall bite doesn't feel the same as before. I am thinking it may have something to do with one of the crowns. I don't have a high bite, it actually feels like my teeth sink down more now when I force myself to bite. The main issue is I feel I need to reach further to make a bite and my mouth doesn't naturally want to close like before. So more of a bite when I am trying to make it happen, but it is making my front and bottom two tooth (8/9 & 24/25) touch each other more and creating a pushing/tension feeling that wasn't there before. It's very slight but something I feel didn't exist before and want to determine what the issue is. Some some more background, the dentists were not able to make a mold of the existing tooth prior to doing a root canal as the tooth had shattered prior, so the crown fits but I am guessing the top of the tooth wasn't made to match and they did some grinding until the bite felt right at the time.\n\nMy main questions are:\n1) Is this bite issue a normal sensation post receiving a number of procedures and it may need time to \"settle\" back to where things were?\n2) Or is this something else and orthodontics can fix it or determine the issue on? If so, what is the process, a full mouth/jaw x-ray?\n3) If I wanted to do braces/invisalign, should I get the remaining left wisdom teeth removed and have the crown put on the final tooth and then do the orthodontics to get this \"back in order\"?\n\nThank you!" }, { "id": 112, "title": "Orthodontics advice", "dialogue": "Ken: I would like someone can provide advice for me.\nI have front teeth diastema (around 1mm) on my upper teeth. I would like to use invisalign (no other invisible aligner(like smart direct club) in my country, and I don't want to brace use traditional method). However, I have seen a few of the dentist that has different result and summarised as following:\n- 14 weeks can complete without IPR. I have not asked the detail. I will re-consult again later.\n- 1 year with IPR (due to overbite issue, but I don't think there is a problem).\n- They don't recommend to brace the teeth (They recommend using bonding, but I don't prefer).\n\nI don't know what should I do now. MattKW: Even if you close the gap with some sort of orthodontic treatment like Invisalign, you will either have to wear regular retainers, or wire and bond the teeth behind to stop them drifting again. Ken: MattKW said:\n\n\n\n\t\t\tEven if you close the gap with some sort of orthodontic treatment like Invisalign, you will either have to wear regular retainers, or wire and bond the teeth behind to stop them drifting again.\n\t\t\nClick to expand...\n\nI know. But I would like to know is it possible to complete within 3 months on my case.. MattKW: Ken said:\n\n\n\n\t\t\tI know. But I would like to know is it possible to complete within 3 months on my case..\n\t\t\nClick to expand...\n\nProbably, if that's all the orthodontist does. But you'll have to get going now if you have some sort of event in October. Ken: MattKW said:\n\n\n\n\t\t\tProbably, if that's all the orthodontist does. But you'll have to get going now if you have some sort of event in October.\n\t\t\nClick to expand...\n\nActually no, but I just want to brace the front teeth...And I am afraid that the teeth will be cracked or broken during the treatment...I would like someone can advice for the treatment. MattKW: Well, time to see an orthodontist. billw3r: If when you close your mouth, your front teeth touch the lower front teeth and you close the space up above and don't do anything to the bottom, your front teeth will hit your bottom teeth early and they will be sour, this may push your jaw backwards and press your condyle against the retrodiscal tissue. You can create a TMJ problem from pushing your jaw backwards.\n\nIf you close space up above and don't reduce the size of the lower anterior, you can put pressure on lower jaw to go back. This can cause you some TMJ problems.\n\nI have talked about this quiet a bit, watch and get some information about it:\n[link removed by admin]\n\nDr. Bill Wyatt Ken: billw3r said:\n\n\n\n\t\t\tIf when you close your mouth, your front teeth touch the lower front teeth and you close the space up above and don't do anything to the bottom, your front teeth will hit your bottom teeth early and they will be sour, this may push your jaw backwards and press your condyle against the retrodiscal tissue. You can create a TMJ problem from pushing your jaw backwards.\n\nIf you close space up above and don't reduce the size of the lower anterior, you can put pressure on lower jaw to go back. This can cause you some TMJ problems.\n\nI have talked about this quiet a bit, watch and get some information about it:\n[link removed by admin]\n\nDr. Bill Wyatt\n\t\t\nClick to expand...\n\nHow about close the teeth space for the front six teeth?\nDo you mean that it is required to do the IPR? evensmiles: Hi there. From the looks of the picture that you posted, I believe you're a perfect candidate for Invisalign or other clear aligner treatment. Keep in mind, I'm assuming that you don't have any issues with your back teeth and bite, as clear aligners don't work well for moving posterior teeth. Assuming this is the case, you're a perfect candidate for clear aligner therapy. Closing gaps is really where clear aligners are most effective. With regards to IPR, that's typically reserved for cases where your teeth are too large for your jaw. Judging from your picture, this does not appear to be the case. Therefore I would say IPR is unnecessary in your case. As a final reminder, be sure to continue wearing your retainers at nights following the completion of your clear aligner therapy, especially if you're under 40. Otherwise, you risk having your diastema return within a few years! I estimate your treatment time to be less than 6 months if the gap is really only 1-2 millimeters (each aligner moves your teeth about 0.2-0.3 mm every 2 weeks so you can estimate your treatment time based on that). Hope this helps and good luck with your teeth straightening journey!" }, { "id": 113, "title": "Opening up the bite", "dialogue": "snaggletooth: My lower front teeth dig into the backs of my upper front teeth and are wearing them away. Two dentists told me I needed crowns to open up my bite, then two orthodontists told me braces would do the job. I won't get crowns because they do too much damage and ultimately fail, but I don't understand how braces will correct the situation. Please explain. Busybee: Any work you have done to try to fix this problem could create far worse problems. Your best bet is a nightguard and consciously avoiding grinding. It's not simple and I think you can see that given the radical suggestions for treatment which you have had to date, that it could cost a lot with no guarantee that any of their ideas will work. The suggestions will result in permanent changes which could affect your ability to talk, smile, eat and your appearance. Think carefully about whether the current problem is so bad that you want to take such a risk. snaggletooth: Thanks. I appreciate the warning. I'll ask the orthodontist to consider what I think might work, and hope that he can explain, to my satisfaction, why it will or won't work. If he can't explain, I'll keep looking for a dentist who can.\n\nI use a nightguard and I don't grind when I'm awake, but the backs of my upper teeth are damaged and need to be repaired. It seems to me if the bottom teeth can be moved back, so as not to dig into the backs of the upper teeth, that should work. What say you? evensmiles: Your front teeth are not supposed to touch like that. There's supposed to be a gap between your front teeth so that they are not touching one another constantly. If you have a poor bite relationship, or if your teeth have worn down over the years, your front teeth start to touch one another. This is referred to as edge-to-edge bite and is very harmful to your front teeth. Braces is your best option here. Your orthodontist can push your teeth apart to give you this safety space to protect your front teeth from further damage. Crowns may also work for some minor cases. But since crowns can't move your teeth much, your problem may not be permanently solved. Plus for crowns to work you need to place crowns on a whole bunch of your teeth (at least 6) which ends up costing more than braces anyways. Hope this helps guide you in the right direction! Nandhini K M: It is possible to open your bite and correct the occlusion with orthodontic treatment. However, to do so, your age and gum strength should support. If your dentist recommends you for braces, I believe, your gums and other supporting structure are pretty strong to accept the procedure. With the help of braces, it is possible to realign tooth position to the desired need and in general, it would take upto one year of treatment duration. Your condition is called \" deep bite \" which tend to damage the lower front teeth on due course of time if left unheard. It's better to opt for orthodontic management rather than the crown because of two reasons. 1) unnecessary grinding of tooth structure which is not a conservative procedure. 2) Even after placing the crown, there are more chances for the prosthesis to abrade or become wear-off because of minimal space available in your condition. For these reasons, it is better to go for braces, providing that your gums are supportive. I hope this helps to decide better. snaggletooth: I'm seventy-two, and I can't afford braces, anyway. Nandhini K M: snaggletooth said:\n\n\n\n\t\t\tI'm seventy-two, and I can't afford braces, anyway.\n\t\t\nClick to expand...\n\nHo okay! then the crown would be a convincing option for you considering your age snaggletooth: Can't afford crowns and I don't like them, anyway. They destroy the teeth they \"crown\", and they fail eventually. honestdoc: I agree with Busybee in considering a night guard. The Over-the-Counter night guard is less costly but it is one size fits all. The custom bite guard is very costly but will fit the best. If you opt for the custom guard, I recommend a hard/soft bite guard which is hard on the outside and softer on the inside contacting your teeth. snaggletooth: I've been using a nightguard for the last two years." }, { "id": 114, "title": "Second Molar Replacement", "dialogue": "troycima18: Hi, I'm 17 and got my second molar removed months ago. I wonder if it's okay to replace it with my first molar, while also replacing my first molar with my wisdom tooth. Can the braces do that? Or do I really need to replace my second molar with a new one? I also want to ask if I need to remove all of my wisdom before getting braces. Thank you for answering! MattKW: At your age, the wisdom teeth are past the point where they might naturally move into position of 2nd molars. It might be possible to move them into position of 2nd molars with ortho, but you'll have to talk to the orthodontist. Unfortunately, the wisdoms are often odd shapes with strange roots and may not be of benefit. evensmiles: Unfortunately replacing a 2nd molar with a wisdom tooth is not an option at your age. Braces can only move teeth a tiny bit and they aren't meant to move a whole molar tooth over. You have two basic options here: Leave it alone or place a dental implant. Leaving it alone is a bit risky, as the tooth above your missing 2nd molar will slowly move down and create issues. Dental implant is really your best choice here.\nRegarding your second question, you don't have to remove your wisdom teeth to start braces treatment. Of course, it's better to do so, but not mandatory in most instances (infection abscessed wisdom teeth are the exception and they must be removed right away). Just be sure to wear your retainers religiously if you choose to keep your wisdom teeth for the time being. Hope this helps and good luck!" }, { "id": 115, "title": "Braces with missing front teeth possible ?", "dialogue": "RQuestion: So I’m wondering I’m 19 all my teeth have pretty normal roots but my front two are extremely extremely short that with the little bit of force of braces can take them out during the process is it possible I can walk in a dentistry and ask if I can actually just extract those two since they’re basically useless put on braces to fix my teeth because I need too and as the time goes Ive seen that you can put on little filler teeth to cover the gap in the mean time saving and having my jaw prepare for dental implants In my twenties !! MattKW: Go see an orthodontist for a full consideration of your needs. RQuestion: MattKW said:\n\n\n\n\t\t\tGo see an orthodontist for a full consideration of your needs.\n\t\t\nClick to expand...\n\nI have and they say braces with my two front are not recommended but it didn’t come to mind that I should just remove them instead" }, { "id": 116, "title": "Photos of my daughters teeth, advice please", "dialogue": "OzzyAllan: Thank you experts in advance. She’s now 20 yrs old & getting very self conscious about her smile. She’s also noticed the front teeth being 'pushed' out more. At her recent consultation with her dentist, he said her wisdom teeth are very high & probably will never come down & are causing all the problems by pushing everything forward ? Does this make sense ?..I think she inherited a high palate or arch..\nSo she is now embarking on “Invisalign” to fix the issues.\nCan someone please advise or support the condition & remedy please.\nThanks guys. MattKW: It is not true at all that wisdom teeth have any effect on the positioning of front teeth. This is a very old myth. However, she might well be advised to have them out if they present a risk of damaging the adjacent teeth.\nFrom the limited photos you show, I would suggest that your daughter go to a specialist orthodontist - that does not look like a suitable case for Invisalign. OzzyAllan: MattKW said:\n\n\n\n\t\t\tIt is not true at all that wisdom teeth have any effect on the positioning of front teeth. This is a very old myth. However, she might well be advised to have them out if they present a risk of damaging the adjacent teeth.\nFrom the limited photos you show, I would suggest that your daughter go to a specialist orthodontist - that does not look like a suitable case for Invisalign.\n\t\t\nClick to expand...\n\n\nThank you Sir. Your advice is very much appreciated & thanks so much for your time in reply.\nShe has another consultation in a few days. I’m hoping she can provide me with more specific details from her dentist as to what can be achieved & the root cause..\nAs with any procedure, i guess all i can do is to way up all the advice & research gathered to make an informed decision on her / our behalf. I really couldn’t afford the $ 6K + for braces years back, but will do whatever i can now.\nForever grateful, what a wonderful site this is.\nA. Vaibhav: Hello,\nIf the teeth start emerging\"outwards\" at the age of 20 -21 which is ironically also the age of wisdom teeth to erupt.They, however, do not have this tremendous effect on teeth to push them outward. You should take your daughter to an orthodontist for the right treatment plan. \nInvisalign treatment works well with some cases but can be made sure only after preliminary results are supportive\nShe needs to get a cephalogram and an OPG to plan treatment.Also visiting a dentist will be a much better option as they can check the patient in person and see the findings which are not visible on photos." }, { "id": 117, "title": "Braces without extraction", "dialogue": "Denniscrooked: Is it possible to straighten my teeth without removing healthy teeth. 1.3 is only root leftover and 2.7 has a big hole.\nI dont want any other healthy teeth removed. From now on im going to care for my teeth. Im really dissatisfied with 1.1 and 1.2 MattKW: Even from that blurry photo, it looks like you have a number of cavities. You will have to go to a dentist to get things sorted, and also an orthodontist. The loss of 13 is difficult to recover from, and the 14 looks like it might have serious trouble." }, { "id": 118, "title": "Is it safe to have only 24 teeth for a 37 year old adult?", "dialogue": "LuciaMaria: Hello I am considering getting invisalign with 4 premolars extracted for the purpose of reducing my protruding mouth. That will leave me with 24 teeth, I just wondered is it generally safe to have that amount of teeth for a 37 year old? Could I possibly experience future problems? I asked my dentist this question but he just gave a broad answer saying there are always jaw risks when undergoing orthodontics.\n\nThe size of my arches in the after pics of my clin check look a lot smaller which concerns me. Does anyone think its absolutely necessary to have teeth extractions to reduce the protrusion or can I go without?\n\n \n\n \n\n\n\nHope you can help answer my question Busybee: You will look very different but isn't that what you want? You do know that you normally have to wear a retainer the rest of your life and that there is the risk of root resorption? LuciaMaria: Thanks for responding. Yes I do want to reduce my protrusion but I'm just worried that I will potentially be opening up future health problems with having a smaller mouth. And what do you mean there is a risk of root reabsorption?\nYes I realise that I have to wear retainers for the rest of my life but isn't that the same with everyone undergoing orthodontistry ? Busybee: With orthodontic procedures there is a risk.that roots will be shorter after treatment. It's a risk for anyone undergoing orthodontic treatment. Your dentist mentioned jaw risks. But you don't feel you can communicate with him about this? It's really important that you feel comfortable with your dentist when you are undergoing such radical work. Your dentist should be able to address all your concerns and fully explain what you should expect afterwards and the risks. LuciaMaria: The dentist just gave me broad answers. He didn't give me any explanations to any possible risks he just said there are potential risks to all orthodontic treatment. Do you think I should consult with someone else?\n\n\nI'm just in the process now of going through and checking the 3d imaging that invisalign/dentist prescribed for me, he is just waiting for me to give the final all clear so they can send it off to make the aligners. Busybee: There is no harm in seeking a second opinion. This is radical treatment and you should feel totally comfortable with your dentist and fully understand the risks and expected outcome. You may be unhappy with the way you look now, but some people are unhappy with the way they look after treatment. LuciaMaria: I did have a consultation for the same treatment with a specialist orthodontist, he also teaches orthodontistry at university, published books on it etc so he seems like a very qualified person to ask advice.\nHe just explain the risks to my other teeth (because I've got 5 restoration teeth crowns/root canal filling) and he said it is possible to extract the 4 teeth but he doesn't think that it will make much difference to my profile. I can't remember exactly if he said there would be risks to my jaw etc, Ive emailed his admin team. MattKW: If the specialist orthodontist said he doesn't think it will make much difference to your profile, then you have to seriously take that on board. From a GP point of view, I also think it will not help your profile; I think you look just fine. In any case, to retract your chin profile, you'd really only remove 2 upper teeth to pull your upper front teeth back and give the illusion of a straighter profile.\nComputer simulations from Invisalign for cases like yours (jaw discrepancy) are a concern. I certainly wouldn't use Invisalign after extracting premolars; you really have to use braces, but your dentist, Dr A, probably isn't qualified for braces so he's not informing you of that option, ... or has he? Invisalign cannot move molars forward.\nIt is very rare nowadays (in Aust.) to have 4 premolars removed. It used to be a common procedure, but it tends to make people's faces look smaller and sunken. If unsure, then spend a little bit of money and get another specialist orthodontist opinion. It could save you a lot of tears. Busybee: So why did you decide to go to the dentist you are with now rather than the specialist? LuciaMaria: Yes as I have explained in the first comment that I would like my side profile to look smaller and more sunken because right now my mouth is protruding and sticking out so yes that is the effect I want. I have also had genioplasty which is why the lower mouth doesn't look as bad, but my original chin was receding. I decided to go with the dentist because he offered me a better deal for invisalign along with extractions. I would have gone to the specialist but their price is 10 xs more and what would be the point if the specialist doesn't do extractions but just offers me the same product which is invisalign. I wanted metal braces but because I have 2 front crowns the brackets could potentially come off therefore I can't get metal braces. Actually there are different invisalign models that you can get, I've seen them online such as the g6 invisalign which is designed to use with teeth extractions. \nHere is the link:\n\n\n\n\n\nThis is me before genioplasty and rhinoplasty \n\n\n\n\n\n This is after genioplasty and rhinoplasty Busybee: The temptation with trying to achieve a certain look is that you keep having work done and you are still not satisfied. It can be an endless cycle and in the meantime you make irreversible changes. MattKW: Well, it's your money and your face. If you don't seek a specialist opinion, then it's on your head (literally). As you say, you've had a genioplasty, but now you want to pull your upper and lower front teeth backwards - how will that make the effect of the genioplasty better? I think it'll be a poor result. Bye... LuciaMaria: Yes I think people do become obsessed with trying to achieve a certain look especially within the plastic surgery industry but I had quite a few problems with my facial features beforehand that's why I opted for plastic surgery and teeth extractions/orthodontics, so it wasn't about vanity more trying to look what society deems as normal/average. Busybee: With your teeth you should try to achieve the change with as little work as possible. The proposed work could achieve the opposite of what you are seeking. It may make your face look wider but your cheeks and neck to sag rather than look more delicate. I'm sure there are more conservative routes to getting where you want to be. Don't rush into this. Possibly a combination of orthodontics and cosmetic work. Get as many opinions as you can. LuciaMaria: MattKW said:\n\n\n\n\t\t\tWell, it's your money and your face. If you don't seek a specialist opinion, then it's on your head (literally). As you say, you've had a genioplasty, but now you want to pull your upper and lower front teeth backwards - how will that make the effect of the genioplasty better? I think it'll be a poor result. Bye...\n\t\t\nClick to expand...\n\nI did say that I have consulted with a orthodontic specialist already LuciaMaria: Busybee said:\n\n\n\n\t\t\tWith your teeth you should try to achieve the change with as little work as possible. The proposed work could achieve the opposite of what you are seeking. It may make your face look wider but your cheeks and neck to sag rather than look more delicate. I'm sure there are more conservative routes to getting where you want to be. Don't rush into this. Possibly a combination of orthodontics and cosmetic work. Get as many opinions as you can.\n\t\t\nClick to expand...\n\nI've already had a face lift and bone contouring around my face so I'm not really that concerned about my face looking wider or my cheeks and neck to sag. I am trying to get my protruding mouth to become smaller there aren't any other options really. Ive seen other people do it for the same purpose of reducing the protrusion and it seem to work out good for them. Thanks for your concern though. honestdoc: LuciaMaria said:\n\n\n\n\t\t\tThanks for responding. Yes I do want to reduce my protrusion but I'm just worried that I will potentially be opening up future health problems with having a smaller mouth. And what do you mean there is a risk of root reabsorption?\nYes I realise that I have to wear retainers for the rest of my life but isn't that the same with everyone undergoing orthodontistry ?\n\t\t\nClick to expand...\n\nWhen you move teeth, there are risks of root damage and bone damage. A board certified orthodontist will be very knowledgeable and prevent this from happening. Busybee: LuciaMaria said:\n\n\n\n\t\t\tI did say that I have consulted with a orthodontic specialist already\n\t\t\nClick to expand...\n\nWhy did you decide to go with the current dentist rather than the specialist?" }, { "id": 119, "title": "Thumb sucking", "dialogue": "John.Steve: Hi , how long does it take to fix bad teeth due to thumb sucking with braces for an 18 year old ? honestdoc: That depends on how severe and how much you need to move teeth. Since you are 18, your bone will be less dense and easier to move teeth than if you were 26 or older." }, { "id": 120, "title": "Pedo-Partial", "dialogue": "Jenniferphillips: Is there any way a pedo-partial/groper be attached to a first primary molar if the second primary molar hasn’t erupted? MattKW: Why hasn't the 2nd primary molar erupted? X-ray please. Jenniferphillips: MattKW said:\n\n\n\n\t\t\tWhy hasn't the 2nd primary molar erupted? X-ray please.\n\t\t\nClick to expand...\n\nBecause she is only 25 months old MattKW: OK, so this would be the earliest time you would expect them to even start coming through. So, I don't understand your concern at this age. Can you tell me more? Jenniferphillips: Jenniferphillips said:\n\n\n\n\t\t\tBecause she is only 25 months old\n\t\t\nClick to expand... Jenniferphillips: MattKW said:\n\n\n\n\t\t\tOK, so this would be the earliest time you would expect them to even start coming through. So, I don't understand your concern at this age. Can you tell me more?\n\t\t\nClick to expand...\n\n\nThank you for taking the time to respond and I apologize for the lack of info. My 2 year old fell into a desk and knocked out her front right incisor. She now has a lisp and covers her mouth ALL the time. She filmed her first movie at four months and is a child model/actress. We would really like to get her the pedi partial as we think she would benefit from it. She has her first primary molars, but not her second. (She just turned 2) I was wondering if the pedo-partial can connect to the first molar or if we would have to wait till her second primary molars come in before she can get the pedo-partial ? MattKW: I wouldn't do a pedo partial, and I think you'd find it hard to find anyone who would either. The partial would make her lisp even more, and not only interfere with speech development, but may also restrict her jaw growth. At best, you might do an Essix retainer as a simple and easily replaceable option. I'd suggest you see a paedodontist. Jenniferphillips: That’s strange. There are quite a few that do them and in a child of her age. The dentist here who extracted her tooth said he’d be happy to do one once she cooperates a little more in his chair. She has an appointment with a pediatric dentist in Beverly Hills. Their office says they do them on children between two and six all the time. I just wasn’t sure if they connect the device to the first or second molar. Why would you think this partial wouldn’t be a good idea? I’ve read that it will help the lisp and boost her self esteem, plus help maintain the space for the permanent tooth to come in as well at help her eating. Jenniferphillips: Jenniferphillips said:\n\n\n\n\t\t\tAlso, she is too young for a retainer. She is only two. She can choke on it, lose it etc. it’s not a very good option for a two year old. With the groper, it will permanently attach to her molars and be removed when the permanently tooth come in. I read this has no affect in the jaw, hence it’s attached to the anterior part of the teeth. I just wanted to know if this device can be attached to the first molar?\n\t\t\nClick to expand..." }, { "id": 121, "title": "Putty and Resin for Cheap?", "dialogue": "toothfulBeak: Hi everyone,\n\nI'm a geology student, but I'm working on a research project that involves taking molds of teeth. I've looked online at President Jet putty and Epoxy resin, and I was wondering: is there any place I can get them for relatively low prices, and in bulk? I'm not sure how much I need, so I think it's best to have extra. honestdoc: Anything dental related is overpriced. Try playdough. Dentists use VinylPolysiloxane (VPS) impression materials that are very expensive. There may be some cheaper VPS at eBay that are used to record the bite which is not as accurate for crowns and other prosthesis." }, { "id": 122, "title": "Second Molar Replacement", "dialogue": "troycima18: Hi, I'm 17 and got my second molar removed months ago. I wonder if it's okay to replace it with my first molar, while also replacing my first molar with my wisdom tooth. Can the braces do that? Or do I really need to replace my second molar with a new one? I also want to ask if I need to remove all of my wisdom before getting braces. Thank you for answering!" }, { "id": 123, "title": "Overjet treatment Approach", "dialogue": "McMike: Hi. My almost-14 y/old son has significant overjet. We have gotten two widely divergent opinions on treatment.\n\n[1] One doc says the lower jaw growth is basically done, so we will put a pin anchor in upper, extract upper molars to make room, and then pull upper incisors back. This is a partial solution, not likely to fully correct, and eventually adult jaw surgery will be necessary. Takes about two and a half years. This doc uses traditional elastic binder brackets for braces. [Extract upper juvenile secondary molars - note: he was born without adult teeth for that one].\n\n[2] Other doc says the we will harness the remaining lower jaw growth and repair it now. He will place Herbst appliance and push lower jaw forward. No extractions. Done in two years, appliance for first year only. This doc uses Damon system brand slide braces. [This doc says the upper teeth look good, incl juvenile secondary, and no reason to go in and extract and move them around].\n\nSo, opposite philosophies and opposite treatments.\nInsights welcome, please thanks.\n\nPatient has a significant skeletal malocclusion, and significantly deficient chin due to very short jaw. Excessive overjet. He basically can't close his lips due to misalignment. Shows 7 mm of upper incisor at rest. He is also born without upper primary adult second molars, baby is still in and looking strong. He is a nasal breather and night grinder." }, { "id": 124, "title": "Braces", "dialogue": "4past10: i have 2 teeth extractions. on upper left and upper right. i need a crown bridge. but i have left it like that. the filling is done. its healthy now. but now can i go for braces without a bridge? please suggest" }, { "id": 125, "title": "Upper teeth and lower teeth not aligning properly after the fillings.", "dialogue": "Du_deleted: Hi,\n\nI had 4 tooth cavity fillings in the month of June 2018. The numbers are 13,14,15,19.\n\nI had severe sharp pain after the fillings done and I went to my dentist and he filed down the high fillings. I went for four visits as I always feel some discomfort or some pressure in the left lower side of my mouth. He filed down the extra in my 3 visits and in the 4th visit, he said there might be bubbles inside the filling and the filling has to be replaced. \n\nI am always do nervous about dental visit and this was my first cavity filling done in my life. So, I was worried about doing it again. He told that it has to be redone to the tooth number 19.He didn't take any x-rays. \n\nAlso, my upper and lower teeth are not joining or aligning together. I feel like its sliding over. Is it because of the fillings or anything?\n\nI am so worried and didn't go back to the dentist. I still get the pain or pressure feeling in my lower left side of the mouth. I am not sure if it's because of the air bubbles in the tooth number 19 or the fillings done in the upper left side tooth too. I am not sure which one is causing problem. How to identify the air bubbles in the cavity filling? What should do I do now?Should i get it refilled or should i check my bites with another dentist?\n\nkindly please help me with your advice. It really makes me nervous. \n\nThank you!" }, { "id": 126, "title": "Shifted midline/slight underbite/missing tooth", "dialogue": "mnruzhinov1992: Hi, my midline is shifted to the right, my last bottom right tooth is missing and I have a barely noticeable underbite. I think all that causes asymmetry in the right side of my smile and lips. What options for improvement do I have?" }, { "id": 127, "title": "Orthodontic or implant?", "dialogue": "Escanor: I already extracted the 46 tooth wich was corono-radicularly fractured .Can orthodontic treatment offer a more consrvative result than implant to relace the tooth? honestdoc: I'm not familiar with tooth \"46.\" Is it the lower right molar 3rd from the back (tooth #30 in the US)? Escanor: It's the mandibular right first molar MattKW: No, it would be very difficult to move 47 and 48 forward into a good position. Upright teeth in the correct position will occlude better with the corresponding tooth in the opposing arch. I would suggest you remove 48 soon to prevent tipping of the 47 into the 46 space, and save up for an implant to replace 46. And get rid of the 38 wisdom ASAP. Escanor: The 38 to decide which technique to follow for extracting it : can I just cut the coronal portion and try to luxate it upward without root separation, noting that the patient can not open his mouth wide (almost 4 mm or less), the surgically extraction of the 46 wasn't really so comfortable ? honestdoc: Escanor said:\n\n\n\n\t\t\tThe 38 to decide which technique to follow for extracting it : can I just cut the coronal portion and try to luxate it upward without root separation, noting that the patient can not open his mouth wide (almost 4 mm or less), the surgically extraction of the 46 wasn't really so comfortable ?\n\t\t\nClick to expand...\n\nYou can cut a thin Mesial coronal portion to fit an elevator and remove distal bone. You should get good movement when you try to elevate. MattKW: You did very well if the patient is that limited. I've just realised you must be a dentist too.\nMaybe the patient might need at least an IV and poss a GA with an oral surgeon for the 38 and 48 with that limited opening. And looks like a scap of 28 still present.\nDon't start something you can't be sure of finishing.\nIf the patient could open properly, I would decoronate the crown of 38, then split the roots, and elevate separately (distal root 1st, then mesial roots would be easier to follow). honestdoc: 28 will be very difficult to access especially if the patient can not open wide. If you can get access and some leverage mesial to 28, it should come out. I like curved elevators and maybe East/West (not sure if those are available in Tunisia). Escanor: Honestly you're right, all my carieer in hier I saw the most difficult upper extractions of the upper third molars were done with straight elevators.Actually I did. I'm trying to find the warwick James Elevator for a change, till now i wasn't lucky with the right provider. honestdoc: Escanor said:\n\n\n\n\t\t\tHonestly you're right, all my carieer in hier I saw the most difficult upper extractions of the upper third molars were done with straight elevators.Actually I did. I'm trying to find the warwick James Elevator for a change, till now i wasn't lucky with the right provider.\n\t\t\nClick to expand...\n\nI'm impressed. You are a very good dentist. You are able to work on difficult cases with minimal equipment. I'm spoiled here in the US with plentiful supplies. Escanor: I think its the will, to have a greater result every time, equipment are necessary, it makes you feel full but not really able." }, { "id": 128, "title": "Hard Bump on Gum", "dialogue": "AnxietyPup: I had a tooth extraction on tooth #2 in the middle of October. Now I have a pea sized bony bump above the extraction site. It hurts only when I press on it. It looks normal color like the rest of my gums. Can’t go to dentist till Tuesday. Almost two months and the bump doesn’t seem to be going away. Any idea what this could be? Tooth #3 has had a root canal done on it twice and feels weird when I tap on it. Been that way for a few years though and the bump didn’t appear until #2 was pulled. Wisdom teeth are also gone. No sign of throbbing pain or pus or discolor. Just a very tender bony feeling bump. Any ideas? MattKW: No idea. If it looks normal colour it may simply be bony protrusion that can take months to remodel. AnxietyPup: That’s what my dentist had thought when I called in. I did not know a bony protrusion could be so tender though. Also, thank you for taking the time to reply. AnxietyPup: honestdoc: If it is hurting so much that it is affecting the way you function in that area, you may consider having your dentist remove or smooth the bony protrusion. We generally allow time for it to heal like Dr. MattKW mentioned. We generally have to manipulate bone while extracting teeth so sometimes bone remodels a certain way." }, { "id": 129, "title": "Orthodontics", "dialogue": "helena: Enamel on almost all of my teeth is worn I think, but it doesn't hurt, only when i drink cold water and I hace cavities betwwen my teeth. Almost all of my front teeth have filling where the gums are, they hurt sometimes too. There are holes in some of my teeth near the gumline on the back and cavity there, I think. I don't know which staines are actually cavities and which are not. I have a crossbite and progenia. A dentist told me to wear braces, because it would mean a lot to my health later, that there might be pain in my jaw. Are my teth too damaged and breakable to wear braces or could i fix that cavities that are on gumline and then wear braces and then later repair tooth damage i there is more? I mean would braces bring more harm than good in my case? SocialGirl: i am not a professional, but I would suggest for you to see an orthodontics specialist. When it comes to teeth, I like to get different opinions if its a more complicated situation like yours." }, { "id": 130, "title": "My teeth feel glued", "dialogue": "JulianaImbro: Hello !! Just had my invisalign applied last Tuesday. However I can tell that 3 of my front teeth are bonded (glued together). I believe this happened by mistake when the braces were applied.. I can't floss those teeth at all. Would that be a worry? Should I get back to my dentist ? Still getting use to them so don't want to make an unnecessary fuss. \nThanks MattKW: You'll be going back to them soon perhaps for maintenance? If not, ring and ask for an appointment." }, { "id": 131, "title": "Tooth Crowding?", "dialogue": "Teeth-Man: So my teeth recently started feeling \"loose\" a few weeks ago, maybe around 6 or 7. \nI would push on the back of the top front four teeth and I would get a bit of a popping feeling, like it was subtly shifting forward.\nI'm not sure why it started, but I was clenching my teeth really hard around that time so possibly that, but I'm wondering if it's wisdom teeth/crowding.\nOver the last few week the feeling has been going away and is localized to the left top incisor.\nIt seems my leftmost top incisor has shifted forward and kind of twisted. I was at the dentist about 2 weeks ago and they didn't find anything wrong, but I didn't ask about this because I'm stupid and they said my teeth looked fine and I was scared to say anything. Does this fit teeth crowding or is this stuff with my gums? My wisdom teeth are growing in right now, and I know they don't officially cause crowding, but is it possible? I'm probably going to schedule another appointment to actually get questions answered, but in the mean time, can anyone tell me what's going on?\n\n\n\nPosting another version of this in periodontics, so apologies if you see it twice." }, { "id": 132, "title": "Wore elastics on wrong teeth", "dialogue": "WorriedIncisor: hi\n\nI wear elastics however last night I was tired and attached my elastics in completely the wrong area and woke up this morning with an achy jaw and pain in my teeth, anyway I took the elastic off immediately and the pain has subsided, could I have caused any permenant damage to my teeth or ruined my orthodontic treatment? Thanks\n\n@MattKW WorriedIncisor: Anyone able to help, I’m worried I may have caused damage honestdoc: I'm sorry I don't know enough information to help you. Could you go back to the dentist/orthodontist who is treating you? Many times initial \"damage\" can be corrected and/or managed." }, { "id": 133, "title": "Extra tooth cusp", "dialogue": "Danielpne: Hi, \n\nHope this is on the correct part of the forum. New to this so apologies if not.\n\nI have a extra cusp on one of my very back left teeth. It's kind of like a extra lump and it's sticking out and very irritant to the tounge and I cannot stop touching it.\n\nIs it possible for this cusp to be filed down so the point is not as pointy and as much of a irritant. The surface wouldn't bother me as long as it no longer pertrudded.\n\nThanks! honestdoc: Filing down the sharp cusp is very realistic. I personally had a sharp tip on my upper right canine. I had my colleague smooth it down. Danielpne: honestdoc said:\n\n\n\n\t\t\tFiling down the sharp cusp is very realistic. I personally had a sharp tip on my upper right canine. I had my colleague smooth it down.\n\t\t\nClick to expand...\n\nThanks for the reply just to enquire about tad more the extra cusp is on the back of one of my back teeth. It's not so much sharp but it sticks out and I would like it to be flattened out is that possible? If you get me haha. honestdoc: I would refer that question to the dentist that will treat you. It would be his or her call." }, { "id": 134, "title": "Braces to move wisdom tooth", "dialogue": "Nisha: My 2nd molar had to be removed as it got decayed badly due to the wisdom tooth that came out horizontally which impacted and i had failed to notice the decay (high pain tolerance). So now there is a hole where the tooth was and i was wondering is it possible to move the wisdom tooth to where the hole is using braces and how long will that take, considering i am a 25 year old. MattKW: Not easy, but might be doable. Have to consider also the shape of the wisdom tooth crown, and shape of the roots. Go see an orthodontist. My wife lost 1st and 2nd molars due to decay, and had wisdom tooth moved forward with braces to position of 1st molar, but it was the only molar tooth left. Implants weren't so reliable back then, so not an option. Nisha: MattKW said:\n\n\n\n\t\t\tNot easy, but might be doable. Have to consider also the shape of the wisdom tooth crown, and shape of the roots. Go see an orthodontist. My wife lost 1st and 2nd molars due to decay, and had wisdom tooth moved forward with braces to position of 1st molar, but it was the only molar tooth left. Implants weren't so reliable back then, so not an option.\n\t\t\nClick to expand...\n\nHow long did she have to wear braces for? Time is another factor that is bothering me. MattKW: Nisha said:\n\n\n\n\t\t\tHow long did she have to wear braces for? Time is another factor that is bothering me.\n\t\t\nClick to expand...\n\nYou have to go ask the orthodontist. It's the only way you'll find out all the answers." }, { "id": 135, "title": "Ortho said my case can't be treated?", "dialogue": "Jla49494: Went to an Invisalign consult the other day for an overbite/overjet problem and was told that my case couldn't be treated because my teeth are already \"locked in,\" referring to the way my teeth are lined up like gears and can't be moved. I was also told I actually don't have an overbite/overjet; another consult told me differently and I wanted y'all's opinion MattKW: You do have an overjet, but to try and change that when the rest of your teeth bite together so well would be questionable. You certainly won't do it with Invisalign. You could end up spending a whole lot of money for an unstable result that will need retainers for the rest of your life. Jla49494: MattKW said:\n\n\n\n\t\t\tYou do have an overjet, but to try and change that when the rest of your teeth bite together so well would be questionable. You certainly won't do it with Invisalign. You could end up spending a whole lot of money for an unstable result that will need retainers for the rest of your life.\n\t\t\nClick to expand...\n\n\nAlright, about how long do you think this case could be treated with braces? MattKW: Jla49494 said:\n\n\n\n\t\t\tAlright, about how long do you think this case could be treated with braces?\n\t\t\nClick to expand...\n\nNot my level of expertise. It may be that they could advise against it. You'd have to get orthodontic opinions, likely success rates, pros and cons, and costs." }, { "id": 136, "title": "I wore my old retainers after a very long time several months ago one night", "dialogue": "theringer: ...and woke up the next morning with my front four teeth slightly forming an overbite/overjet so much to the point where my facial aesthetics were slightly affected. My upper lip puffed out a bit and I looked awful with facial hair. Over the course of a few months until now, my overbite got worse and my facial structure changed more. My nose ridge is now alot bigger than it used to be and my nose droops down more than it used to. My speech is affected as I can feel my front two teeth against my lower lip now.\n\nIt's a minor case of overbite (4mm, 50% according to an ortho at an Invisalign consultation), and I was wondering if Invisalign could reverse the effects of my mistake. Is there anything I can do about my nose? Would Invisalign treat it? Busybee: why did you wear the retainer after so long? Jla49494: Busybee said:\n\n\n\n\t\t\twhy did you wear the retainer after so long?\n\t\t\nClick to expand...\n\nI had just noticed the shift and thought it was minor enough to treat using the same retainers Busybee: Jla49494 said:\n\n\n\n\t\t\tI had just noticed the shift and thought it was minor enough to treat using the same retainers\n\t\t\nClick to expand...\n\nAre you the same poster? theringer: Busybee said:\n\n\n\n\t\t\tAre you the same poster?\n\t\t\nClick to expand...\n\nyes Busybee: How old are you and have your wisdom teeth come through? Jla49494: Busybee said:\n\n\n\n\t\t\tHow old are you and have your wisdom teeth come through?\n\t\t\nClick to expand...\n\nI'm 19 and yes, but haven't gotten them removed. Busybee: Go back to the orthodontist to reassess the situation. There's nothing you can do yourself that won't make matters worse. See a professional and explain your concerns." }, { "id": 137, "title": "Size of tooth and space in bite", "dialogue": "ClassIIItransformation: I am getting my braces off next week and there is still a small space on my upper left canine tooth. I have been told by my orthodontist that is due to my tooth shape and it can not be closed. \n\nDoes this look like something that is normal or can the space be closed? honestdoc: I would side with the orthodontist. Many times when teeth gets moved in a forceful way, root and bone damage and sometimes pulpal damage can occur. Always follow your orthodontist's recommendations." }, { "id": 138, "title": "Braces for minor overjet", "dialogue": "Jla49494: I had braces when I was younger but only wore the retainers sporadically. My teeth have shifted over the years. I had a bad overjet/overbite and a gap in between my two front teeth and had it sorted out. Right now, my teeth look very fine at first glance, but it's my four front teeth that are the issue. I don't have a gap or anything, but my four front teeth stick out and I have an overjet/overbite problem again. My lower lip has begun to curl and my upper lip protrudes forward a little to support my teeth. My nose ridge has also formed a little bump and the nose looks bigger as a whole.\n\n\n\nAgain, any orthodontist would see this as a minor issue, and I was wondering if I could be rejected because of it. I was also wondering how payment would work as people usually pay monthly as they have the braces on (I assume I would have to have them on for a short period of time, probably less than a year, should I find an ortho that agrees)." }, { "id": 139, "title": "What can I do about the changes to my physical appearance?", "dialogue": "Jla49494: In September, I was involved in a drunken altercation at a party where I was told I was punched in the face multiple times and that I had also hit my head (and presumably my teeth) on the floor many times (not related to the fight). I woke up the next day with bruises on my face and that a few of my front teeth seemed to have shifted slightly forwards (I had a bad overjet/overbite problem as a kid and have had braces off for two years at the time of the incident), and I had not put great thought into this, but I also noticed my facial shape changed a little bit. My lower jaw didn't look as defined and whole face did not seem to be as 'full' as it used to be, but I didn't think much of this. Around March, I noticed that my front two teeth have shifted so far forward that the bottom of them were touching my lower lips, a feeling I had not felt since I was a kid with dental issues. I also thought about the facial change that I noticed from months back, and noticed the changes became much more prevalent. My upper lip stuck out noticeable in front of my lower one, and the lower one also started to curve. Along with this, I also noticed my nose ridge has a little bump, protruded outwards, and seemed to have moved to a slightly lower position. In panic, I looked at the only photos I could find of myself from a month before the incident and confirmed my fears that my teeth, and more importantly, my facial shape had gone through major changes. \n\nThe issue is in the title. I've been extremely unhappy with my looks since I noticed and the skin on my face just feels very uncomfortable. I have a hard time making expressions that I used to be able to make and speech is greatly affected as my top teeth are in more of a forward position than they used to be. What do you suggest that I do? honestdoc: Since you had a history of trauma to your front teeth, have them checked to make sure the teeth and bone are vital and not damaged. If you are not please with your facial profile, you may have to revisit the orthodontist. Jla49494: honestdoc said:\n\n\n\n\t\t\tSince you had a history of trauma to your front teeth, have them checked to make sure the teeth and bone are vital and not damaged. If you are not please with your facial profile, you may have to revisit the orthodontist.\n\t\t\nClick to expand...\n\n\n\nYeah, I figured a checkup on my teeth is essential, but what can they do about it? The actual teeth look fine, but I'm sure the bone is damaged as my teeth shift extremely quickly after I take my retainers off and eat a small meal, like a bowl of cereal, or something. honestdoc: If the front teeth are non-vital meaning the nerve is necrotic, you may need root canal treatment. Usually your upper lip keeps the top teeth aligned so if they have shifted, your orthodontist may need to move them back. Jla49494: honestdoc said:\n\n\n\n\t\t\tIf the front teeth are non-vital meaning the nerve is necrotic, you may need root canal treatment. Usually your upper lip keeps the top teeth aligned so if they have shifted, your orthodontist may need to move them back.\n\t\t\nClick to expand...\n\nMove them back with braces or the like? Unfortunately, I'm in college and do not have the money to do that, so I guess I'm screwed, right? honestdoc: If you have no pain and no swelling, you should be fine until you decide on a plan with your dentist/orthodontist." }, { "id": 140, "title": "Is it ok wear braces at age of 40?", "dialogue": "rtg_adv: Hello experts\n\t\t\n\t\t\n\t\n\n\n\t\n\n\nI am 40 yr old male, I have major gaps in my teeth (by birth), should I go for braces at this age?" }, { "id": 141, "title": "Is buccal exostosis removal a dental or medical procedure?", "dialogue": "Jla49494: I need to know for insurance purposes. MattKW: In Australia, I've only ever had an oral-maxillofacial surgeon (OMFS) take them off for my patients, which makes it a medical procedure. I imagine a plastic sugeon would also be able to do it, and fall into the same category. An oral surgeon could probably do it too, but that'd make it a dental procedure." }, { "id": 142, "title": "Braces for canine.", "dialogue": "Padredifamiglia: Howdy, my daughter is 13 and she is really slow in putting out tooth. At the moment she is facing a canine misalignment. We had a review with the orthodontist and we will see the doctor again at the end of the summer; she will review the progress....but looks likely that the braces for pulling the canine will be the direction. I had some reading of the procedure and look quite invasive: are there any contraindication? is this a potentially dangers procedure? based on the attache panoramic do we have any other option?\n\nThanks in advance." }, { "id": 143, "title": "Need a brace but don't want my wisdom teeth out", "dialogue": "Leah Marie: Hello, i have recently been to an NHS dentist after years of having no treatment due to a dental phobia. The dentist said I had bad overcrowding which had pushed two of my top incisors to push forward (one completely covering another tooth) and my centre bottom incisors to overlap. I visited a private dentist but didn't really get very far as I needed some work doing to get my mouth healthy before a brace could be fitted, but they did state I may need my wisdom teeth removing in order to fit a brace. I have since had a molar removed on both sides of my bottom teeth so would that mean I could possibly get away with not having my wisdom teeth removed on the lower set? I have also looked into an Inman aligner or some kind of clear removable brace as I believe these could be used without removing teeth but I'm unsure if it would work on my top teeth that need pulling in. Could anyone give me some advice on this please as I wools like to get things moving but don't want to spend a fortune on consultations just to get an answer. Thankyou Lyle MacLeod: I had to get molar teeth taken out of both sides of my top teeth when getting my brace so I'd imagine this would be the same for you, however I'm not a dentist so I would make sure you talk to one to confirm this. My gums did take a while to heal so it was worth it but I understand that the recovery period for wisdom tooth removal is much more severe. So I would avoid it if you can.\n\nAlso, my brother got one of those removable braces to realign his teeth before he got train tracks (although he didn't need any teeth removed) so I would look into that as well. Maybe they can assist your overcrowding initially so much so that you can get train tracks without needing to remove your wisdom teeth. ferberdental: Everyone is different. In normal circumstances both upper and lower wisdom teeth are removed at the same time because they are a set. If your bottom ones are removed, the top ones may eventually come in and not have anything to bite against. Don’t worry about them moving your upper teeth as long as you are wearing your retainer. MattKW: The wisdom teeth will not upset any orthodontic treatment, so are not removed for that reason (either before or after ortho). They are often removed due to the difficulty in cleaning them, and this can lead to gum infections or decay." }, { "id": 144, "title": "How much will buccal exostosis removal cost?", "dialogue": "Jla49494: I suspect I have buccal extososis growing on my facial maxilla area; how much will removal generally cost? honestdoc: Usually you don't need to remove them unless it is hindering any prosthesis or interfering with function. Costs may vary depending on your location. If costs are a concern, consider going to a teaching facility." }, { "id": 145, "title": "My teeth are \"Beyond Help\".. (Photos!)", "dialogue": "PurpleBunny24: I visited a dentist who specialises in Invisaline braces. I'm 24 years old and a mother and I thought I could hide the fact that I'm an adult with braces by getting invisible ones. I'm not eligible for them, and possible braces at all because I have an overbite and my jawline is misaligned, and according to that dentist, my teeth are 'Beyond Help'.\n\nCould someone here please give me some hope? Here's some info about my teeth:\n\nI have an overbite\nMy two front teeth are crossed, this bothers me the most.\nMy bottom few teeth are crossed, this bothers me second most.\nI have a baby tooth, AND the adult tooth that should have replaced the baby tooth, in my mouth/showing.\n15 teeth on the bottom, 16 on the top.\nApparently I need my jaw realigning. This scares me. Is it required, definitely? Does it hurt?\nI have tooth decay on one, tooth, which needs fixing soon (when I get the courage to go to the dentist again).\nI have attached photos of my teeth. Cringe. They bring me a lot, LOT, of embarrassment. I'm ashamed of them, and my parents for not fixing this when I was 12 years old and could get it done for free. They agree they neglected my teeth and I've not quite forgiven them for it, and won't until my teeth are at least DECENT.\n\nI'd even be happy with just my front teeth uncrooked. Is that at least possible? Please, PLEASE help me. I really feel that my awful teeth, or possibly my self conscious attitude, is the reason behind the fact that I have literally no friends, was bullied as a child, only attended the first year of high school and my mum 'attempted' to home school me, which didn't do me any good. I'm now a mum and I've never had a job, I have no education except for some college qualifications (no GCSE's) and I'm just so miserable, all because of my teeth.\n\nI'm very lucky to have my husband who fell in love with me despite my god awful teeth, and we've made two beautiful children, who will probably inherit my funky teeth. Though I won't make the same mistake my parents did - as soon as they're eligible for braces, if they need them, they will have them. Marialeiah: PurpleBunny24 said:\n\n\n\n\t\t\tI visited a dentist who specialises in Invisaline braces. I'm 24 years old and a mother and I thought I could hide the fact that I'm an adult with braces by getting invisible ones. I'm not eligible for them, and possible braces at all because I have an overbite and my jawline is misaligned, and according to that dentist, my teeth are 'Beyond Help'.\n\nCould someone here please give me some hope? Here's some info about my teeth:\n\nI have an overbite\nMy two front teeth are crossed, this bothers me the most.\nMy bottom few teeth are crossed, this bothers me second most.\nI have a baby tooth, AND the adult tooth that should have replaced the baby tooth, in my mouth/showing.\n15 teeth on the bottom, 16 on the top.\nApparently I need my jaw realigning. This scares me. Is it required, definitely? Does it hurt?\nI have tooth decay on one, tooth, which needs fixing soon (when I get the courage to go to the dentist again).\nI have attached photos of my teeth. Cringe. They bring me a lot, LOT, of embarrassment. I'm ashamed of them, and my parents for not fixing this when I was 12 years old and could get it done for free. They agree they neglected my teeth and I've not quite forgiven them for it, and won't until my teeth are at least DECENT.\n\nI'd even be happy with just my front teeth uncrooked. Is that at least possible? Please, PLEASE help me. I really feel that my awful teeth, or possibly my self conscious attitude, is the reason behind the fact that I have literally no friends, was bullied as a child, only attended the first year of high school and my mum 'attempted' to home school me, which didn't do me any good. I'm now a mum and I've never had a job, I have no education except for some college qualifications (no GCSE's) and I'm just so miserable, all because of my teeth.\n\nI'm very lucky to have my husband who fell in love with me despite my god awful teeth, and we've made two beautiful children, who will probably inherit my funky teeth. Though I won't make the same mistake my parents did - as soon as they're eligible for braces, if they need them, they will have them.\n\t\t\nClick to expand...\n\n\nHi, Purple Bunny,\nHave you considered crowns?, They can reshape your teeth and make you smile look much better. The best ones out there are zirconium ones they last forever with good care i suppose. I know its not cheap, i travelled abroad to have my teeth done. I went to Turkey, they were great, had my new smile in 5 days and it looks so natural. was cheaper than braces too and got a great tan!! haha but you could try them for a quote, they can email it to you. just send an enquiry online. I hope this helps!! BilboSwaggins: Make sure you are going to an orthodontist. They actually specialize in straightening teeth. General Dentists have the ability to \"specialize\" in Invisalign, but it doesn't mean they are orthodontists. Just my two cents. Go visit a few and get some advice from several.\n\nGood luck! Don't lose hope just yet. DentistD: hey I think you need a good cosmetic dentist who can able to handle your critical teeth..consult with 2-3 dentist and then choose best dentist to your teeth.. stevengoldy: I suggest you to prefer well experienced orthodontists for your critical dental care.\nthey can treat you with best solution like invisalign or else to improve your smile. dr atish malviya: yes with orthodontic correction ,you can get your teeth aligned and that is the best option,because i myself practice orthodontics rootcanalha: Very original teeth indeed, you should be proud of the layout unless it causes discomfort." }, { "id": 146, "title": "Right lateral incisor and canine", "dialogue": "Mellanie Wangare: my 11 year old daughter's teeth right lateral incisor and canine has not grown for the last 4 years after extraction.\nA visit to the dentist has shown the teeth do not have space to grow as they have no space.I was advised on braces.\nKindly advise am a very worried mum! MattKW: You have to start with an Xray to see where the lateral incisor is hiding. Sometimes they don't grow at all. A canine would be expected any time from now on, so that's still within the right time. Get an Xray, and go to an orthodontist for an opinion. billw3r: I would like to know if It is upper or lower lateral. Most likely it would be a lower lateral.\nThis happens quiet frequently. If your child's deciduous teeth were perfect, then your permanent teeth are larger than the deciduous teeth so you got a crowded problem to start with.\nFrequently you would need some additional room on the 4 lower anteriors to get them to come in straight.\nYou can have a lower lateral come up and eat a part of the root of the decidous cuspid when it gets to an enamel part of the deciduous tooth, it cannot absorb the enamel portion of the baby tooth, so it gets stuck.\nYou can extract the deciduous cuspids, which will give you more room than you need.\nIf you can take away from both deciduous cuspid a portion of the tooth, it is better to do a pulpotomy and take only portion of the cuspid you need.\nI show this in detail in this video:\n\n\n\n\n\n\nYou have to provide this room on both cuspids to keep the midline on. If you give the teeth too much room, the permanent cuspids will move forward into that room, and you will loose arch length, so it is normally not good to extract the cuspids, but this is more complicated than most people like to deal with.\n\n[link removed by admin] MattKW: Uh, no, have to disagree. Most congenitally missing laterals or unerupted laterals are uppers. Similarly, most impacted canines are upper canines. I don't know if I have ever seen an unerupted lower lateral; they always come up, either twisted, or lingually or laterally displaced (and resorb the adjacent canine). It's more likely to assume that the lady is talking about an upper tooth. billw3r: MattKW said:\n\n\n\n\t\t\tUh, no, have to disagree. Most congenitally missing laterals or unerupted laterals are uppers. Similarly, most impacted canines are upper canines. I don't know if I have ever seen an unerupted lower lateral; they always come up, either twisted, or lingually or laterally displaced (and resorb the adjacent canine). It's more likely to assume that the lady is talking about an upper tooth.\n\t\t\nClick to expand...\n\nYou are right about trying to give a diagnosis with almost no information on the case, but I have seen many lower laterals that get caught on the way up. I have lectured to many paediatric dentist and also orthodontists who deal with children all the time. I have devised a method where you can bring in the permanent teeth and dole out the space they need. I published an article on this, about 45 years ago and its still in use. I have several videos that you might like to look at, about how we do pulpotomy and reduce the deciduous cuspid to help bring the teeth in properly.\n[video deleted by admin] MattKW: Thank you, yes, I did watch your video. It looked like a variation of sorts on the idea of serial extractions. The end result of the video appeared to show that the girl had straightish front teeth, but with a deep overbite, so I wonder what benefit on balance has been achieved. I've been in the game for 35 yrs (you for 42 yrs), so we have almost equivalent experience with the changes that have occurred orthodontically. I have passed through the serial extraction phase, the 1st premolar extraction phase, and the 2nd premolar extraction phase. The latest techniques mean that rarely are extractions required, which I accept give a much better experience for all (I always disliked taking out healthy premolars), and a more pleasing aesthetic and functional result." }, { "id": 147, "title": "What are these white spots on my gums and how can they be treated?", "dialogue": "Jla49494: These protrusions on my top gums are causing my philtrum to stick out, making my chin look weaker. The skin around my mouth is bunched up and I have like a monkey-like face. This is a result of not wearing my retainers for long enough and I wanted to know what my options are now. The overjet is noticeable as you can see in the pictures I'm mainly worried about cosmetics and the look of my mouth. billw3r: Go back and redo your orthodontics and have proper torque and overjet and could correct any cl.2 or cl.3 problem that you have. \nI would put you in some good retainers where your teeth come in contact with each other so they would wear in any type of retainer that has a wire coming over your occlusion and you hit that wire when you bite together.\n\nGo get your retainer and wear them. MattKW: That's just overlying bone. You don't walk around holding your lip up like that, so who's going to see? Yes, you have an overjet, but if you want to change that you'd need to go back into some form of orthodontic treatment. It's not the lack of retainers that's caused that position. Maybe it's just the best your orthodontist could do. You look pretty average to me." }, { "id": 148, "title": "Retainer after braces", "dialogue": "Dentalzxc: Can a retainer keep my teeth straight if I have multiple teeth missing and I’m planning not to get the missing teeth replaced any time soon? Will my other teeth shift due to have missing teeth? MattKW: Why a retainer if you're missing multiple teeth? Wouldn't you rather have a partial denture that can give you some looks and function? billw3r: Your retainers can be made to keep the teeth that you have in their proper position. But you build the retainer with acrylic pads in the gaps that you have, that occlude against the upper or lower teeth. They donot let the opposite teeth from the gap move into the gap and they donot let the teeth on the either side move toward one another until you can afford to put bridges or implants in these gaps.\n\nIf you donot retain it properly, the teeth on either end will move into the gap and the tooth above or below will move into the gap also.\n\nIf you are thinking of getting the suck down retainers, they are cheap and they don't do a good job at all.\n\nRetainers acts like a temporary partial." }, { "id": 149, "title": "Are there any alternatives to surgery for treating vertical maxillary excess?", "dialogue": "Jla49494: Purely cosmetic reasons. My upper jaw is too far forward and causes my upper lip to bulge forward because of gum positioning. Are there any cheaper alternatives to surgery? MattKW: Post up front-on and side-on photos, pls. Jla49494: MattKW said:\n\n\n\n\t\t\tPost up front-on and side-on photos, pls.\n\t\t\nClick to expand... MattKW: Have you had an assessment by a specialist orthodontist? I can't say if surgery would help achieve your goal, but given that the occlusion of your teeth is fine, I think surgery would be a drastic measure. Busybee: I think you look perfectly normal. You might end up far less happy if you go ahead with any surgical procedure. Jla49494: MattKW said:\n\n\n\n\t\t\tHave you had an assessment by a specialist orthodontist? I can't say if surgery would help achieve your goal, but given that the occlusion of your teeth is fine, I think surgery would be a drastic measure.\n\t\t\nClick to expand...\n\nSo do you suggest something like Invisalign? I've had braces in the past but failing to wear my retainers caused my overbite to come back. I remember what I looked like before my overbite fully came back. \n\nThese two pictutes can show the maxillary excess a little better. Are you telling me there are other (and possibly less invasive and expensive) options other than surgery? Busybee: Go back to the orthodontist if you were happy with the way your teeth were before you neglected the retainer. Jla49494: Busybee said:\n\n\n\n\t\t\tGo back to the orthodontist if you were happy with the way your teeth were before you neglected the retainer.\n\t\t\nClick to expand...\n\nWhat kind of options do you think I will be presented based on my case? Busybee: Presumably non surgical options given that you achieved a successful outcome in the past. Why did you stop wearing the retainer? Jla49494: Busybee said:\n\n\n\n\t\t\tPresumably non surgical options given that you achieved a successful outcome in the past. Why did you stop wearing the retainer?\n\t\t\nClick to expand...\n\nJust negligence. What kind of non surgical options? Busybee: Orthodontics. billw3r: Yes there are many many alternatives to surgery !!!!!!!" }, { "id": 150, "title": "To Brace of Not to Brace?", "dialogue": "AndyPandy: My daughter has been wearing removable braces for a while and is now moving up to fixed (\"train line\") braces. This'll means having 4 teeth (molars) removed. When the teeth are removed will that space remain blank for forever, or do other teeth move into the empty space? Raj Kumar Bhushan: AndyPandy said:\n\n\n\n\t\t\tMy daughter has been wearing removable braces for a while and is now moving up to fixed (\"train line\") braces. This'll means having 4 teeth (molars) removed. When the teeth are removed will that space remain blank for forever, or do other teeth move into the empty space?\n\t\t\nClick to expand...\n\nMolar is NEVER extracted in any situation in Orthodontic treatment. It is 1st PREMOLAR of all quadrants. It ensures a 'space' for each jaw line (upper & lower). It is a normal case to create space for 'crowding' tooth. And this space is used to correct malignment of tooth, which fit in gap for a natural smile. Just maintain brushing technique and rinse properly with antiseptic solution (mixed with water-logged 3 times a day). Avoid sticky food, chocolates, sweets, junk foods etc. Follow dentist's instructions. AndyPandy: Great, thanks.\n\nHow does the gap left by the 1st premolar get \"used\". I thought the hole left would need to be filled in with say an implant or something. Is it the case that the gap heals and eventually fills up on its own, is there a name for the process? Raj Kumar Bhushan: Well, can you send me a snap of patient's mouth to know the exact situation?\n Orthodontic treatment included surgery (implant etc., If it is then only done after completion of Ortho treatment. Because implant is the final way of filling the not possible created gap. I.e. extracted tooth due to several decay, loosening of gums which can't hold tooth any more, trauma etc. But implant can be done at any part of life. As old people gets full mouth fixed denture based on implant abutment) periodontal treatment (gums- flap surgery), Endodontic (filling, RCT etc.).\n Also apart from braces, a dentist uses external or internal appliances to correct malposition, either skeletal (bone) or dental.\n It is a basic rule of Ortho to either create or fill gap. And 1st pre molar is a natural choice. The applied physical forces due to braces (which dentist tighten time to time, and it causes strain Everytime patient visit to dentist but disappear soon) and/or appliances causes tooth to be aligned with desired shape.\n Ortho treatment needs several x-rays. Panaromic, lateral, individual (choice of dentist if any defect), CT scan (if any doubt or study) etc. Then dentist study on it. On a transparent paper diagram is drawn. Then strategy is made. And it takes time. From 6 months to few years, depends upon what is goal. Follow instructions of brushing, eating habit (abstain from chocolate, sticky junk food), gargle 3 times at least with antiseptic solution diluted with water, take vitamins, eat raw food etc. Ask dentist about it. AndyPandy: Thanks, snap attached. \n\nThe problem are the incisors at the front and they seem to have more room than they need. Is it possible to just stick with the removal braces (for a longer time) to straighten them rather than take out teeth to make an even bigger gap. Raj Kumar Bhushan: AndyPandy said:\n\n\n\n\t\t\tThanks, snap attached.\n\nThe problem are the incisors at the front and they seem to have more room than they need. Is it possible to just stick with the removal braces (for a longer time) to straighten them rather than take out teeth to make an even bigger gap.\n\t\t\nClick to expand...\n\n This is ugly duckling condition of Orthodontic. It happens between 7-12 yrs of age. Canine eruption is interfered by lateral incisors. Don't worry. It is a normal phenomenon.\n But NO orthodontic Treatment is required now. NO BRACES. External appliance what I see in picture, is given by dentist to modify proper growth of tooth. It's ok.Wait for some time. Space maintainers i.e. Nance appliance can be given. Let tooth grows. NO EXTRACTION NOW.\n Lots of time is there to do correction, DON'T HURRY NOW. You may change dentist, if he/she insist on extraction.\n What is her age ? MattKW: Raj Kumar Bhushan said:\n\n\n\n\t\t\tThis is ugly duckling condition of Orthodontic. It happens between 7-12 yrs of age. Canine eruption is interfered by lateral incisors. Don't worry. It is a normal phenomenon.\n But NO orthodontic Treatment is required now. NO BRACES. External appliance what I see in picture, is given by dentist to modify proper growth of tooth. It's ok.Wait for some time. Space maintainers i.e. Nance appliance can be given. Let tooth grows. NO EXTRACTION NOW.\n Lots of time is there to do correction, DON'T HURRY NOW. You may change dentist, if he/she insist on extraction.\n What is her age ?\n\t\t\nClick to expand...\n\nSince her canines are clearly visible, she is at least 12 years old. A dentist would know that fact. This is past the \"ugly duckling\" stage of growth. The ugly duckling stage resolves when the canines erupt and the midline diastema closes in some people. This young girl also has lateral incisors in crossbite, so no hope that this will sort out naturally. AndyPandy: She is 13 and a half, although she got the removal braces quite late, only about 2 years ago. So is extraction her only option? She's not overly keen on extraction but understands that if there is a medical need she'll have to have them taken out. However, if there is an alternative, even if it means the treatment goes on for longer, than she'd prefer to do that instead of having teeth taken out. \n\nPersonally I can't see how the extractions would help or do, but then I'm no orthodontist so I'm trying to learn what is going on and how best it can be fixed. Raj Kumar Bhushan: AndyPandy said:\n\n\n\n\t\t\tShe is 13 and a half, although she got the removal braces quite late, only about 2 years ago. So is extraction her only option? She's not overly keen on extraction but understands that if there is a medical need she'll have to have them taken out. However, if there is an alternative, even if it means the treatment goes on for longer, than she'd prefer to do that instead of having teeth taken out.\n\nPersonally I can't see how the extractions would help or do, but then I'm no orthodontist so I'm trying to learn what is going on and how best it can be fixed.\n\t\t\nClick to expand...\n\n Let tooth erupt properly. 7-12 is age for this. Canine and incisors growth age is over (till 8-9, 11-12). But Second Molar grows by 13, till 14 too in some cases. So wait for some time.\n Let all tooth erupt in socket. Also, appliance is doing well. Now Orthodontist has to give frontal appliance too, to take tooth in position. Is there any Orthodontist nearby?\n I don't think it is right time for extraction. Still palatal expansion need to happen, for which appliance can be given later on.\n Appliance is enough for now. NO need for extraction and braces. You would have seen many aged adults with braces. Think for that. So NO hurry. Give some time and go for only appliance. Check for any Orthodontist and let me know his/her opinion.\n And as the anterior crowding is there, extraction is a must to make space (1st premolars, all quadrants). But this thing can be done any time. But in this case give at least 6 more months and off course, check the difference of having this appliance. Is there any visible changes with it? Because appliance does take some time to do correction. MattKW: AndyPandy said:\n\n\n\n\t\t\tShe is 13 and a half, although she got the removal braces quite late, only about 2 years ago. So is extraction her only option? She's not overly keen on extraction but understands that if there is a medical need she'll have to have them taken out. However, if there is an alternative, even if it means the treatment goes on for longer, than she'd prefer to do that instead of having teeth taken out.\n\nPersonally I can't see how the extractions would help or do, but then I'm no orthodontist so I'm trying to learn what is going on and how best it can be fixed.\n\t\t\nClick to expand...\n\nI would've thought all this would have been explained to you by the orthodontist. In some cases, where there is not enough room to fit the teeth, the 1st or 2nd premolars are extracted, and then the braces will rearrange her teeth into the new space provided. The extractions are quite straightforward. I can't tell you if there is an alternative to extractions based on a photo. I'd suggest you talk to the orthodontist again, and with the help of models and x-rays, he should be able to satisfy your concerns. MattKW: Raj Kumar Bhushan said:\n\n\n\n\t\t\tLet tooth erupt properly. 7-12 is age for this. Canine and incisors growth age is over (till 8-9, 11-12). But Second Molar grows by 13, till 14 too in some cases. So wait for some time.\n Let all tooth erupt in socket. Also, appliance is doing well. Now Orthodontist has to give frontal appliance too, to take tooth in position. Is there any Orthodontist nearby?\n I don't think it is right time for extraction. Still palatal expansion need to happen, for which appliance can be given later on.\n Appliance is enough for now. NO need for extraction and braces. You would have seen many aged adults with braces. Think for that. So NO hurry. Give some time and go for only appliance. Check for any Orthodontist and let me know his/her opinion.\n And as the anterior crowding is there, extraction is a must to make space (1st premolars, all quadrants). But this thing can be done any time. But in this case give at least 6 more months and off course, check the difference of having this appliance. Is there any visible changes with it? Because appliance does take some time to do correction.\n\t\t\nClick to expand...\n\nShe just stated she is 13 1/2. Do you have a reason why she should wait for 2nd molars? They will already be in place by now. Raj Kumar Bhushan: MattKW said:\n\n\n\n\t\t\tShe just stated she is 13 1/2. Do you have a reason why she should wait for 2nd molars? They will already be in place by now.\n\t\t\nClick to expand...\n\nOff course. Second Molar is very important like canine. Canine decides arch position and second molar the back of jaw line. In expansion it holds the braces (band is placed around this tooth mostly) for fixed Orthodontic (braces) treatment. Hence any dentist wait for eruption of Second Molar to begin treatment. If this molar is tilted or maligned then, treatment can't be done. Second molar gives more stability, support and force sharing to 1st molar during fixed treatment. If elastic or Anchorage need to be placed, 2nd molar shares pressure of 1st molar which is tooth for mastication/grinding food and 'very important'. Band can be given to 1st molar too but in my view wait for some time and tell me any changes due to already having appliance in her mouth. Any before & after appliance snaps? (You can see images of braces placed with second molar as a band- Google images). MattKW: Raj Kumar Bhushan said:\n\n\n\n\t\t\tOff course. Second Molar is very important like canine. Canine decides arch position and second molar the back of jaw line. In expansion it holds the braces (band is placed around this tooth mostly) for fixed Orthodontic (braces) treatment. Hence any dentist wait for eruption of Second Molar to begin treatment. If this molar is tilted or maligned then, treatment can't be done. Second molar gives more stability, support and force sharing to 1st molar during fixed treatment. If elastic or Anchorage need to be placed, 2nd molar shares pressure of 1st molar which is tooth for mastication/grinding food and very important. Band can be given to 1st molar too but in my view wait for some time and tell me any changes due to already having appliance in her mouth. Any before & after appliance snaps? (You can see images of braces placed with second molar as a band- Google images).\n\t\t\nClick to expand...\n\nAh, so you definitely aren't a dentist or orthodontist. Expansion usually starts about 8 years old after the 1st molar erupts, and well before the 2nd molar erupts. And bands for braces always need the 1st molar, not the 2nd. An orthodontist isn't waiting for the 2nd molar to erupt, they're waiting for the premolars and canines to erupt. AndyPandy: She's been to an orthodontist for about two years now, had one set of braces for about a year and then moved to the current ones. They're planning to do the extractions over the summer and then insert the fixed braces. I've asked a couple of times of what is going on in detail but I can't say I've yet had a satisfactory answer. Just want to make sure everything (including the extractions) are being done for a medical reason.\n\nIn your opinions does it look like extractions are going to be unavoidable? Is it worth waiting a bit longer or nothing really to be gained? Raj Kumar Bhushan: MattKW said:\n\n\n\n\t\t\tAh, so you definitely aren't a dentist or orthodontist. Expansion usually starts about 8 years old after the 1st molar erupts, and well before the 2nd molar erupts. And bands for braces always need the 1st molar, not the 2nd. An orthodontist isn't waiting for the 2nd molar to erupt, they're waiting for the premolars and canines to erupt.\n\t\t\nClick to expand...\n\n Again the same mistake. 1st molar band is placed or not!! Did I support to place 1st molar band or not?\n Depends upon cases a band is placed or a dentist wait for treatment. The best time to place fixed braces is '10-14' yrs. In this case why not there is need to wait till 14? Didn't I say to wait for merely another 6 months?\n Didn't I emphasize on ' canine & 1st molar's importance in my reply? Did I say about any other tooth?\n In this case, definitely a good Orthodontist would start treatment by 14. Don't you see, still she is under treatment (appliance is already given)? Is it ok to drop appliance simply. What is this.. Raj Kumar Bhushan: AndyPandy said:\n\n\n\n\t\t\tShe's been to an orthodontist for about two years now, had one set of braces for about a year and then moved to the current ones. They're planning to do the extractions over the summer and then insert the fixed braces. I've asked a couple of times of what is going on in detail but I can't say I've yet had a satisfactory answer. Just want to make sure everything (including the extractions) are being done for a medical reason.\n\nIn your opinions does it look like extractions are going to be unavoidable? Is it worth waiting a bit longer or nothing really to be gained?\n\t\t\nClick to expand...\n\n Best time to place braces is '10-14 yrs'. I said to wait for merely another 6 months to attain that age and by then everything will be clear. Appliance change is ok. It means they got desired space. So they changed new appliance. This I wanted to know.\n Anterior crowding needs to create space. So by extracting they shall make space to pull back tooth in jaw line. It is ok.\n Extracting 1st pre molar is ok. There is no as such treatment available to create space simply. Jaw line has limited area (you can check by yourself. Tell her to open mouth. Have disposable gloves and check the upper jaw line. Posterior side you shall not find back space.\n Imagine if any appliance works to pull it further back, what may happen..last tooth come out of jaw line Also what about wisdom tooth space, which comes by 20-23?).\n Which month is your next appointment (when is summer)? AndyPandy: The next appointment is due in mid-June, and they're thinking of doing the extractions in July and then the fixed braces in late July or early August. Raj Kumar Bhushan: AndyPandy said:\n\n\n\n\t\t\tThe next appointment is due in mid-June, and they're thinking of doing the extractions in July and then the fixed braces in late July or early August.\n\t\t\nClick to expand...\n\n You can proceed, no problem. Can you show me some more open mouth snaps of kid? Mouth open upper and lower. Also full mouth. MattKW: AndyPandy said:\n\n\n\n\t\t\tShe's been to an orthodontist for about two years now, had one set of braces for about a year and then moved to the current ones. They're planning to do the extractions over the summer and then insert the fixed braces. I've asked a couple of times of what is going on in detail but I can't say I've yet had a satisfactory answer. Just want to make sure everything (including the extractions) are being done for a medical reason.\nIn your opinions does it look like extractions are going to be unavoidable? Is it worth waiting a bit longer or nothing really to be gained?\n\t\t\nClick to expand...\n\nIf you're not sure, there's no harm getting a second opinion before you start this next stage. Raj Kumar Bhushan: AndyPandy said:\n\n\n\n\t\t\tThe next appointment is due in mid-June, and they're thinking of doing the extractions in July and then the fixed braces in late July or early August.\n\t\t\nClick to expand...\n\n Which place do you live? You can search online for any other qualified Orthodontist.\n As I said in previous post, it is up to you to begin Treatment. I need to search online, another Orthodontist for you to confirm this situation. I said in the beginning - NO HURRY NOW.\n Give time. Talk to this dentist and schedule appointment after 4-5 months. As you have at least 6 months in hand (as per text).\n As extraction is inevitable. But another Orthodontist may give you a new clue. Let me know about it." }, { "id": 151, "title": "After Braces", "dialogue": "clrush: After 2 1/2 years wearing braces , my granddaughter had them taken off recently, only to find that she had numerous cavities in her bottom teeth. She is getting them filled...but.my question is.......was it just due to poor brushing? Or was it due perhaps to other things ...such as not using fluoride toothpaste...or not getting enough calcium in her diet......or she has soft teeth? She is very embarrassed about this and upset about not cleaning her teeth enough.........but worse yet is that her mother is shaming her in front of others....which is not right... Does anyone have experience like this or thoughts to help her feel better about herself? Uptown101: Brushing isn’t enough, Your granddaugher want to invest in some specialised tools to help you floss—after all the typical wax string isn’t going to get past those wires. Next time make it mothly need a to dental floss threader or a quality water flosser to dislodge food from those hard-to-reach places. Raj Kumar Bhushan: clrush said:\n\n\n\n\t\t\tAfter 2 1/2 years wearing braces , my granddaughter had them taken off recently, only to find that she had numerous cavities in her bottom teeth. She is getting them filled...but.my question is.......was it just due to poor brushing? Or was it due perhaps to other things ...such as not using fluoride toothpaste...or not getting enough calcium in her diet......or she has soft teeth? She is very embarrassed about this and upset about not cleaning her teeth enough.........but worse yet is that her mother is shaming her in front of others....which is not right... Does anyone have experience like this or thoughts to help her feel better about herself?\n\t\t\nClick to expand...\n\n You haven't mentioned age of girl. Anyway due to faulty oral hygiene and eating sticky, sweets, chocolates, milk etc. and not to brush properly this happens. It is Endodontic disease.\n Get fillings now. Guide and maintain her oral hygiene with proper brushing technique. Use toothpaste- plain with 'calcium carbonate' mentioned on rapper. No gel paste. Take adequate calcium in diet other than dairy product (paneer, soyabean, lean meat, eggs etc.).\n Once she grows up, then 'Composite resin light cure' is there to do 'rerestoration'. It comes in different shades and reliable. It will give natural texture. It is not good to demoralise. It causes stress, which results in caries & heart disease.\n Go for periodontal cleaning too (every 6 months- deep Ultrasonic scaling).\n Give her raw food (orange, carrot, apple, cabbage etc.). Give her at least 1 lemon per day squeezed in a glass of water, after meal (not with dairy foods-- milk, curd). MattKW: Raj Kumar Bhushan said:\n\n\n\n\t\t\tYou haven't mentioned age of girl. Anyway due to faulty oral hygiene and eating sticky, sweets, chocolates, milk etc. and not to brush properly this happens. It is Endodontic disease.\n Get fillings now. Guide and maintain her oral hygiene with proper brushing technique. Use toothpaste- plain with 'calcium carbonate' mentioned on rapper. No gel paste. Take adequate calcium in diet other than dairy product (paneer, soyabean, lean meat, eggs etc.).\n Once she grows up, then 'Composite resin light cure' is there to do 'rerestoration'. It comes in different shades and reliable. It will give natural texture. It is not good to demoralise. It causes stress, which results in caries & heart disease.\n Go for periodontal cleaning too (every 6 months- deep Ultrasonic scaling).\n Give her raw food (orange, carrot, apple, cabbage etc.). Give her at least 1 lemon per day squeezed in a glass of water, after meal (not with dairy foods-- milk, curd).\n\t\t\nClick to expand...\n\nMy goodness; such a strange answer.\nOK, it's a problem of poor diet and poor hygiene. She should also have been having regular dental checks by the general dentist. Please use a fluoride toothpaste, and maybe fluoride mouthrinse. The calcium level in her diet will not affect her teeth. Filling material as indicated - composites are more likely to fail and attract plaque than amalgams, so choose carefully. Please, no lemons in water - this is simply acidic. \nRaw food? Why? Normal food is fine, just cut down on junk diet if eats fast food crap. Raj Kumar Bhushan: MattKW said:\n\n\n\n\t\t\tMy goodness; such a strange answer.\nOK, it's a problem of poor diet and poor hygiene. She should also have been having regular dental checks by the general dentist. Please use a fluoride toothpaste, and maybe fluoride mouthrinse. The calcium level in her diet will not affect her teeth. Filling material as indicated - composites are more likely to fail and attract plaque than amalgams, so choose carefully. Please, no lemons in water - this is simply acidic.\nRaw food? Why? Normal food is fine, just cut down on junk diet if eats fast food crap.\n\t\t\nClick to expand...\n\n The same thing you are saying. Calcium won't work to repair decayed tooth, this we know. Calcium is provided for better dental & bone health, overall.\n If you keep criticizing others answer, it is waste of time and lack of knowledge.\n Patient-- Lemon is vit-C food. Mixed with water , I have written. Take it regularly. It is good for Gum health (check on net and read in books). Vit-C heals wounds and good for blood formation. A doctor prescribes vit-C tablets to patient- 500mg high dose. If it is acidic, then why Dr. prescribes?).\n Light cure' composite is latest and best. He is saying bad. Amalgam carries 'mercury' which is hazardous to body (check on net).\n ** This person is only disturbing and giving opposite WRONG answer to patient. Seems to be a QUACK.. Raj Kumar Bhushan: clrush said:\n\n\n\n\t\t\tAfter 2 1/2 years wearing braces , my granddaughter had them taken off recently, only to find that she had numerous cavities in her bottom teeth. She is getting them filled...but.my question is.......was it just due to poor brushing? Or was it due perhaps to other things ...such as not using fluoride toothpaste...or not getting enough calcium in her diet......or she has soft teeth? She is very embarrassed about this and upset about not cleaning her teeth enough.........but worse yet is that her mother is shaming her in front of others....which is not right... Does anyone have experience like this or thoughts to help her feel better about herself?\n\t\t\nClick to expand...\n\n One fellow is telling you to opt for Amalgam. It is becoming outdated restoration. It contains Mercury ,which is hazardous to body (check on net). Vit- C maintains gum health (check on net). When you buy calcium carbonate based plain toothpaste (automatically nowadays flouride is coming in toothpaste). Excess flouride causes flourosis (see on net). Contact your genuine dentist and talk. If necessary then special mouth wash for flouride is prescribed but not for long time too. You can use normal mouth wash one spoon diluted with water, twice a day. Keep it in mouth for 2-3 minute before rinse it. Meet a qualified dentist. MattKW: Raj Kumar Bhushan said:\n\n\n\n\t\t\tThe same thing you are saying. Calcium won't work to repair decayed tooth, this we know. Calcium is provided for better dental & bone health, overall.\n If you keep criticizing others answer, it is waste of time and lack of knowledge.\n Patient-- Lemon is vit-C food. Mixed with water , I have written. Take it regularly. It is good for Gum health (check on net and read in books). Vit-C heals wounds and good for blood formation. A doctor prescribes vit-C tablets to patient- 500mg high dose. If it is acidic, then why Dr. prescribes?).\n Light cure' composite is latest and best. He is saying bad. Amalgam carries 'mercury' which is hazardous to body (check on net).\n ** This person is only disturbing and giving opposite WRONG answer to patient. Seems to be a QUACK..\n\t\t\nClick to expand...\n\nHer teeth are already formed. Further calcium makes no difference.\nVit C or lemon juice contains citric acid, a cause of enamel erosion. Severe lack of Vit C will lead to scurvy. High dose regimen of Vit C not shown to have any health benefits - check scientific literature.\n\"Latest\" is not always best. Amalgam is an intermetallic phase of the Hg/Ag/Sn inorganic compound that is not absorbed by body. Becky: Raj Kumar Bhushan said:\n\n\n\n\t\t\t** This person is only disturbing and giving opposite WRONG answer to patient. Seems to be a QUACK..\n\t\t\nClick to expand...\n\n\n@MattKW criticised your opinion (which is allowed - discussions helps us all learn) whereas you criticised him personally (which is not allowed). Further infractions will result in a forum ban. You have the right to an opinion, but you do not have the right for your opinion to be accepted. Raj Kumar Bhushan: Becky said:\n\n\n\n@MattKW criticised your opinion (which is allowed - discussions helps us all learn) whereas you criticised him personally (which is not allowed). Further infractions will result in a forum ban. You have the right to an opinion, but you do not have the right for your opinion to be accepted.\n\t\t\nClick to expand...\n\n Fine. I would like to disconnect. How to disconnect? \n How to delete profile? Raj Kumar Bhushan: Becky said:\n\n\n\n@MattKW criticised your opinion (which is allowed - discussions helps us all learn) whereas you criticised him personally (which is not allowed). Further infractions will result in a forum ban. You have the right to an opinion, but you do not have the right for your opinion to be accepted.\n\t\t\nClick to expand...\n\n Ok. I want to disconnect. How to delete profile? Raj Kumar Bhushan: MattKW said:\n\n\n\n\t\t\tHer teeth are already formed. Further calcium makes no difference.\nVit C or lemon juice contains citric acid, a cause of enamel erosion. Severe lack of Vit C will lead to scurvy. High dose regimen of Vit C not shown to have any health benefits - check scientific literature.\n\"Latest\" is not always best. Amalgam is an intermetallic phase of the Hg/Ag/Sn inorganic compound that is not absorbed by body.\n\t\t\nClick to expand...\n\n You haven't read my reply properly. Lemon with a glass of 'water'. (All over the World people uses lemon water. What are you simply saying??) I too know enamel erosion may cause by acidic/citric food, if taken directly for long time. > 2000mg/day vit-C may be harmful to body. But not clear connection. It may cause oxalates formation in kidney, indigestion, distress etc. Vit-C high dose is good for Intelligence, blood iron absorption. It is water soluble, so not to worry. Average 1000 mg/day can be taken either safe.\n FDA latest- Mercury vapour does release from Mercury of Amalgam. Though it is considered ok for child & adult. But FDA doesn't deny any Mercury related no possibility of lung disease (by release of vapour from Amalgam). So it is people's choice. Take Amalgam restoration at your own risk.\n Calcium importance for body--- hope you study medical journal, how much daily calcium is required for \"maintaining bone density\" for an adult and a kid. Tooth comes under this too. Calcium is the prime mineral needed by body. Unless bone density loss leads to fragile bone, may leads to osteoporosis. Dose should not exceed maximum. On an average, it 'must' be taken by people (ask Dr./dentist for required dose). Raj Kumar Bhushan: MattKW said:\n\n\n\n\t\t\tHer teeth are already formed. Further calcium makes no difference.\nVit C or lemon juice contains citric acid, a cause of enamel erosion. Severe lack of Vit C will lead to scurvy. High dose regimen of Vit C not shown to have any health benefits - check scientific literature.\n\"Latest\" is not always best. Amalgam is an intermetallic phase of the Hg/Ag/Sn inorganic compound that is not absorbed by body.\n\t\t\nClick to expand...\n\n Linus Pauling- Chemistry Noble prize winner, 1954.\n Books- 1970, Vit --C and common cold\n 1979, Vit-C & cancer\n 1986, How to feel better & live longer.\n --- Vit C taken in large doses 2000mg/day may protect a person from cold & flu. It may protect from cancer. Intelligence increases with high doses.\n --- Though use of chronic very high doses (>5000mg/day) may leads to kidney deposition. But not clearly linked.\n Linus himself was taking a very high dose of 10000 mg/day. MattKW: Raj Kumar Bhushan said:\n\n\n\n\t\t\tLinus Pauling- Chemistry Noble prize winner, 1954.\n Books- 1970, Vit --C and common cold\n 1979, Vit-C & cancer\n 1986, How to feel better & live longer.\n --- Vit C taken in large doses 2000mg/day may protect a person from cold & flu. It may protect from cancer. Intelligence increases with high doses.\n --- Though use of chronic very high doses (>5000mg/day) may leads to kidney deposition. But not clearly linked.\n Linus himself was taking a very high dose of 10000 mg/day.\n\t\t\nClick to expand...\n\nCheck the listing for Linus Pauling out at Wikipedia, and go down to sub-heading entitled:\nMedical research and vitamin C advocacy \"The failure of the clinical trials to demonstrate any benefit resulted in the conclusion that vitamin C was not effective in treating cancer; the medical establishment concluded that his claims that vitamin C could prevent colds or treat cancer were quackery.\" Which just shows that even Nobel Prize winners can make mistakes when they venture outside of their area of expertise. Raj Kumar Bhushan: MattKW said:\n\n\n\n\t\t\tCheck the listing for Linus Pauling out at Wikipedia, and go down to sub-heading entitled:\nMedical research and vitamin C advocacy \"The failure of the clinical trials to demonstrate any benefit resulted in the conclusion that vitamin C was not effective in treating cancer; the medical establishment concluded that his claims that vitamin C could prevent colds or treat cancer were quackery.\" Which just shows that even Nobel Prize winners can make mistakes when they venture outside of their area of expertise.\n\t\t\nClick to expand...\n\nWiki is written by anyone as a member, do you know this? Any fraud/illeterate can go and put content there. Wiki is a junkyard. Linus was a Noble prize winner. (Check on net how to make own page and put content in Wikipedia).\n NIH, Dr. Steve Hickey, Hilary Roberts , Ann intern med 140/(7), 533-7.\n Check, what a medical doctor says about it? Also the same thing what you said, was published after 20 yrs of death of Linus. But in latest NIH reports by Dr. Steve it is admitted that Linus was ' RIGHT'. Also for cardiovascular (to reduce cholesterol, it can be given). Dr. Ewan Cameron admitted the benefit of high doses of vit C for cancer patients. Dr. Abram Hoffer & Dr. Hugh riordon supported evidence at Mayo clinic. Mayo clinic tried to reject theory by claiming low dose of vit C but failed. Doses by injection or oral causes huge difference in body. So oral is not rejected. Rene Debos, biologist supported theory after decades of practical done on patients. Human would have a reserve of vit C (40 gms) in our body, mostly in adrenal cortex. Hence high doses just flow out of body because it is 'water soluble'. There is NO clear evidence of ' oxalates or kidney stone' formation in body only because of vit C excess.\n For more authentic info-- Linus Pauling- Institute, Oregan state University, Oregan. MattKW: I couldn't find any, \"But in latest NIH reports by Dr. Steve...\" and would appreciate a hyperlink. But I did find this at the NIH: https://ods.od.nih.gov/factsheets/VitaminC-HealthProfessional/ for you. It's not effusive support for high-dose Vit C. Also go to the Cochrane Collaboration - again, nothing startling there. This little sub-thread started because you said that Vit C was \"...good for Gum health\", and I would agree that an adequate diet of Vit C is good for gum health, but that's a lot different from high-dose Vit C, and you've drifted a long way into the common cold, cancers, and cardiovascular disease where the evidence is unreliable. At best it remains a supplement for specific subgroups, and according to the NIH website, \"...The U.S. Food and Drug Administration (FDA) has not approved the use of IV high-dose vitamin C as a treatment for cancer or any other medical condition.\" Raj Kumar Bhushan: MattKW said:\n\n\n\n\t\t\tI couldn't find any, \"But in latest NIH reports by Dr. Steve...\" and would appreciate a hyperlink. But I did find this at the NIH: https://ods.od.nih.gov/factsheets/VitaminC-HealthProfessional/ for you. It's not effusive support for high-dose Vit C. Also go to the Cochrane Collaboration - again, nothing startling there. This little sub-thread started because you said that Vit C was \"...good for Gum health\", and I would agree that an adequate diet of Vit C is good for gum health, but that's a lot different from high-dose Vit C, and you've drifted a long way into the common cold, cancers, and cardiovascular disease where the evidence is unreliable. At best it remains a supplement for specific subgroups, and according to the NIH website, \"...The U.S. Food and Drug Administration (FDA) has not approved the use of IV high-dose vitamin C as a treatment for cancer or any other medical condition.\" \n\nClick to expand...\n\n NIH has NOT denied the Linus theory. Also plz read my post properly. For cancer etc. individual and mayo clinic experiment is done, not everywhere NIH. FDA has nothing to do with it. Neither it is a concept to treat disease not it is any medicine. They have limitation of authority.\n But this things what we are talking, is a matter of Research and findings.\nwww.medicalnewstoday.com\nVitamin C, Linus Pauling- was right all along, a doctor's opinion.\n Dr. Hilary Roberts\n 17 Aug, 2004 MattKW: Are you actually a dentist, a doctor, or have any degree in medically-related training? It just seems that you have certain theories that keep recurring (here and other posts), even though I've given you the links to \" ...Research and findings\" that would help you. Raj Kumar Bhushan: MattKW said:\n\n\n\n\t\t\tAre you actually a dentist, a doctor, or have any degree in medically-related training? It just seems that you have certain theories that keep recurring (here and other posts), even though I've given you the links to \" ...Research and findings\" that would help you.\n\t\t\nClick to expand...\n\n I think you don't read my post properly or links and dedicated to argue only. Read links and then talk. What am I , you shouldn't bother about it. Just stuck with topic and make a habit to learn more. Eienstein said-- the whole life is even not enough to learn. I believe in learning not in telling only opposite/wrong. Bye. MattKW: Love you too" }, { "id": 152, "title": "Is Invisalign a good idea for my case?", "dialogue": "Jla49494: I went through braces when I was younger for an overjet/overbite issue. I never wore my retainers and over the years, my top teeth have shifted forward again. My maxilla seems to have shifted forward greatly, giving me an unappealing look with the skin between my nose and upper lip protruding out. The skin around my mouth folds.\n\n\nYes, my main issue is my top teeth being too far forward along with my maxilla. I was wondering if Invisalign could fix something like this. MattKW: Invisalign won't correct major problems like that, it'll just help with some alignment." }, { "id": 153, "title": "New Here, I don't want braces. Is there a better option?", "dialogue": "mattventura: Hi everyone, \n\nI live in the San Diego area and I am looking to try out some of those clear plastic braces (not sure what they are called) instead of going the traditional route of metal braces. Does anyone have any additional resources about this or know the cost, maintenance of going this route instead of the regular metal braces? \n\nMatt" }, { "id": 154, "title": "Relief for Gum Pain?", "dialogue": "TaeTae: I went to the dentist last Thursday to get fillings in my first molar (I guess that's what it's called) on the bottom right, and my dentist mentioned that my second/12 year molar is coming in. I already know a tooth was coming in there, but I thought it was my wisdom tooth. I didn't even know a second molar existed. But since that appointment, I've had pain in the back of my gums (like where my tongue is, not just the back of my mouth) where that tooth is coming in. I suspect, and my dentist said this as well yesterday when I went to find out what was wrong, that the tooth is coming in at a slight angle and is kinda going through the side, which is why it hurts.\n\nThe problem is: my dentist didn't tell me ANYTHING about how I can relieve the pain or swelling. The farthest back part of my gums is swollen and I keep getting sharp, cramp-like pains (it's like a cramp in the way that it feels tense I guess but not that bad) where that little flap of skin is under the tongue, right next to the teeth. I'm not sure if you know what I mean, but I don't know the first thing about terms for the mouth. I'm more focused on other parts of the body.\n\nSo my question is: how can I relieve the pain in the back of my gums? It's really frustrating because I can be eating and get that sharp pain and I noticed that if I talk, I sometimes get the pain. I'm really desperate for relief. I've tried cold drinks, and even ice and ice cream, but the first molar (the one that was filled) is sensitive to cold, so it's really painful.\n\nI'd greatly appreciate any advice I can get. I've never had trouble with that tooth up until now, and it's been coming in for a while. I hope I explained this well enough for you guys to understand. It's a little hard to explain. Busybee: I don't think there is much you can do other than taking a recommended level of painkillers. I remember the horrible pressure when my wisdom teeth came through and that flap of skin. But I was happy to have more teeth despite the headache. I am assuming that if your dentist didn't say anything negative that it's coming through without impacting or any complications. People suggest bonjella and all sorts but perhaps you can try teething gel (the stuff they give babies). Swish with some chilled chamomile tea or sage tea if you can get hold of it. You could just buy some sage and make an infusion. If you continue to suffer or develop a fever go to your dentist to make sure it's all coming through as expected. TaeTae: Busybee said:\n\n\n\n\t\t\tI don't think there is much you can do other than taking a recommended level of painkillers. I remember the horrible pressure when my wisdom teeth came through and that flap of skin. But I was happy to have more teeth despite the headache. I am assuming that if your dentist didn't say anything negative that it's coming through without impacting or any complications. People suggest bonjella and all sorts but perhaps you can try teething gel (the stuff they give babies). Swish with some chilled chamomile tea or sage tea if you can get hold of it. You could just buy some sage and make an infusion. If you continue to suffer or develop a fever go to your dentist to make sure it's all coming through as expected.\n\t\t\nClick to expand...\n\nThank you" }, { "id": 155, "title": "Cheaper options than Invisalign to fix teeth that shifted post braces?", "dialogue": "xyz123: I had braces when I was a kid and apparently after they were taken off I didn't wear my retainer long enough and my bottom teeth have crowded again over the 17ish years since. The only tooth that has really moved much is my lower central incisor. Now, at the base near the gums it hasn't moved all that much, but it is tilted backward because really it's more the top part of the tooth that can't fit alongside my other teeth (since the tooth is kind of like a \\ / shape where the top is wider than the bottom).\n\nI asked my dental hygienist about having it fixed and she recommended Invisalign, but it seems crazy to me to shell out $3k+ to fix this... So what I'm wondering is, are there any other (less expensive) options to remedy this? I actually somehow still have my old retainer (which has a little spring mechanism for this tooth since it was apparently a bit of a problem from the start) and I can force it on but due to the tooth being out of place it really doesn't align with the teeth correctly so much as... just squeeze on the teeth. I'm assuming that trying to squeeze the tooth back into place like this is probably not ideal, or just won't work, but if I'm wrong I can give it a shot. Is it safe to attempt? Busybee: It's not a good idea to mess with your bite. There was a recent thread on here on this subject and it's a false economy because things can go wrong.\n\nYou should go to your dentist and ask for some cheaper options or a new retainer. You don't have to have invisalign but you can't expect to have treatment totally for free. As I understand it, if you have ortho you have to wear a retainer for the rest of your life. Janet Two Hawks: xyz123 said:\n\n\n\n\t\t\tI had braces when I was a kid and apparently after they were taken off I didn't wear my retainer long enough and my bottom teeth have crowded again over the 17ish years since. The only tooth that has really moved much is my lower central incisor. Now, at the base near the gums it hasn't moved all that much, but it is tilted backward because really it's more the top part of the tooth that can't fit alongside my other teeth (since the tooth is kind of like a \\ / shape where the top is wider than the bottom).\n\nI asked my dental hygienist about having it fixed and she recommended Invisalign, but it seems crazy to me to shell out $3k+ to fix this... So what I'm wondering is, are there any other (less expensive) options to remedy this? I actually somehow still have my old retainer (which has a little spring mechanism for this tooth since it was apparently a bit of a problem from the start) and I can force it on but due to the tooth being out of place it really doesn't align with the teeth correctly so much as... just squeeze on the teeth. I'm assuming that trying to squeeze the tooth back into place like this is probably not ideal, or just won't work, but if I'm wrong I can give it a shot. Is it safe to attempt?\n\t\t\nClick to expand...\n\nGenerally speaking, retainers retain and movers move. Spring retainers were used in the past and never really worked. You have orthodontic relapse and now need retreatment. $3k for Invisalign is a low fee. We charge $6K. Go to an actual orthodontist, take advantage of their expertise and flexible financial arrangements." }, { "id": 156, "title": "I moved my own teeth", "dialogue": "Joel Ruiz: I won’t get into why I did any of this yet, but I cut my top retainer with scissors; so that they only fit up to my canines. Then I sanded the retainer down on the top (with sand paper) so that only half of the retainer was left from top to bottom. I then wore that retainer along with a fully intact bottom retainer and clenched a lot. My upper teeth moved up into my gums and i now have a speech impediment or something. I can’t talk the same at all. Busybee: Your speech will adjust but you should go and see an orthodontist to get a new retainer made. Maybe if you post a photo one of the dentists can advise you on the outcome. Joel Ruiz: I am wondering if braces could help move my teeth back to a normal position. From what i remember, braces can move teeth sideways or forward/backwards. But can they move them downward? Out of the gums? My teeth look even straighter now than they used to (after incident). They look perfect, which is why it’s hard to get people to understand what happened. I can still talk. Just not the same. My front teeth also hit or (make impact while i talk). I have yet to see anyone about this with the struggles of life and lack of insurance etc. I’m now in AIT for the Army and am trying to plan things out now that I have insurance and some money giving me the ability to hopefully do something to fix this. I’m embarrassed to admit that i joined the army for this reason only. After losing plenty of jobs and losing lots of confidence i needed a last resort. I’m still myself. Just can’t talk the way i used to and I feel it when I smile/eat/clear my throat/swallow... everything. Busybee: Are you able to post a photograph? Joel Ruiz: Im the first and third picture i am biting with my front upper and lower teeth only. I am biting all the way down in the second picture. When i bite down with my front teeth i feel lots of pressure and does cause pain sometimes Busybee: You'd probably need to post an xray if you want one of the dentists to comment. Your teeth look good but your smile looks very tense in the pics. It's as though you are very uncomfortable with what's happened. I'm sure if you go to a dentist they could give you a new retainer that's longer than your current teeth. This may encourage them to erupt back.\n\nSo why did you do this? Joel Ruiz: I just wanted the retainer to feel more like an older one i had which had thinner plastic. It’s very complicated. I didn’t realize what I was doing. It’s been a couple of years now and my last resort was to join the military. I’ve struggled with depression for awhile now. I stay fit and eat as healthy as possible to avoid feeling depressed. I feel completely hopeless at times. Nobody who I know understands or really believes what I try to explain to them. They laugh it off and always say the same exact thing. You’re teeth look fine. I just want to be able to talk like normal again. It’s not really about looks anymore. I want to fix this. I feel like i’m getting so much closer. I lost everything. My job my car repossessed. All my friends and my family. If i could just get some help and a spark of hope i know that i could start to fix my life. Busybee: Did you feel happy before this happened to your teeth? Joel Ruiz: I became obsessed after i lost the retainer i had before all this. It was a thin plastic essix retainer. It was old and the part of the retainer that covered my molars had become cracked and eventually snapped off. I had used this retainer this way for years and it worked fine. When i lost it i went to my orthodontist a few months later (so my teeth shifted quite a bit) and he made me some free retainers with a much thicker plastic. These are the retainers i tampered with. Well the top one anyway Busybee: So are you still wearing the retainer you altered?" }, { "id": 157, "title": "I would appreciate if someone could help me to find this tool! It appears in 00:55 in this video!", "dialogue": "Hiro: " }, { "id": 158, "title": "Desperate to fix my teeth with braces", "dialogue": "Lorna: I have been to the dentist today to discuss braces. They were going to go ahead then the other dentist said there was no room to move my teeth back. Without taking teeth out and more intense braces. I had braces as a teenager but over the years my teeth seem to have moved back out so how can there not be any space? Busybee: Did you go to an orthodontic specialist or just to a general dental practice?" }, { "id": 159, "title": "Want a second opinion on wisdom removal", "dialogue": "Andrew Engroff: I'm a 35yo male, never had a cavity or any dental work done. I have 33 healthy erupted teeth (supernumerary is erupted in front of #2), with gingivitis but under control for now. I have a cross-bite; when I put my back teeth together I get fairly even pressure all the way across with my left top incisor against my lower left-of-center. Top right doesn't quite line up with any.\n\nI have minor crowding with the lower right-of-center out of line, which was my initial reason for looking into invisalign. I saw a new dentist today due to previous one leaving the practice, so I don't already know and trust him. He said my teeth are right on the edge of what invisalign could fix. He's also pushing hard that regardless of what I do, I should remove all 5 wisdom teeth, even though they're not bothering me and all in proper placement, because any orthodontist will want that done first anyway.\n\nDoes this sound right? It seems odd to me to remove healthy teeth, but I've also heard the opinion wisdom teeth will always cause decay even if you brush them carefully and take care of them. So I really don't know what you think. Opinions? Busybee: A dentist wanted to remove my wisdom teeth when I was 25. I refused. I had them sealed and they haven't decayed. A lot of dentists think that they interfere with the bite. In my experience if your bite is comfortable be very careful about changing it. Some who have had their wisdom teeth removed feel it changes their appearance. Some who have ortho say the same thing. If you do have any orthodontics go to a specialist. There is something I'd call a textbook bite, but many dentists are coming around to the opinion that if someone is comfortable with their bite then that's their best bite to have. Once you start changing everything you can create other problems which can be irreversible. MattKW: Show us an OPG Xray. Andrew Engroff: Have a message in to them requesting it, will post when I can. Thanks for the replies! Janet Two Hawks: Andrew Engroff said:\n\n\n\n\t\t\tI'm a 35yo male, never had a cavity or any dental work done. I have 33 healthy erupted teeth (supernumerary is erupted in front of #2), with gingivitis but under control for now. I have a cross-bite; when I put my back teeth together I get fairly even pressure all the way across with my left top incisor against my lower left-of-center. Top right doesn't quite line up with any.\n\nI have minor crowding with the lower right-of-center out of line, which was my initial reason for looking into invisalign. I saw a new dentist today due to previous one leaving the practice, so I don't already know and trust him. He said my teeth are right on the edge of what invisalign could fix. He's also pushing hard that regardless of what I do, I should remove all 5 wisdom teeth, even though they're not bothering me and all in proper placement, because any orthodontist will want that done first anyway.\n\nDoes this sound right? It seems odd to me to remove healthy teeth, but I've also heard the opinion wisdom teeth will always cause decay even if you brush them carefully and take care of them. So I really don't know what you think. Opinions?\n\t\t\nClick to expand...\n\nI Janet Two Hawks: It really depends on how they are situated and impossible to weigh in on without films." }, { "id": 160, "title": "Correlation of O/C1, C1/C2 to occlusion pattern", "dialogue": "Andre: I am a physio & have started working with a dentist that belief in correlation of O/C1, C1/C2 orientation & occlusion pattern. According to patient doctor has performed numerous procedure to the tune of 10 000.00 euro, these include veneers (spelling?) bridges, crowns & \"cutting of the nerves of the lower jaw\". Please note that the current dentists father also treated the same patient for a period of 6 years prior start of seeing current dentist about 2 years ago. Again, according to patient this was for chewing mostly on the right side. Thus a total of 8 years of dental treatment. Now, the referral stated right posterior rotation of O/C1, requested treatment to improve orientation to neutral in order to facilitate use of permanent splint for patient. Patient concerns were pain in cervical and upper thoracic spine due to repetitive clenching/chewing, especially worse in morning after breakfast but thinks he mostly chew on right side. Patient also considers there to be a lack of sensation of where his lower jaw is (following cut of nerve), thus resulting in increased bite pressure because he is can not \"feel\" lower jaw. The patient does not want any manual physiotherapy to either cervical or thoracic. The patient noted that he is a very \"sensitive\" person from birth as his mother had to write a note to his teacher to inform her of this sensitivity. He hag a CABG 5 years ago, with full recovery.The patient informs that he is active in society, was participating in world championship of wind gliding planes and runs a successful business, employing 15 persons. He was very apprehensive regarding active cervical motion, palpation of the TMJ or spinal joints. He was repetitively swallowing though no other symptom of cord compression. He was also not comfortable to undress to expose his trunk. I think he demonstrates signs of central sensitisation. The dentist did not inform of any past history, even when I informed him about what the patient informed me.\nMy questions: Does dentist use the Biopsychosocial approach?\n Was too much work done\n How to approach the dentist and what questions need to be asked to determine what procedures was performed\n What relationship exist between orientation of O/C1 & occlusion pattern (some literature refferences would be \n appreciated\n How many dentist work with physiotherapist (US physical therapist)\n How many dentist are familiar with the Roccobado Approach to TMJD" }, { "id": 161, "title": "Wrong Tooth Extracted", "dialogue": "HFILE: good day. i became a member of different forums just to seek help coz idont want to make a bad decision again.\n\nmy case. my dentist extracted no.4 tooth upper&lower. the upper spaces is ok now-closed but horrible problem is the lower- huge spaces.\nmy NEW dentist told me my bite is better now and these are my options for the spaces\n1. flexible/dentures\n2.bridge crown\n\nis it necessary to have rootcanal for crown placement? (some dentist i asked says so)\n\niwant to closed the spaces(by braces) crowns are expensive but its not advisable bcoz iwill again have a deeper bite or my lower will again move inward.\nplease enlighten me. \nattached files for references\nwaiting. TIA\nthnks for this forum Janet Two Hawks: Your orthodontic treatment is not finished. Did you have to move and that’s why you have a new dentist? Have you sought the opinion of an orthodontist? How long have you been I. Treatment? What did you look like before? HFILE: thank you for replying.\nupdate: got new orthodontist hell do implant screws so the molars will move getting rid of the spaces\n\ni just want to delete my post coz im not comfy with the pics i uploaded \npls advise" }, { "id": 162, "title": "Upper and Lower teeth bite", "dialogue": "Srihari Sudeendran: Hi Forum,\n\nThis is my first post. I am 34 years old. I am from India. I have had braces in the past and removed it on my own due to financial constraints in 1.5 years. Now my upper and lower teeth are meeting when i close my mouth. It seems there is no gap. Also i struggle to respond to anyone or even initiate any talking because i am very conscious about my teeth meeting or biting. It haunts me a lot. Please tell me how to overcome this problem. Thanks for the help in advance. Let me know if you need any other details." }, { "id": 163, "title": "Will water bottles, such as the Camelback Eddy, that use a bite&suck valve cause my teeth to shift?", "dialogue": "Respectionist: See attached picture for example. For reference, the user is a female in her twenties." }, { "id": 164, "title": "Differences for insurance filing for Invisalign vs. traditional braces?", "dialogue": "Digital Dentistry SP: Hello,\n\nHopefully other dentists that are currently offering Invisalign can answer this question:\n\nI've recently started to offer Invisalign. I'm getting mixed up on the paperwork. \n\nIs Invisalign treated differently from regular orthodontics when filing procedure codes and what is the best code to use when filing?\n\nThanks for the advice. Janet Two Hawks: No, it’s not treated differently. Orthodontic treatment is orthodontic treatment. \nAs a thirty-year veteran of orthodontics, I feel compelled to mention that Invisalign is a “tool” and not a “product”. Our practice currently has five patients whose Invisalign did not go well with their dentist and needed to be re-treated for a host of problems. Their dentists (all) let the Invisalign technicians set their cases up for them, when problems arose they didn’t have the training to problem solve them. They were all skilled dentists, but not orthodontic residency training. I guess I’m just saying, use caution and pick your cases wisely. Best of luck." }, { "id": 165, "title": "My teeth are already straight after 2 months of braces (out of 12) - should I stop the treatment?", "dialogue": "clary: Hey guys,\n\nI used to have braces when I was a teenager but after 10 years one of my teeth moved a bit forward and I wanted to correct that - it's not a big deal but it bothered me. I was told I should wear braces for 1 year, which I thought was a bit long since it concerned one tooth only but I'm not the orthodontist so I said yes. I was also told I will have a retainer at the end of the treatment behind the top teeth to prevent them from moving again. Now after 2 months my teeth are already realigned and I'm happy with the result. What would be the consequences if I ask the braces to be removed and have the maintainer directly? I really don't wanna wear braces for an extra 10 months since my teeth are straight now, but I don't know what the consequences would be (if there are any). I have my next appointment with the orthodontist in 2 weeks but I'm afraid it'll be a bit 'rude' to ask them to stop the treatment. Emedee: Hi,\n\nIt's never rude to ask things, so go ahead for it. But personally I reckon that you should keep braces for a longer period since the teeth need to settle permanently and the bone marrow needs to regrow which can take as your orthodontist says up to one year. But it's best to ask your orthodontist.\n\n\nCheers,\n\nEmedee clary: Hey,\nOkay I didn't think of that (the fact that the teeth need to settle permanently). That makes more sense. Will still ask my orthodontist for more info about that and I'll just wait another 10 months.\nThanks! Janet Two Hawks: clary said:\n\n\n\n\t\t\tHey,\nOkay I didn't think of that (the fact that the teeth need to settle permanently). That makes more sense. Will still ask my orthodontist for more info about that and I'll just wait another 10 months.\nThanks!\n\t\t\nClick to expand...\n\nBelieve me when I say an orthodontist wants you to finish as soon as I’d prudent. He/she does not want to keep you in braces just to have a captive audience. Let your doctor finish their work. You don’t want to do this again, right?!?! Trust them. clary: You're right Janet, I want to get over this as soon as possible! 10 months is not much, I'll be patient. Thanks for the reply" }, { "id": 166, "title": "Would TADs [Temporary anchorage devices ] correct MY gummy smile? (Photo)", "dialogue": "SpoonOfChair: I don't want surgery/ lip lowering/ botox but instead want to get braces with TADs [Temporary anchorage device] so that it could push my teeth and gum up. But do you think TADs would work for me or does it ONLY correct more severe gummy smiles than mines?\n\nLike in this video \n\n\n\n the TADs were able to reduce his/her gummy smile .. so could that also work for me as well? Janet Two Hawks: Have you seen an orthodontist for a full work up with an analysis? Check your area for an AAO Board Certified orthodontist and get an opinion. There are many considerations with planning that type of treatment." }, { "id": 167, "title": "I believe they are trying to rip me off", "dialogue": "Scott mathers: Hi they are trying to charge me £3000 for smilelign retainers where there are 3 stages on top and 11 on bottom, with no attachments and removal of o.4 mm between teeth in total she said she was giving me a discount and just typed it in her calculator to £2940. Janet Two Hawks: Scott mathers said:\n\n\n\n\t\t\tHi they are trying to charge me £3000 for smilelign retainers where there are 3 stages on top and 11 on bottom, with no attachments and removal of o.4 mm between teeth in total she said she was giving me a discount and just typed it in her calculator to £2940.\n\t\t\nClick to expand...\n\nThey are not trying to rip you off. You are not paying for a product. You are paying for a result. Removable trays are a tool in the hands of a capable doctor, not some object like a coffee pot. You are paying for a result of a beautiful smile." }, { "id": 168, "title": "Palate expanding for 11 year old?", "dialogue": "Kimkimkim: Hi all,\n\nI took my daughter to her first orthodontist appointment this morning. She has overcrowding and has very high canines as a result. We were told she needs to remove 2 teeth to make room for the canines to come down but I'm really reluctant for them to remove any teeth unless it's the last option. I read about palate expanding to make room and mentioned this to the consultant but she said there's no room for that procedure? I thought the whole point of this is to make room? Should we get a second opinion or just trust her? \n\nThanks Janet Two Hawks: One of the problems with using maxillary expansion (upper expander) if the jaw itself is not too narrow, is it will then not coordinate with the lower arch and, you can actually expand the teeth so much the roots are too close to the edge of the bone. If the crowding is so severe that the canines are crowded out of the dental arch, it is usually advisable to extract two bicuspids. I'd trust that, but get a second opinion if it makes you feel better. Best of luck." }, { "id": 169, "title": "Lateral incisor crooked", "dialogue": "wallacethundercloud: Hi there. My lateral incisor is crooked. I'm wondering if I would do more damage by pulling them or leaving them alone. Well most of them are crooked. But the 2 really bother me how they look. Janet Two Hawks: Don’t pull your teeth. Go see an orthodontist and straighten them." }, { "id": 170, "title": "Can braces fix my overbite ?", "dialogue": "Peter97: Can braces fix my overbite or the problem is mainly in my lower jaw and need surgical operation ? Im 20 years old and sucked my thumb as kid for a long time so probably this is one of the reasons for my overbite . I really hate my smile and facial profile and want to fix that problem . When I close my mouth upper teeth cover completely my lower teeth , but when I try to place my jaw like I have underbite , my face looks somehow normal like the last photo. Busybee: Hi Peter, you are a nice looking guy with lovely healthy teeth. There are risks with orthodontic treatment (root resorption) and you will most likely have to wear a retainer for the rest of your life. I don't know why you hate your smile. It's possible you will be unhappy after treatment. People don't always look the way they expected. Lyle MacLeod: Before I got my braces, my top teeth bit down on the bottom forcing them move backwards. After getting my braces off this problem was fixed and it no longer happens. I would go see an orthodontists to get they're opinion but I'd imagine braces would be able to help you. Janet Two Hawks: Hi Peter. I’m an orthodontic treatment coordinator. Basically, your upper jaw grew downward and more forward than your lower jaw. While it’s true that surgery is the only thing that will correct THAT, orthodontists solve problems like yours every day with braces, and sometimes extractions. While root resorption can happen, it often never happens in the hands of capable orthodontists. I disagree with Busybee. In 30 years in the industry I have never had a patient regret getting a healthier bite they can be proud to smile about! Consequently, we see a lot of adults older than you with a host of dental problems from untreated overbites. You’re a young, attractive guy. Get the treatment and cross it off your list! Janet Two Hawks: Busybee said:\n\n\n\n\t\t\tHi Peter, you are a nice looking guy with lovely healthy teeth. There are risks with orthodontic treatment (root resorption) and you will most likely have to wear a retainer for the rest of your life. I don't know why you hate your smile. It's possible you will be unhappy after treatment. People don't always look the way they expected.\n\t\t\nClick to expand...\n\nNo offense, but your advise is not correct. 100,000’s of patient’s have orthodontics in the US yearly with no root resorption. His overbite will be debilitating long term to his health. We see tons of older patients losing teeth from malocclusions." }, { "id": 171, "title": "Should i wear my retainer if my gums bleed and teeth shakes?", "dialogue": "ramy: i had my braces for almost one year and removed my braces on jan 12 and now i have my retainer. for the first week my retainer was perfect and has no issues. in the second week my gums started to bleed when i woke up in the morning and my front teeth shakes that i'm worried if it would fall out. please help me. Lyle MacLeod: Bleeding gums are (to my knowledge) caused by bad oral hygiene, so I wouldn't think that the retainer would be causing it. I've had my retainer for about a year now and haven't had a problem like this. \n\nAnd I sometimes feel my teeth shaking but it's usually just my imagination. I would pay your orthodontist (and dentist) another visit about these problems as they're more likely to know." }, { "id": 172, "title": "Supernumerary teeth: moving a premolar in a place of a molar?", "dialogue": "bielbiel: Hello. I have an extra tooth (hyperdontia) in my lower jaw (a mandibular canine). One suggestion was to extract the mandibular first molar which also has root canal done and move the mandibular second premolar and mandibular first premolar with braces to allow the extra tooth to come up. Another orthodontist commented that this would damage my occlusion and suggested to let it be, since the extra tooth is not erupting. Is this a good idea? To put a premolar in a place of a molar? \n\nI am attaching a x-ray" }, { "id": 173, "title": "Quick question about teeth shifting", "dialogue": "Ewo135: Hi everyone, \n\nSo, sadly, like many people I stopped wearing my retainers for quite awhile after getting my braces off. I wore them for years, lost them, and finally found them again. \n\nI started noticing that my top front teeth were \"clicking\" and thinking something was extremely wrong I scheduled a dentist appointment to make sure everything was okay. In my fear of them falling out or being loose I finally located my own retainers. Cleaned them extremely well and tried to wear them, thinking something was better than nothing. \n\nI haven't had my braces for a least 12 years. The bottom retainers pretty much fit perfectly still because I have a permanent placement bar on the bottom. The tops were not fitting completely but, like I said, something had to be better than nothing. So I wore them and pain! teeth were so sore it was ridiculous but I was like they would be sore if they are moving! \n\nAfter the dentist appointment they said I shouldn't wear them anymore since the top ones weren't fitting right. But now after wearing them for awhile I definitely feel like my top teeth have shifted. It feels like my bite is off now, my jaw \"clicks\" sometimes when I yawn, and I can definitely tell one of my top teeth is moving sideways/back a bit. Mouth still looks good and you can't really tell/see anything. But I KNOW. I can feel it. \n\nMy question is when I go to an orthodontist consult do you think it would be an easy fix where I could maybe just get invisilign and maybe just for the top? Or does it sound like there could be something worse going on? Any help would be appreciated. Sorry for all the information. Lyle MacLeod: I'm not a orthodontist but it's doesn't sound like there's something serious going on, maybe your jaw is just getting use to the recent change in alignment and your bite seems off because it's been so long since it was in the \"right\" position. This is something you really want to talk about with your orthodontist however.\n\nI'd imagine your teeth are in better shape than they were before getting braces so hopefully your treatment won't talk too long." }, { "id": 174, "title": "Had a tooth impacting another tooth removed", "dialogue": "Saccadon: So one of my canines was impacted. The baby tooth simply never fell out and the adult tooth didn't come in. Last year I had the baby tooth removed. My dentist made no mention and has made no mention of braces or anything, so I'm not sure if I should expect to get them at some point. As I said the tooth was removed last year. And while I can definitely feel the tip of the adult tooth, it hasn't pierced the gums yet. Do you guys think it will come in on its own at some point? And if so, how long could it be?" }, { "id": 175, "title": "Am I going to need reconstructive surgery?", "dialogue": "blink aka wize1: I feel like my mouth/jaw/teeth are doomed. I'm a poor man with no career, no insurance, and a grim looking future. I couldn't even afford to fix this if I knew how.\n\nwhat do you think? could this be fixed with surgery or maybe not even surgery?" }, { "id": 176, "title": "Can anything be done about my misaligned jaw?", "dialogue": "Kathleen: Every time I see a dentist they tell me it's not that bad and that only I notice it, however I feel like it makes my face look extremely Asymmetrical and I'm insecure about it. What would I need to do to fix this? Braces? Jaw surgery? What would be the best and safest course of action? (See attached photos.)" }, { "id": 177, "title": "Braces and all-on-4", "dialogue": "random1231: Hi,\n\nI am looking for a few options from a dentist on a perfect smile. I've had years of problems with my teeth and have not had braces before. I currently have 6 crowns on my top-front teeth and both top and bottom teeth are crowded. The crowns are due for replacement due to a receding gumline. Replacing them is expensive and would not result in a perfect smile. \n\nI am considering using a bottom brace to fix the bottom arc perfect, possibly using damon braces, while the top teeth stay the same. Then when they're nice and straight just replace the whole top arc with an all-on-4 solution. Is this a plausible solution guaranteed to give a perfect smile as I'm now 35 years old and not interested in fixing the top arc, also due to an overbite, an infection in the root of one of the crowns and overall not happy with aesthetic results. \n\nI have visited a dentist several times and they seem very opportunistic in partially fixing what's there or not offering any solutions at all. Any advice is much appreciated." }, { "id": 178, "title": "Can adult get a retainer?", "dialogue": "Erin31: my top teeth have shifted over time and one of my front teeth has pushed forward a little. I don't want braces or Invisalign is a retainer an option as and adult? Will that help? Digital Dentistry SP: It's probably best to get braces or Invisalign. Retainers are meant to keep correct alignment, not to re-align your teeth. Dasha: Hi! Call around your local orthodontists, many offer an in-house solution using custom made retainers that will add pressure to certain teeth and can tuck small imperfections back in (sort of like Invisalign.) Zuri Barniv: Dasha is right, there are appliances that can be made to move one or two teeth with springs and wires. They are variations of a \"Hawley appliance\". You don't need braces or Invisalign to move one tooth in most cases." }, { "id": 179, "title": "Is avoiding veneers a possibility?", "dialogue": "Kurt: Hi there, I just consulted with a doctor who said the below would require roughly 2 years of orthodontic treatment that should be dolloeee by veneers on six teeth on both jaws because my jaws are larger while teeth are small so closing the gaps would not be a possibility. Please note that there is a childhood tooth (a small one) that's is a leftover and needs to be extracted. Any ideas or recodomendations? I was also aiming for lingual braces but I was told this is a complicated situation so lingual braces is a not a option. Dasha: Hello-\n\nThis is treatable using orthodontics, but would most likely also require jaw surgery because of how elongated the lower jaw is. Are all your wisdom teeth completely erupted? Are you planning on doing an implant/bridge on your lower right missing molar? Veneers are quite pricy, around $1,000 a tooth and require maintenance throughout the years (about every 10-15 years the veneers will perhaps need to be replaced). They also completely alter the shape of your natural tooth. \n\nCall a few orthodontists in your area- nearly all orthodontists offer free consultation initial exams where they can help you figure out if orthodontics is the right path for you. Best of luck! webmaster786: Invite multiple orthodontists in your area - almost all orthodontists offer free counseling examinations to help you determine if orthodontics are the right way for you. Great luck!" }, { "id": 180, "title": "Can braces cause bad sinus?", "dialogue": "Simon Launder: Hi Guys,\n\nI'm on my 6th month of having braces. Standard self-ligating braces. It's Friday - i saw my Orthodontist on Tuesday and my wires went up a size/strength - I've notice almost an instant shift in my teeth (upper jaw) - however i feel like I have flu like symptoms. I have a post nasal drip, sinus congestion and a runny nose. Otherwise i feel fine. Is there any known relation between braces and teeth movement affecting your sinuses?? I am also due to have my lower jaw broken and realigned in 8 to 12 months - could my overbite make things worse?\n\nHas anyone else experienced this?\n\nCan someone let me know?\n\nThanks calcium48: its possible.\nAs the whole area is inter-connected" }, { "id": 181, "title": "Please Help! I'm scared", "dialogue": "John Duval: Okay so i've had my braces for about 8 years. I did my routine check ups up until about 4 years ago. However i still took care of my teeth. So i stumbled across this this morning and im very afraid of it. Is it a dead tooth, damaged? It's the green looking residue if you guys can see. Please help me!\n\nP.S. Getting my braces removed in December" }, { "id": 182, "title": "How can I adjust my bottom flipper?", "dialogue": "Lucas: I was born missing one tooth (the tooth to the left of the middle two), and so when my orthodontist gave me braces, he also used them to create a space for a fake tooth. That tooth just sat on the braces but when I got the braces off, I got given a bottom retainer with one tooth attached to it, and two little metal pieces sticking out on both sides. I think it's called a flipper. At first this fit fine, but recently it became extremely loose in my mouth, and pretty much just rests on my gums. The metal pieces are offering no tightness for the tooth. The last time I went to see my orthodontist, he told me there was a way to tighten the retainer myself, and it involved adjusting the metal pieces. So far, i have had no luck, however, I manipulate the metals. Is there something I'm doing wrong, or any way to tighten the retainer without going in to see my orthodontist every time? Any help would be much appreciated." }, { "id": 183, "title": "Gum contouring or braces?", "dialogue": "Abeard12: I hate my smile. I had braces for two years in high school roughly 10 years ago and I stopped seeing my orthodontist shortly after getting my braces removed. I have worn retainers since then and my teeth over the years have just gotten worse and worse. I have also noticed that my jawline has expanded since I had my wisdom teeth removed just before I got my braces (not sure if that has anything to do with it).\n\nI did not pay attention too often to how badly they have shifted until I started noticing that I had been taken selfies with my head tilted to the side subconsciously to hide my uneven smile. At first I thought it may be the muscles in my face causing my smile to appear crooked but it seems that one side of my teeth are almost smaller and less bucked than the other. My dentist has never commented on the unevenness of my teeth. \n\nCould this be corrected with a simple fix of my retainer, should I get invisalign or braces, or should I speak with a periodontist or both? \n\nAny information or advice would be greatly appreciated. \n\n(Pictures are attached below)\n\nAll of these are recent pictures (taken within 3 days of eachother)\n\nYou can notice how quickly my teeth shift because in the third picuture I had been actively wearing my retainers. In the first and second picture I had gone 3 days without wearing my retainers and you can notice the gap forming." }, { "id": 184, "title": "Supposedly Had Underbite Fixed By Elastics And Braces", "dialogue": "abod: does it look fixed? cause i feel like my bottom lip sticks out abit" }, { "id": 185, "title": "Self-ligating Braces", "dialogue": "farolhugo: Hello, I'm from Portugal, my English is far from perfect, i hope you can understand me .\n2 months ago i began orthodontic treatment ,I'm wearing self-ligating braces but my orthodontist put rubber bands on it, i don't understand ,the brackets themselves hold the arch-wire, but she also uses rubber bands in every bracket , i thought self ligated braces didn't use elastics to hold the arch-wire.\nThank you" }, { "id": 186, "title": "Orthodontists needed.", "dialogue": "Tracy Onsongo: Hello all,\n\nI'm developing a new cost-effective technology for orthodontists, I have the intention to simplify workflow and improve case approval. I’m in need of orthodontists willing to help me gain a better understanding of the \"need recognition\" and other general information.\nIf this is of interest, please send me a message for a more detailed explanation. \n\n[It will take less than 10 minutes of your time, and is mainly research with the potential opportunity to trial the product]\n\nMany thanks in advance. drmins: Pls inbox the details regarding your product. indra219: Im an orthodontic resident though, can i?" }, { "id": 187, "title": "Orthodontic Ebooks Request", "dialogue": "indra219: Hi guys, im an orthodontic resident from indonesia\n\nTo be honest, in my campus library is lack of current orthodontic books, the new one is from 2009. Can you guys help me find these books..??\n\n1. Creative Orthodontics Blending the Damon System & TADS to Manage Difficult Malocclusions, 2nd ed\n9789868333123: Creative Orthodontics - AbeBooks - John Jin Jong Lin: 9868333121\n\n2. Orthodontics Vol. I\nOrthodontics Vol. I - Chris Chang & W. Eugene Roberts - Book - BookPedia\n\n3. Orthodontics Vol. II\nOrthodontics Vol. II - Chris Chang & W. Eugene Roberts - Book - BookPedia\n\n4. Orthodontics Vol. III: CIII Correction\nOrthodontics Vol. III: CIII Correction - John Jin-Jong Lin, Johnny Liaw, Chris Chang & W. Eugene Roberts - Book - BookPedia\n\nThank you in advance" }, { "id": 188, "title": "Please Help! Do I need extractions", "dialogue": "ashleee123: The photos attached are from when I was 19 and looking into straightening my teeth. I didn't end up going ahead with it because I got 2 very different opinions on if I needed extractions or not. I am now 26 and my teeth are pretty much the same apart from I think they may have very slightly shifted forward ( i will attach a photo). I am looking into getting them straightened again now and since then a lot of dentists in my area are using invisalign. I saw one guy that only did invisalign and thought he could achieve a straight smile without extractions and another guy who offers traditional braces also. The second said that it would be hard to straighten my teeth without extractions and that without the space created from extractions it would be much harder to achieve a good result and it may cause an un natural protruding look. as you can see from the photo of my profile I have nice volume to my face and i fear that removing teeth would cause me to lose this volume and look aged. I also wouldn't want to spend a lot of money for the treatment to not be successful and end up having to have teeth extracted anyway. Any comments would be greatly appreciated." }, { "id": 189, "title": "Lost Retainer! Clearsmile Aligner", "dialogue": "Mrs M: Hi, has anyone had their teeth straightened using the clearsmile aligner and then lost their retainer? My teeth have moved significantly in the last few weeks because of this. I've kept all of my aligners (12 in total) and having gone through them last night, I'm wearing no 9. So my questions are, has anybody done this and their teeth have fully corrected? Do I need to wear each aligner for 2 weeks again? I checked with a friend that works in a dentist and she said I was doing the right thing but hoping others on here have done this too and can confirm I'm not going to wreck my teeth!" }, { "id": 190, "title": "Will Lingual Braces be available to fix both my crooked teeth and deepbite at the same time ?", "dialogue": "William Johnson: I am really scared and embarrassed about having braces , as an alternative i've been wanting to use lingual braces . The problem is i want to fix my crooked teeth using lingual braces while having a pretty severe deep bite . Would Lingual Braces be eligible in my case to fix my crooked teeth without being seen using braces . Also how long will it take to fix my teeth using braces ?" }, { "id": 191, "title": "How are my wisdom teeth?", "dialogue": "Kal: hello, I was recently told by my dentist to get all four of my wisdom teeth removed, but I'd rather keep them in and not get the removal done, if possible. Do they look bad enough that they could mess up my other teeth? One on the bottom right side is growing in, and it's not causing me any problems and it looks normal. Please tell me what you think and if you've experienced anything like this. scttdela: yeah, I faced some problem with my wisdom teeth. i removed one wisdom teeth about one year ago. After removing wisdom teeth i felt so pain in my mouth and so that i did not eat normal food for 1/2 days.then i again went to a famous dentist and he prescribed me. because of this i felt happy then.my suggestion is you should go to a good doctor who can advice you better. calcium48: wisdom teeth are difficult to clean, and can cause decay on the neighbouring teeth." }, { "id": 192, "title": "Thinking to keep a wisdom tooth", "dialogue": "tibbus: Hello, I'm 30 years old and I have the wisdom teeth like :\n-Top left : extracted 5 months ago.\n-Top right: it started to hurt a bit, but nothing serious.\n- Bottom left : no pain, no feel.\n- Bottom right : no pain, no feel.\n\nBefore to have the Top Left one extracted I think it pushed my teeth to the opposite side (to right).\nNow it looks like the Top Right wants to get out as it started to hurt a bit.\n\nDo you think that's possible to keep the Top Right tooth and maybe will push a bit the teeth back to the left side ?\n\nSCAN attached (9 months old).\n\t\n\n\t\n\t\n\t\t\n\t\t\n\n\t\t\n\t\t\t\n\t\t\n\t\t\n\t\n\n\n\t\n\n\n\n\nthanks Zuri Barniv: Wisdom teeth do not push other teeth, that is an urban legend.\nPlease read this.\n\nDr. Barniv calcium48: get those wisdom teeth removed.\nthey are no good to you, as they will cause decay on the adjacent teeth. tibbus: Thanks for the answers, make sense, I will get it removed calcium48: only thing to be concerned about is that when removing lower wisdom teeth, they are close to a nerve, and that is potentially a risk.\ni am not a dentist. tibbus: I've been told that before, I will not remove the bottom ones as they don't bother me at all, will remove only the top right one as it wants to get out, actually I think already erupted a bit. calcium48: Get the top one pulled for now\n\nyour choice of course.\nBut the bottom ones will probably cause the adjacent teeth to decay, and in the end you may loose 4 teeth, instead of only 2 wisdom teeth.\nNot an easy decision to make, because of the nerve, but that nerve issue will always be there.\n\nThere are risks either way. calcium48: Or wait a while and then review the situation later Parthadental: Dear Sir/Madam \nIt is always best to get any impacted tooth extracted because it can result in an infection like a cyst etc or an impacted wisdom tooth can also cause difficulty in mouth opening, lock jaw, foul smell, cavity formation on adjacent tooth etc. In order to avoid any such difficulties for you it is best that you get all your wisdom teeth extracted. You would be on medication for a period of around 5 days after surgical extraction which would solve the issues permanently. Hope this will solve your issue." }, { "id": 193, "title": "Braces, front teeth not straight, is shaving them a little a good idea?", "dialogue": "marrrie: Hello!\nSo... I got my braces more than a year ago, because of an overbite, and for the last months I noticed that my two front teeth are not exactly straight, they kinda look a little tilted or something. I have been telling my orthodontist about this for the last five months, at first she said that she couldn't see it, or get what I was talking about \n\t\n\n\t\n\t\n\t\t\n\t\t\n\n\t\t\n\t\t\n\t\n\n\n\t\n\n\n\n\nnow, she started to see it with the help of others... she said that one corner of my teeth is longer and that that's why it looks like that. And that shaving it a little after removing the braces would fix it, but I don't know \n\t\n\n\t\n\t\n\t\t\n\t\t\n\n\t\t\n\t\t\n\t\n\n\n\t\n\n\n\n\n won't shaving healthy teeth, even for a little bit, damage it? Is that the only solution? They say that it's nothing, but it matters to me, shouldn't it?\n\nAny advice? \n\n\n\n\n \n\n \n\n\nand by the way, now that I look at them in the photos, it's much more noticeable Jordan: Your Orthodonist is your Orthodonist for a reason. They wouldn't suggest shaving/filing a tooth without reason to believe it would cause any harm to your teeth. Look into cosmetic contouring. you will find some interesting stuff. Chicago Girl: Contouring the front teeth to make them more even is something that definitely can be done. But only so much of the tooth can be removed safely. My son had his front teeth uneven and the Ortho kept saying they were fine just like your ortho. I wouldn't accept that and went to another ortho for another opinion. New ortho instantly said not only were uneven but slightly slanted. He bent the wire to make the tooth not slant and the bottom edge of tooth was straight and not slanted within days! No contouring needed. Ask your ortho if your tooth is slanted. drmins: It definitely needs to be corrected orthodontically. Overall, its not a bilaterally even smile." }, { "id": 194, "title": "Braces Billing Question", "dialogue": "Min Yu: I had braces put on my son last year. There was a fee agreement made. I paid it in full. I paid $600 and insurance paid $1750. When my son about to get his braces off they told me I owe another $4300 . I haven't had no new fee agreement made and they asked why I haven't made a payment since last year February. I told them I was paid in full. They said they would get back to me. They sent a bill to my insurance for $4300 and they didn't cover anything else. Should there have been a new fee agreement made? I was never told about any extra charges. Am I legally obligated to pay them the $4300?" }, { "id": 195, "title": "Do I have a deep bite?", "dialogue": "Steven: Hi everyone,\n\nThe top edges of the lower teeth bite slightly into the gum in the roof of the mouth.\n\nDo I have a deep bite? \n\nIf so, can this be fixed with braces? Is it more difficult to fix a deep bite with an adult? I'm 39 years old." }, { "id": 196, "title": "Braces broke my tooth", "dialogue": "Calen Dell: I got braces 4 days ago to fix my teeth because why else would you get them? Instead, in under a week, they ripped my front tooth into two pieces. One of my front teeth that needs to move forwards is slightly behind another front tooth. While being pulled forwards, they brace part thing attached to my tooth came off because it couldn't pull the tooth past the other tooth. Unfortunately, it came off with the frontal third of my tooth. Help." }, { "id": 197, "title": "Are my teeth sticking out after braces?", "dialogue": "Ashwings: Hello, I got my braces removed today after 3 and a half years of getting them (got them when I was 23)...I was so happy about getting them off but now that I actually stopped and really looked at my teeth on the side they look extremely flared, shouldn't they be more perpendicular?:/ they look fine when looking at the front. I never had protuding teeth, they were overcrowded and one of my canines was up. Is this normal? Am I just overreacting?\nI'm going to get my retainers tomorrow, I'm really sad because I don't think there's anything that can be done now that they are off but I just wanted to know someone else's opinion on the matter..Thank you in advance. Side view:\n\t\n\n\t\n\t\n\t\t\n\t\t\n\n\t\t\n\t\t\t\n\t\t\n\t\t\n\t\n\n\n\t\n\n\n\n\n Smile front with braces: \n\t\n\n\t\n\t\n\t\t\n\t\t\n\n\t\t\n\t\t\n\t\n\n\n\t\n\n\n\n\n smile front without braces: fsm7268: Ashwings said:\n\n\n\n\t\t\tHello, I got my braces removed today after 3 and a half years of getting them (got them when I was 23)...I was so happy about getting them off but now that I actually stopped and really looked at my teeth on the side they look extremely flared, shouldn't they be more perpendicular?:/ they look fine when looking at the front. I never had protuding teeth, they were overcrowded and one of my canines was up. Is this normal? Am I just overreacting?\nI'm going to get my retainers tomorrow, I'm really sad because I don't think there's anything that can be done now that they are off but I just wanted to know someone else's opinion on the matter..Thank you in advance. Side view:\n\t\n\n\t\n\t\n\t\t\n\t\t\n\n\t\t\n\t\t\n\t\n\n\n\t\n\n\n\n\n Smile front with braces: \n\t\n\n\t\n\t\n\t\t\n\t\t\n\n\t\t\n\t\t\n\t\n\n\n\t\n\n\n\n\n smile front without braces: \n\t\n\n\t\n\t\n\t\t\n\t\t\n\n\t\t\n\t\t\n\t\n\n\n\t\n\n\n\nClick to expand...\n\nmy son just got his braces off yesterday. His teeth looked exactly like yours, straight but flared out. I did tell our orthodotist my concers. His answer was because my son had very crowded teeth, even with 2 teeth extracted still. I am going back next week to fix this. I don't like this! Did u go back to your orthodontist?" }, { "id": 198, "title": "How to close a mouth wound?", "dialogue": "Nanonymous Patient: Hi,\ni have since several days this slight wound in my mouth, which refuses to close. What to do?\n\nIt gets better if i dont wear the anti-chewing-brace at night." }, { "id": 199, "title": "Partial palettes", "dialogue": "Ray Dinsdale: My top palette is clipped onto teeth on both sides of my mouth, however i am about to lose the only tooth that supports my palette on one side and am looking for suggestions as to how it can be supported once that tooth is gone!" }, { "id": 200, "title": "Braces,lawer jaw missplaced ,help", "dialogue": "happytears: Hi everyone !I'm new to this site and i was wondering if i can get any advise , im needing braces to be done ,alignment of the jaw too , anyone know who can help me with this issue(a good not too expensive option based in Scotland ,i know there is a lot of things that need to be done()Do anyone maybe have similar issues ? And how much it will cost me approx ?I thought it would be easier to learn information before i start anything ))" }, { "id": 201, "title": "Partial too tight", "dialogue": "Hulk24: How do i adust my partial so not too tight around my tooth ? I dont want go back to my dentist and have him do it. He is a real jerk. He complain each time have to make any adjustment to them.. In the picture, you will see red arrow pointing to part i want to adjust.. Please tell me the correct way how to do it. I know if you do it incorrect, you could break it. Thanks." }, { "id": 202, "title": "Top line of teeth not level", "dialogue": "Mr Grendel: I have been wearing incognito braces for 2 years now. My teeth look very straight now but the top line of the maxillary central incisors are not level with the right and left maxillary cuspids which are quite high. Just to clarify I am talking about where the teeth meet the gum. Has anyone else on here had the same problem and has it been resolved?" }, { "id": 203, "title": "Tooth extraction/braces", "dialogue": "Aiden Wilson: I'm considering getting a brace on my lower teeth and need teeth out for this. At my last check up I was told I have an abcess in a tooth which was previously root treated and consequentlly crowned. It's a molar, 2nd from the back. My dentist has offered 4 options for the abcess: remove the crown and leave a space in my mouth, treat infection and recrown, bridge the space or implant.\n\nIf I get a brace, can this tooth be one of those to be removed to make space for the work? The internet said teeth imediately after the canine are the ones usually extracted. Would it be possible to remove this one at the back if it's unhealthy and close that space instead?\n\nIt makes more sense to me to rid myself of teeth if they're decayed and a failed root treated tooth would be my first choice to have extracted if extraction is necessary.\n\nIs there a dentist who can answer this question for me?" }, { "id": 204, "title": "My dentist insists to take off my braces. But I think there's still something wrong.", "dialogue": "Namjoo: Hi! So I have braces on for almost 2 years. I didn't have any major problems, only crowding teeth and slightly misaligned jaw.\n\nAfter two years, my teeth (both up and down side) has aligned in an almost straight line. The center of the teeth also has been aligned. It looks rather fine from front view. (My right side is your left, my left side is your right side)\n\n\n\n \n(Is it just me, or the upper left side of my teeth is still crooked?)\n\nI also noticed that there's still a gap between my bite, like it's not completely clicked.\n\n\n\n \n\n\n \n\nCan my teeth be more straight than this? What can I do to convince my dentist to go on with the treatment? Because she said my teeth and my bite are already fine. Help me please, thank you!\n\nOh, also, is there any connection between my teeth and my jaw? Because my smile is really crooked. \n\n\n \n\nThanks in advance!" }, { "id": 205, "title": "caps and tooth loss", "dialogue": "wayne ficek: will capping all of your teeth help prevent tooth loss?\nmy wife is Asian (poor teeth) and is worried about losing her teeth as she gets older. John Roberts: Your probably looking at 700.00 to 1,000.00 a tooth and that's if you don't have to have any root canals. I believe just because you have a cap doesn't mean you can't loose what is left of the tooth. I think your best bet would be to go to a good dentist and let him advise you what to do.jmo" }, { "id": 206, "title": "Wisdom teeth", "dialogue": "Christina: I'm 32 years old and still need to have my wisdom teeth removed. I haven't have them removed because I'm too scared but will get the courage this summer to just do it because it is causing me problems. I also need to take anxiety medication to help calm my nerves. Is there anyone else close to my age who still has their wisdom teeth and will it be more difficult because of my age to have them removed? Christina: James Gordan said:\n\n\n\n\t\t\tI don't think your age will be a problem, it comes down to the condition of the tooth. Example, if it's impacted, not fully erupted, decaying, etc...\n\t\t\nClick to expand...\n\n\nThank you for the advice. I appreciate it." }, { "id": 207, "title": "Braces gone wrong. Please help!!!", "dialogue": "Christina: I just had braces put on to only have them taken off after 5 days of wearing them. I'm looking for a second opinion on what went wrong with my braces. I'm 32 years old and haven't had my wisdom teeth removed yet. I wanted to have the teeth removed before I got the braces on but the orthodontist told me it was fine to put the braces on with the wisdom teeth. Also, I needed 2 of my lower teeth extracted and was told I needed braces on before the teeth could be extracted. Every person I talked to who had braces, said their wisdom teeth were removed first and their teeth were extracted. So why did my orthodontist put my braces on with all of those extra teeth still in my mouth? I have crowding and a very small mouth. The reason I had to get the braces taken off because of the amount of pain I was experiencing was unbearable. I felt like I couldn't breath because my mouth and lips were so swollen. I believe that having the teeth still in place with the braces putting pressure on them was too much for my mouth. I also had these things placed on my lower two front teeth to make them not move until my 2 extractions which caused a lot of pain. However, the orthodontist told me that it was normal to feel that pain. My pain wasn't getting any better and the swelling was only getting worse that I made the choice to have them taken off because I was truly worried what it was doing to me. I couldn't eat or sleep and was only taking excedrin to help the pain. The excedrin caused me to bleed when I went to the bathroom because there was no food in my stomach. I have pictures of what my mouth looked like if I get another orthodontists opinion. I really don't trust any doctors now so I'm hoping someone reaches out to me on this forum." }, { "id": 208, "title": "Reverse braces damage", "dialogue": "Enrico81: Two years ago I had my four wisdom teeth extracted then braced for 15 months. Now my face is thinner, chin retruded, sunken and flat face, even my eyes look smaller.\nI also started to have problem with respiration from the nose.\nIs there anything I can do to reverse the results?\nI m 35 yo. sorry for my poor English. I m from Italy. thank you" }, { "id": 209, "title": "Sinus lift/bone graft complications", "dialogue": "MiriamR: 3 weeks ago I had a molar pulled that cracked after I had a failed root canal; infected root was up into the sinus despite endodontist opening it at least 3 times. I was already missing the back molar next to it that's been gone for years.\n\nI got the bad tooth pulled and 2 bone grafts (Cadaver bone), for future implants.\n\nI was not informed about a \"sinus lift\"procedure but partway into the surgery the oral surgeon said it was needed. Something seemed to go wrong. He started yelling to his assistant the the membrane was folded back and to get some tool right away. That was where the first tooth (next to last molar) was pulled I think. On the graft for the back molar he had trouble getting it to bleed enough. Many years ago I had a bone infection there after sinus surgery to open up my sinuses.\n\nHe also told me the tooth he pulled was a \"tough\" extraction. It hurt much more than the earlier extraction years ago. The \"tap\"for the sinus infection was excruciating and I finally yelled for him to stop. I had a car accident injury a year ago that included a concussion and blurred vision for a year that only recently stopped after a nerve block and I was afraid he was going to reinjure that, there was so much pain and pressure.So he used a tool and wrestled and wrestled to get that tooth out.\n\nAfter the surgery I kept having bits of bone come out, including one fairly large chunk, swelling and pain. I've been on Doxycyclin since a few days before the surgery as the tooth was infected. This is the only antibiotic I can safely take; I have allergies to 5 or 6 others.\n\nWhen I went back for the 2 week checkup he said there is a \"hole\" forming.It looks brown inside and there's a huge gap up the side of my gums. I asked if they could add more bone graft or if it needs to be reopened and he said no, to come back again at 4 weeks; he did not remove stitches.\n\nI am still having constant drainage down the back of my throat from the sinus so apparently it's still infected or the sinus is, and I'm nearly out of antibiotic. I'm concerned infection may be sealed up in there now. He thinks there will be enough bone for the implant but I am skeptical. It still hurts a lot, 3 weeks after surgery and my cheek still has some swelling.\n\nWhat should I do? I am in the San Diego inland area.\n\nI am now terrified of dentists after so many screwups. I've lost 2 molars, each because endodontists missed extra roots that were not filled. I've had sinus surgery 15 years ago that left me with a necroiizing bone infection and all the antibiotics I had to take is what started triggering many allergies. And now this. How can I get the infection/drainage cleared up with so many allergies(there's basically no other antibiotic I can safely take)? What should be done about the \"hole\" and how do I know the membrane was properly repaired?\n\ni am losing my dental insurance at year's end so if there's any expensive x-rays or short-term procedures needed I want to get it done now and not wait. Already the future implants will be on my dime.\n\nI'm 59 and in otherwise good health. One other concern: I just read on your site that some membranes used are collagen. I had a reaction once to a facial product and the beautician said I might have a collagen allergy." }, { "id": 210, "title": "Braces more damaging than good?", "dialogue": "k22: Hello,\nI am on the NHS treatment for braces which I got near the end of last year. I didn't have any crowding or spaces in my teeth I just had one canine teeth on the right that over bit the top teeth which had a really tiny dent however it was really subtle and I didn't feel that it was a big issue. Since I had told this to my dentist she suggested to me that I could go to the orthodontists and so I did. However I didn't expect things like gum recession as I hadn't really know about these things from the orthodontist or the dentist. my orthodontist even asked me once into the treatment that due to the natural arrangement of my teeth she cant really get my teeth that straight unless I extract two teeth I didn't really want to extract my teeth so she said she cant get them to the \"ideal\" straightness\nI first got braces on the top and then got the bottom ones she said she put braces on the top to see if my bottom teeth adjusted naturally but since they didn't I now have braces on the bottom teeth however I now have gum recession on the other left canine and also since she cant get them that straight my original issue of biting the top teeth from the right canine remains. I am really annoyed because before braces my teeth weren't that bad, there was no staining and now while biting I feel its wonky and top is shifted to the right while the bottom slightly to the left which makes biting quickly hard also since I have only 3 months left I thing the final arrangement will be quite close to the current arrangement. my teeth also look as if they are stretched out of their gums and taller which after braces I don't think will make them look good\nIs there any way I can reduce the gum recessions while the orthodontist continues to tighten them. also I 've herd braces don't change the change the shape of teeth permanently does that mean after braces if I don't wear retainers my teeth will return to their original place and the gum recession will go away because I desperately want that now.\nThanks for the any responses" }, { "id": 211, "title": "Jaw joint and Invisalign braces, will it help?", "dialogue": "akademiaramn: I have a problem with the jaw joint. Slightly shifted to the side, not more than a few millimeters. Is it true that the Invisalign braces can correct it without surgery. My doctor said that it will help, but i am not sure. \n\nThanks for help. RIDER89: Better you take a second opinion from another doctor. PlacidWay-US: Hi akademiaramn, I agree with @RIDER89 you may also want to seek a second opinion but to give you an insight about Invisalign braces it is a relatively new idea in orthodontics. Invisalign is a clear plastic mold that aligns the teeth without the use of braces. After obtaining impressions of the mouth, the orthodontist will use a computer to create clear retainers that will progressively align the teeth. The first retainer fits the teeth in the beginning of the treatment, and the following retainers will work to move them into alignment with gentle pressure. While each individual may use a different number of retainers until they achieve the result they want, it generally takes between 18 and 30 retainers to complete treatment. Each retainer is worn for two weeks before the next one is used. So it's a yes that with invisalign there's no need for a surgery. dentalimplantslondon: As per my suggestion you also contact another professional dentist to get remedies. Gatorgirl21: No no no! Invisalign was created for intentions to correct most just minor adjustments cosmeticly. Shifting a midline & jaw requires electics in specific configurations over ur treatment to fix it even if it's very very little. U can't place hooks to hook elastics on Invisalign. The hook goes on specific teeth for pressure from shift that specific tooth or teeth in a certain way depending on how the Ortho has u wearing them" }, { "id": 212, "title": "Is extraction of 4 teeths necessary for having braces?", "dialogue": "Punkick7: Im 19 years old and im having problem in puttin' on the braces.. My teeths are outta their place and position, not that bad like most people have but, still it is slightly moving outta its positions.. I have a supernumeral teeth too.. One consultant told me that braces for me is optional, but warned me that they would have to remove four teeths ( 2 from above and 2 from below ) from my mouth.. Another consultant from same clinic said that i need to wear braces compulsorily and i would have to get 4 teeths removed ( extracted ) .. two of my friends just put on the braces without removing 4 teeths ( their doctors still recommended to extract but my friends denied to do so ). the problem is, as my teeths are only bad to some extent, ( not worse ) i dont want 4 of my teeths to get removed.. but i still feel that moving my teeths back is good.. One of those two friends was in the same position as im now, his teeths were not worse, but kinda moving outta its place, so he just had to wear braces for 3 months ( his first doctor told him to remove 4 teeths, but his other doctor told him that it wont be necessary, so he put on the braces as such ) My second consultant now tells me that i have to wear it 1 1/2 years -_- and im doing my 2nd year in the college now.. \n\nIm in a state of total confusion now.. i wanna wear braces ( cuz it'll make me look good afterwards ) but i dont want my 4 teeths to get removed.. Whats the harm in not removing 4 teeths??.. Please do help me, thanks in advance! \n\n P.S : - ( im facing other issues too, one of my two front teeths are white and other teeths are yellow in colour, im trying hard to brush, but still only ( one of ) my front teeth is white.. What shall i do for this? )\n\n( Before consulting doctors, i heard that pushing your teeths voluntarily backwards would help it move back in its place.. i did it so hard for months ( both, with my fingers and, with placing my jaw over window wall and pushing my face against it ) Now it did that so hard that, a small part of one of my front tooth broke.. Now its look bad.. What shall i do for clipped teeth.. Do dentists level that out perfectly? Punkick7: ?? PlacidWay-US: Hmmm you should ask you dentist, since you said they are telling you that before having braces they need to do teeth extraction, WHY is it? Is it damaged/chipped? If not then why they would do the extraction? You should make things clear before deciding since braces improves the alignment of the teeth. Matthew Richardson: Get a second opinion and ask questions. For me when I got braces I had to have 1 tooth extracted from my bottom front because of overcrowding, basically the top and bottom wouldn't fit together if they left it in, so extraction is sometimes necessary. I'm confused why they would have to remove 4 teeth though, that seems excessive but definitely get a second opinion. Gatorgirl21: I had 4 teeth extracted right after having braces placed 12 years ago bc of the crowding then had my wisdom teeth (only had 2 - both upper never developed the 2 lowers) extracted within less than a month after finishing treatment & had my braces removed well before any signs of them erupting bc of crowding. My Ortho didn't want any chance of them starting to shift down even though it'd be like 10 yes if at all of them erupting & mess up what I had braces to correct. \n\nNow 12 years after my 1st set of braces I've gone to school & been working for about a year as an RDA. Very end of June I had a 2nd set of braces placed by my Ortho to fix some cosmetic things that I bc I work in dentistry noticed & attempt to adjust my jaw alignment to prevent surgery further down the road for TMJ & Bruxism. Recently switched to Ortho from general & YESS ITS NECESSARY. It's very common to have teeth removed that are completely healthy to allow space to fix crowding in several Ortho cases.\n\nWithout an X-ray I'm not sure where ur supernumary teeth lay in alignment to your roots from the teeth u have already erupted in your mouth. Pulling the super teeth into ur occlusion is necessary depending on how the 2 align. It's to prevent later down the road over the years from it shifting trying to erupt & knock out 3 teeth that you've taken care of to keep healthy. Go with the Ortho who wants extractions & shift supernumary teeth. Years down the road from now you'll be very thankful for that Doctor all that stuff even though u just wanted a little cosmetic fixes from braces now." }, { "id": 213, "title": "Help a OA sista out please!!", "dialogue": "Gatorgirl21: Is it possible to fracture a tooth under a bracket on the facial surface only?!?!\n\nI've worked as an RDA for almost a year now so I've gained knowledge on several different types of dentistry except orthodontics. I recently started my dream job as an OA last Monday for a local orthodontist so I'm just know learning a lot of things about the field. I also have been using a family friend that's a local Ortho my entire life. He did my first set 12 years ago and placed the set I have now at the end of June. My new boss was completely understanding bc of how extensive my first time in braces was and how close I am to completing this set of braces as well as the connection I have with \"his competition\". \n\nI was a non compliant PT my first round so after 5 years in assuming the fam friend \"completed TX\" bc my parents and of course I was satisfied. But now being in dental field & understanding the complications of clenching grinding & jaw alignment I became worried about my jaw joint pain & chose to get another set to fix the pain & do it right this time. \n\nI had an exam the week before having my braces put on and about 2 weeks ago. So I know even if I believe my hygiene is top knotch I don't have any decay or cavities. This morning I drank the first sip of my \"daily\" Diet Coke and fell to my knees in shooting pain from the temp change to the facial/occlusal area of 27& 29 (missing 28 from Exts bc of crowing issues). Long story short (sorry for the rant but I'm sorta despreate here).:,( at lunch I texted my general dentist about it & he's outta town til late Sunday so he couldn't help a sista out. I felt bad asking my new boss (that's leaving town tonight until Wednesday for his anniversary) to remove a bracket check it out \"maybe find the issue\" bc we only have a pano and facials aren't really gunna show on xrays anyways. my fam friend Ortho who's done all my Ortho treatment is out til Tuesday so he can't help a sista either. \n\nI haven't been able to eat or drink all day bc of the shooting pain. So I swapped my pride & called the office I worked at up until starting OA job. We took PAs & a pano. Of course everything looks normal. Without being able to see under the bracket me & him decided to add to a filling to knock my occlusion out of line while my jaw is shifting from my Ortho TX & hopefully that'll fix it threw till I see one of the other 3. We tried endo ice tooth tapping.. All we could without having to remove or re bond a bracket. \n\nI've been unable to make contact on the occlusion of my teeth since I had these braces put on except for on my central & lateral incisors. Within the last week or so I've noticed almost all my teeth are touching again. With new alignment & my teeth tapping at different places than what I have been all these years I've probs just grinded or clenched wearing the \"fresh surface\" down & it's sensitive after a serious nights sleep of grinding which happens when I don't sleep very well at night. \n\nGet home after the emergency LOE & filling take a sip of water & I dropped to my knees again. I have no clue what it could be besides maybe a fracture under the bracket (honestly think it's just 27 but the pain radiates enough it kinda feels like it might be 29 too). Is that even possible?!?! Or what else could it be?! \n\nOn the bright side I'll lose some weight this weekend not being able to eat or drink LOL. & any ideas to what could be wrong would be AWESOME. I've never had more than a few occlusal fillings & even working in dentistry knowing solutions I'm terrified of crowns root canals & even having to have an EXT. Can chairside (damn near think I may be able to successfully preform some cases without a DDS ... Jk) all day long, think pts over react bc after the shot it's a walk in the park besides a little bit of pressure if the shots done correctly but TERRIFIED of actually being the patient. (& with my autoimmune really weak from a medical condition & being diabetic pretty damn sure my body would totally reject an implant even if the #1 OS preformed the surgery so I ain't even about to consider paying that kinda $$ then play the waiting game)" }, { "id": 214, "title": "Impacted canine tooth", "dialogue": "marcuslinus: Hi\n\nI am 16 year-old, and my dentist has recently found that I have an impacted canine tooth(on the upper arch), and has told me I'll have to put braces after the tooth is exposed. Will I be able to use ceramic or clear braces? There are any cons of using these types of braces?\nThanks in advance.\n\nI am Italian so I have probably made somme grammatical errors. Forgive me!" }, { "id": 215, "title": "Wisdom Teeth Closing Gaps?", "dialogue": "sf15: Hi, I am 15 years old and i have gaps in my upper teeth. The biggest one being in between my front two. I really want braces, Invisalign or whatever it takes to close them. After telling my dentist this, he said that i have to wait until my wisdom teeth come through because they will close my gaps. Is this true? AF05: Sf15-\n\nYou are 15 years old and wisdom teeth typical come though between 17 years -- unknown age!!!! So one, its unpredictable when wisdom teeth will erupt (come out.) Two, what your dentist is speaking of the domino-effect that could be happening when the last teeth (wisdom teeth) wiggle there way in the arch: wisdom tooth will come down and push on the one next to it, then the pressure will go to the ones further to the tooth next to it, etch \n\nTwo issues with that \"domino effect\" perception A) you can't predict how much wisdom tooth eruption and its direction B) if you have gaps between the FRONT teeth, you cannot rely on wisdom teeth to close and align the spaces. \n\nAt the end, talk to your dentist again and set up a consultation ( found a free consult) at your local Orthodontist (Braces Dentist) Best of Luck and let me know if you have any other questions.- AF05 sf15: AF05 said:\n\n\n\n\t\t\tSf15-\n\nYou are 15 years old and wisdom teeth typical come though between 17 years -- unknown age!!!! So one, its unpredictable when wisdom teeth will erupt (come out.) Two, what your dentist is speaking of the domino-effect that could be happening when the last teeth (wisdom teeth) wiggle there way in the arch: wisdom tooth will come down and push on the one next to it, then the pressure will go to the ones further to the tooth next to it, etch \n\nTwo issues with that \"domino effect\" perception A) you can't predict how much wisdom tooth eruption and its direction B) if you have gaps between the FRONT teeth, you cannot rely on wisdom teeth to close and align the spaces. \n\nAt the end, talk to your dentist again and set up a consultation ( found a free consult) at your local Orthodontist (Braces Dentist) Best of Luck and let me know if you have any other questions.- AF05\n\nClick to expand...\n\nThank You so much for your reply sf15: AF05 said:\n\n\n\n\t\t\tSf15-\n\nYou are 15 years old and wisdom teeth typical come though between 17 years -- unknown age!!!! So one, its unpredictable when wisdom teeth will erupt (come out.) Two, what your dentist is speaking of the domino-effect that could be happening when the last teeth (wisdom teeth) wiggle there way in the arch: wisdom tooth will come down and push on the one next to it, then the pressure will go to the ones further to the tooth next to it, etch \n\nTwo issues with that \"domino effect\" perception A) you can't predict how much wisdom tooth eruption and its direction B) if you have gaps between the FRONT teeth, you cannot rely on wisdom teeth to close and align the spaces. \n\nAt the end, talk to your dentist again and set up a consultation ( found a free consult) at your local Orthodontist (Braces Dentist) Best of Luck and let me know if you have any other questions.- AF05\n\nClick to expand...\n\nBtw what gives you this knowledge AF05: I am in the field of Dentistry Zuri Barniv: Actually, wisdom teeth do not move other teeth, that is an old-wive's tale and has been disproven by a lot of research. Many dentists still believe this urban legend, unfortunately. You can certainly start braces before your wisdom teeth come out, they have nothing to do with it. \nDr. barniv Zuri Barniv: Yes, a certain percentage of people are born with no wisdom teeth at all. But that can only be confirmed with an x-ray. Simply not seeing them come in by age 31 does not mean they are not impacted and still in the jaw." }, { "id": 216, "title": "Wisdom teeths", "dialogue": "tibbus: Hi, I'm 29 years old and 3 weeks ago I had an inflammation on the top left wisdom tooth.\nAfter that I was to a dentist which he didn't said too much about it.\n\nNow I don't have any pain and I don't feel any movement from my wisdom teeth (which 1 week ago didn't knew that I have them lol ).\nI have this scan (attached) taken, do you think that my wisdom teeth needs to be removed in the future ? \nhttp://imgur.com/a/nDv4n AF05: Tibbus- Your question is pretty common, but vague at the same time. It is like asking, if I drive every day, is there a chance that I might get a flat tire? And the answer is Yes for my question, and the same for yours. \n\nYour initial pain on top left could be from A) the wisdom tooth (#16) is getting closer to the gum surface/ or breaking through the gum; 2) it could be from the side pressure that Wisdom tooth putting on the one next to it (#15) Looking at the Panoramic is great, but a dental exam is needed. I do understand that you had one, and the dentist didn't share much about the status. \n\nTypically, at your age, wisdom teeth have minimum to non movement unless the teeth in front of them move or jaw changes happen ( tumor, fracture, etc) Having said that, removing the ones on the top should be straight forward; however, the ones on the bottom is a different story as they are in proximity to the bottom nerve in the jaw. \n\nLet me know if you have any other questions. Cheers. AF05" }, { "id": 217, "title": "Buck teeth, overbite,straight teeth?", "dialogue": "Indesperateneedofhelp: I am just so un-happy with my teeth to the point when I just want to cry and it's not fun. Before I dident care but no I try not to not laugh with my mouth wide open because you can see a huge gap between my teeth on the side. And I laught a lot so this is hard. I know I have buck teeth, and over bite and my teeth generally need to be straightened but I have a few questions, hopefully you can help \n\n1. Is it possible for me to even get Invisalign with an overbite? \n2. do you think I will need to shave my teeth once straightened? \n3. How long will I need to keep a) Invisalign on for or, b) normal braces on for? \n4. I feel like the gap is getting bigger, is that possible? Is the only way to prevent it getting braces? \nThank you, hopefully you can help me Indesperateneedofhelp: Front of my teeth:" }, { "id": 218, "title": "Braces", "dialogue": "3rrin: Hello, I'm wearing braces right now. My dentist insists to put bridge or implant to fill the gap between my pre molar and second molar. After my braces. I told my dentist, I'm not in favor of it because I want to preserve my molar as it is. I told her I just want it to be moved. My first molar both in upper and lower jaw were extracted many years ago.\nMy second molar already moved. But my dentist is still insisting it. Am I right? Please help. Thanks" }, { "id": 219, "title": "Think teeth are shifting back after braces?", "dialogue": "Lisa Carter: Hey everybody!\n\nI live in the UK and basically i had braces on the nhs when i was younger, about 15, 16 for 2 years.\nAfter this, i wore my retainer for about a year, and then lost the top one (or it broke i cant remember)\ni then continued to wear the bottom one (where most of the crookedness was anyway)\nmy top teeth weren't that bad anyway so i wasn't that bothered. I then lost my bottom one, and was not in the financial position to get a new one.\n\nI'm now 21 and its been at least 3 years since i wore my retainer, and recently ive been getting aching in my bottom teeth and i've noticed they have started to turn back. What can i do about this?! it causing me significant pain. Matthew Richardson: Lisa Carter said:\n\n\n\n\t\t\tHey everybody!\n\nI live in the UK and basically i had braces on the nhs when i was younger, about 15, 16 for 2 years.\nAfter this, i wore my retainer for about a year, and then lost the top one (or it broke i cant remember)\ni then continued to wear the bottom one (where most of the crookedness was anyway)\nmy top teeth weren't that bad anyway so i wasn't that bothered. I then lost my bottom one, and was not in the financial position to get a new one.\n\nI'm now 21 and its been at least 3 years since i wore my retainer, and recently ive been getting aching in my bottom teeth and i've noticed they have started to turn back. What can i do about this?! it causing me significant pain.\n\t\t\nClick to expand...\n\n\nI'm no dentist but it sounds like you need to get another retainer made, I wish there was simpler ways to fix these things since the dentist is so freaking expensive! Maybe they can go off your old impressions you did when you got your braces and save you some money?" }, { "id": 220, "title": "Consequences of removing permanent retainer?", "dialogue": "Matthew Richardson: Hi, I had braces when I was 19 (I'm 28 now) and after they were removed, they put a permanent retainer on the bottom, it's one of the metal ones that hooks to the bicuspids on each side then has a wire on the back side hooked to those bicuspid brace points, well one side broke, it's still on but it's loose, it's been this way for a couple years, I move it to brush under it to make sure it's clean everyday but I'm tired of it, can I remove it? My original dentist that put it on said he would like it on a minimum of 4 years but said he would rather 6 or more before removing it, he never said it was permanent but now I hear they are? What would happen if it was removed, would the teeth quickly start moving back to their old positions or would it be years before that happened?\n\nAlso just a curious question, when you have braces done is it normal to sometimes not straighten the teeth completely? There is one tooth on the bottom front that is out of line with the others, it sits just in front of them slightly, right after they removed the braces I asked my dentist if he can fix it and he said no, which surprised me because we paid like 4 grand to have them fixed! Is that normal?" }, { "id": 221, "title": "Orthodontics overseas", "dialogue": "Arthur.belgium: Hi there\n\nI went to a consultation here and the orthodontist said I needed braces, 2 implants on the lower teeth and after that an osteotomy surgery to correct my bite.\n\nThe plan was to do it here in Belgium but it takes too long before I could be travelling and living my dreams and I heard that in Thailand they sometimes had good orthodontic treatments but you had to find them.\nAlso it would cost me less to do it there.\n\nSo the question was, if anyone knew a good place to do the treatment there, in Thailand?\n\nI just might get the braces and implants there because for that I already found some good reviews but I don't know if they were put there by the hospital itself to attract customers.\n\nHopefully someone could come with a good answer.\n\nCheers!" }, { "id": 222, "title": "Composite or crowns", "dialogue": "Brad: Hi,\n\nI recently started treatment for my teeth as they were very worn and you could not see them when I smiled. This was caused by me grinding my teeth and it shortened them a lot. I am reviving orthodontic treatment free on NHS and was offered to take surgery to show more teeth or use composites to build my teeth back up. I chose to avoid surgery and build my teeth up with composites.\n\nMy worry is though that composites won't last as my teeth was damaged in first place with grinding. I asked for crowns but they seem reluctant to give me them.\n\nShould I push the issue for crowns ? Also what would be my reasons for getting them ?\n\nThanks\n\nBrad Enrique: Do you fall under any of these reason; if yes, then consider going for crowns.\n\nBroken or fractured teeth\nCosmetic enhancement\nDecayed teeth\nFractured fillings\nLarge fillings\nRoot canal on a tooth\nImplant enhancement\nStill it is recommended you consult a good dental clinic who will guide you proper treatment. PlacidWay-US: If you're suffering from damaged, cracked or diseased teeth you may benefit from dental crowns. It can prevent further damage to the tooth in question as well as the surrounding teeth." }, { "id": 223, "title": "Bottom center, front tooth with braces slow to align", "dialogue": "miamibeach: From: Joe\n\nHi, I'm 45 yrs old. Getting ready to have impressions taken(next week) of my lower mouth for 3 crowns to be installed on already set posts(posts have been in mouth for 6 months now. I took the option (from my dentist's advice) to have \"glue on braces\" put on my lower mouth to straighten the lower front teeth that were out of alignment about 2mm (especially the 2 center ones). I've had the braces on for 4 months now(retightening every 4 weeks) and the 2 front teeth have moved to \"almost\" perfect alignment. But the last 3-6 weeks theres one center tooth that is being stubborn and refuses to make the last 1mm millimeter push into alignment with the tooth next to it. (See photo). The other dentist in the office says that the stubborn tooth will probably not move anymore bcuz of its root not having anymore room to rotate/move enough to set itself to perfect alignment. They want to take the braces off, put on a retainer, and do impressions for crown install preparations. (I kinda feel Im being rushed)\n\nShould I accept the slightly off tooth as is, or should I keep the braces on another 2-4 months(with more frequent retightening) in hopes that the stubborn tooth will finally set itself in alignment? I paid $1000.00 for the braces to straighten those lower teeth. What do you think?" }, { "id": 224, "title": "7 permanent teeth missing!", "dialogue": "Hosnav: I took my ten year old daughter for her first orthodontist appointment today and xrays show she is missing 7 permanent teeth. The doctor was surprised and said it was very unusual but said no follow up was necessary and to come and see her again in 12 months. \nI came home and Dr. Google is telling me it's a rare genetic disorder and normally a piece of a broader 'syndrome'. Does anyone out there have any experience of this? TIA DanyRoden: You should have take advice from another dentist also. I think it's not a big deal because your daughter is now only 10.\nGood Luck to your daughter. PlacidWay-US: I agree with DanyRoden, you should seek for a second opinion maybe you can get another findings and also your daughter is still young so we can't say that it is really permanently missing teeth." }, { "id": 225, "title": "Dont like the shape of my month or my smile", "dialogue": "Johnhardy: Hi\n\nI have grown to start disliking my teeth and the shape of my mouth. Im not sure if or what could be done, but ideally to have it changed would bring so much more confidence to me. Im hoping to visit my dentist soon and would be easier if I went in there knowing what to say. For me it seems like my teeth have been sucked inwards were I would like them push out abit more (perhaps a reshape of the teeth?) Would braces solve this? Or would it require jaw surgery?\n\nThank you for taking the time to read.\n\nI am a 24 year old male if that helps." }, { "id": 226, "title": "Will invisalign take years to get significant results?", "dialogue": "secure: Hi.. I've decided it's about time to pretty up my teeth, but I have an overbite. I had consulted more than two orthodontists,those who wanted to fix my bite using braces, which I don't want to do. I was really scared about the frequent headaches bleeding gums, moreover the awkward look of baring the metallic braces. My husband suggested me to go for an invisalign treatment. And I had fixed an appointment at short term braces near Toronto. But my aunt told me that it will take years to get significant results. Has anyone gone for invisalign treatment before? Is it much effective? Kindly advice. RIDER89: Hi secure , wot your aunt told is right. Invisalign treatment may take more time to get a good result. Why can't u go for metallic braces? Nothing to worry about it. It will fetch u better results faster. dentalprobz: I had invisalign braces and it was effective for me. They showed a good result and I'm happy with it. Metal braces and invisalign takes time to correct alignment depending upon each person's problem. It's better to decide after consulting with your dentist." }, { "id": 227, "title": "Crooked Smile", "dialogue": "CarlosG: I feel i lose alot of opportunities because of my teeth I feel competent but people don't take me serious. Over the phone, through emails I'm treated equally but in person I can see the look of disgust as if I'm deformed. I really wouldn't care if it was socially acceptable but I can't even have a serious relationship because girls don't want to commit to a monster looking guy. I'm only 28 and I have no insurance. I've been quoted 10+K to fix my teeth and I can't afford that but I feel like I'm not living my life to the maximum potential and I'm starting to fall into depression because of this. I am probably the happiest person i know but i can never show it because I'm afraid to smile. I'm mentally scarred from all the years of bullying and suppression I've encountered over the years. Please help me. PlacidWay-US: Hi CarlosG, I understand your frustration some people are really cconsciousabout how their teeth looks and in your case you may need orthodontics treatment. The procedure will not just fix the problems with alignment and bite, but also to make your mouth look more aesthetically pleasing. By the way where are you from? you said you had a quote 10K+ i think it's really too much because generally orthodontics can be priced anywhere from $1,700 to $5,600. If I were you I will do more research, try to look into Mexico, as far as I know the cost of orthodontic in Mexico is $400. DanyRoden: Hey Dear, Don't feel bad like this. You have to find some dentistry in your city that treats you without insurance or helps you in dental financing. Hope everything will be fine." }, { "id": 228, "title": "Can my retainer cause an impacted tooth?", "dialogue": "xxCourt96xx: Hi everybody.\nI had braces for almost 3 years and got them off in March 2014. I have a clear retainer for my bottom teeth and a plastic/metal one for my top teeth and I've done pretty good with wearing them. I still don't fully have my 12 year (second) molars on top- there is really no reason for them being slow, I'm just a late bloomer. A year ago I got all 4 of my wisdom teeth out because my orthodontist/dentist didn't want his work messed up when they started growing in and he figured my 12 year molars would start moving in after the surgery. Which he was right, they've made more progress since the surgery.\n\nThe only problem is I think one of them is becoming impacted because of my retainer. I wear it pretty religiously and it doesn't really have an easy way in because of the metal bar that wraps around my first molar and I think it's starting to turn as it tries to find a way in. There's kind of an unpleasant smell around the gum and a flap of skin covering half the tooth. I honestly thought I'd have this problem with my wisdom teeth, not my teeth that are almost 8 years late, lol.\n\nShould I stop wearing my retainer for awhile to let the teeth grow in? Or should I call up an orthodontist and tell them what's going on? That's another one of my issues, my orthodontist/dentist is a pediatric dentist and I'm 19 so they won't take me anymore I don't think. Jonathan: Hi,\nIt wouldnt be good for you to stop wearing your retainer. I would advice speak to your orthodontist, if he cant assist you(due to your age) he will be able to recommend or refer you to a different orthodontist/dentist.\n\nIf you are going to see a different orthodontist/dentist remember to pick up your files/records from their offices, so that your new dentist can view your history and previous scans.\n\n--\nThanks,\nDr. Jonathan Everett Becky: @Jonathan I have removed your links, but if you would like to become a verified dentist on the forum please check the details in my signature" }, { "id": 229, "title": "Help!! Upper left side of teeth hurt!", "dialogue": "7thlotus: I just started invisalign two weeks ago and it's been going well. But I won't lie I skipped a few days here and there. A couple days ago I wasnt wearing it and I suddenly felt a sharp throbbing pain on my left upper side of teeth mainly and the bottom left side a dull pain. It subdued at first by taking some over the counter ibu but it soon didnt work for the next day it just got worse. Now my upper left side of teeth are in constant pain, I'm too scared to wear my invisalign because I can't stand this amount of pain. DanyRoden: Immediately contact to your dentist. It can be a serious problem. iamdoctor: I think your gums are affected." }, { "id": 230, "title": "What will happen if I don't get any treatment for my underbite?", "dialogue": "Jeremy: Hi wasn't sure if this was appropriate for orthodontics or surgery,\n\nI've talked to multiple dentists and orthodontists, and they all say I need jaw surgery for my underbite. I attached a picture. My back teeth don't really touch and it's pretty hard to tear food sometimes, the gap between my front teeth is about 9mm, my left side touches before my right, but if I bite, both will kind of touch. I am happy with the way I look, but I am worried about any functional issues or other symptoms that may occur because of my underbite. I do not want to get surgery. \n\nHowever, my family doctor recommended that I get invisalign or some other treatment to help reduce my underbite and reduce the crowding in my teeth. I am not sure if it is worth the time, she estimated that my case would require about a year and 30 invisaligns (haven't sent in the molds yet). I have been searching for whether people have problems when they get older, but I can't find much on the internet. Most forums are only talking about treatment, not what happens if I don't get treatment. So I am curious what negatives there are for not doing any type of surgery or alignment. Such as are my teeth going to start bending more forward/backward after awhile because they aren't aligned properly and how big of a difference will that make? I am currently 22. \n\n1. What happens if I get no treatment and keep my teeth the way they are, negatives for the future?\n2. If I do invisalign or something to help better align and straighten my teeth how much will it really benefit? (ie. At what age would things be getting a lot worse)\n3. If there is anyone that has been living with a severe underbite, can you please share your experiences\n\nThank you for your time! And thank you in advance for your responses" }, { "id": 231, "title": "Really weird tooth growing beside another", "dialogue": "ilovewafflez: So i included a picture, and quite frankly my teeth are disgusting now that i've seen them up close. So that one tooth that looks all rough that's growing above the other one is really weird, i've had it for a really long time now and i get a sharp pain when i bite down that tooth which is under it. Any idea what it could be? And also could any of you recommend some teeth whitening products?" }, { "id": 232, "title": "Is \"Inman Aligner\" a successful and safe to be used?", "dialogue": "bnar: Hi,\n\nI have incorrect Lateral Incisor and I want to put braces on. I heard from a doctor that Inman Aligner can be used and solve such problem very soon. \nCan someone of you tell me your experience and whether it worths to use this instead of Fixed Braces for such problem? \nAny complication? Any beauty I can get from fixed braces that I can't get form inman aligner? \n\nThanks to all" }, { "id": 233, "title": "Can braces fix my crossbite/overbite?", "dialogue": "LanaE: I have an overbite and a crossbite. I am 20 years old and will not consider oral surgery. Could braces fix my bite? Great Lakes Dental: Hi LanaE, \n\nI would recommend that you arrange a consultation with an Orthodontist, then get an opinion from a 2nd office (perhaps even a 3rd). There really isn't much that one could say from simply looking at pictures of your teeth. An overbite can often be treated with ortho, however a crossbite is usually the result of issues with your palatal structure. Truthfully, your circumstances can only be assessed through an in-office consultation. What I can tell you is that ignoring these conditions will only make the problem (and subsequent treatment) more difficult to fix. \n\nSorry I couldn't be or more assistance. \n\nWarmest regards, \n\nDr. Jennifer Thomm\nCosmetic Dentist\nGreat Lakes Dental\nSarnia, Ontario Canada" }, { "id": 234, "title": "reverse bite correction: general dentist or specialist?", "dialogue": "kenny siu: I have experience, I went to a couple of general dentists (at least 4) they said I was OK, no periodontal disease. I then went to a specialist he said I had mild periodontal disease that required deep cleaning treatment.\n\nNow Obviously I have reverse bite, I don't know if I should go to a general dentist or a specialist for the correction.\n\nA general dentist recommended by my friend said he could correct my reverse bite without taking ANY x-ray. He said to me, \"Science and theory is one thing, real hand-on experience is another story, who to trust? trust your feeling, all dentists are different '' \n\nAnother general dentist (but I don't like him) said he ALL correction requires X-ray. The reason I don't like him is he is like a marketing guy more than a dentist and he charges a lot.\n\nMy sister says there is an inexpensive specialist for teeth correction here - I have looked up the dentist, yes he does not charge much and he is even a specialist, however, he has a history of lawsuit by his patient many years ago because of medical mistakes \n\nSo now. Who sounds more reliable? I really have no idea!! But I really have a plan for teeth correction next year. \n\nA. General dentist (he ';ve got many patient, but he said no x-ray is needed, sounds like he is not very scientific guy)\n\nB. General dentist (he charges a lot, but he is like a marketing guy rather than a dentist)\n\nC. The inexpensive specialist (whom has history of medical mistakes)" }, { "id": 235, "title": "Retainers", "dialogue": "Blackjaqk: Hello everyone,\nI wanted to ask if I should continue wearing my retainers after I got braces. I am a 16 year old male. The situation is a little complicated, because I have learned that tongue posture affects the development of the maxilla, and my tongue posture used to be bad, which I assume lead to my overbite. While braces have corrected the overbite somewhat by pulling my teeth inwards, the result is that my palate is still rather small. My back teeth are still coming in, and my orthodontist has said he isn't sure how they will turn out since there is little space in the back of my mouth. I think the lack of space is because of my small palate from incorrect tongue posture and open mouth posture. Now, I am wondering whether practicing correct tongue posture would expand my palate a bit so the back teeth could come in correctly. I worry that wearing my retainer will prevent the change I am trying to make. However, I am also worried that if my palate does grow, my bite will be messed up and my teeth will be crooked again. Will this happen, or will tongue posture prevent my teeth from growing crooked?" }, { "id": 236, "title": "Is my underbite really bad? What will solve it?", "dialogue": "Lexi: My underbite isn't noticable to anyone however i notice it. I don't know what kind of treatment I will need, my dentist has never mentioned my underbite either. I am 16 years old, what Kind of treatment will I need?" }, { "id": 237, "title": "a general dentist or specialist?", "dialogue": "kenny siu: correcting reverse bite\n\nSome people say a general dentist is good enough in most cases, and a specialist is somehow only a ''psychological'' difference. (i.e. You pay more for the confidence)\n\n1. Does it worth paying more for a specialist on correcting my reverse bite? My periodontist advised me that a general dentist is good enough for my correction and a specialist is not necessary.\n\n2. I have a lot of ''holes'' between teeth after deep cleaning treatment earlier this year. Some gum loss can be seen and now I keep cleaning with interdental floss every day. Is it risky to correct the bite? Since it looks like the support of my teeth has lost after deep cleaning treatment" }, { "id": 238, "title": "Options For Correcting Overbite", "dialogue": "Rob: I am 33, & have a rather severe overbite which has led to grinding & some loss of teeth in my molars. I am getting ready to have implant surgery to replace my two front teeth that were lost due to crown failure, but my overbite is driving me nuts too. The dentist told me he wants to do the implant surgery first, & then worry about fixing my bite, which is fine with me. So what are my options for that will I need full braces to do that, or is there now a device that can be worn & taken out to help realign the jaw to the correct position? Thanks! JJ_8613: Hi.\n\nMy best guess would be that since you're an adult already, you could get braces. The other option would be jaw surgery.\n\nI'd suggest you get a consultation with an orthodontist and see what they recommend.\n\nJJ" }, { "id": 239, "title": "How bad are my teeth?", "dialogue": "Tara05: I'm really insecure about my teeth.\nAs I understand - I have an overjet/overbite aswell as overcrowding.\nI would prefer Invisalign over braces as I'm an adult and don't want people judging me for having braces.\nHow long would Braces take to fix my teeth compared to the Invisalign treatment?\nI understand there is a 6 month smile orthodontic treatment aswell.\nAre my teeth in too bad of a condition to be fixed in 6 months? JJ_8613: Hi.\n\nMy suggestion would be to get a consultation with an orthodontist. It's really hard for anyone to give you an opinion on this without see you personally.\n\nMy main concern is with what you said about overcrowding. I had this and without treatment it just led to other problems.\n\nJJ" }, { "id": 240, "title": "Is it necessary to take AT LEAST ONE X-ray for correction on reverse bite?", "dialogue": "kenny siu: I have came across two dentists, both are legal and professional, charging a lot of money.\n\nBoth of them are general dentists, they are not specialists.\n\nOne of the dentist said -- For correction of ANY problem bite, even if you only have very ''minor'' reverse bite, it's necessary to take a film of X-ray for investigation, we can't just look at it and correct it, it's not as easy as you might think.\n\nAnother dentist said - It depends, in fact, X-ray for correction of problem bite is NOT required in many cases. He added \" I know some dentists like to take a lot of X-rays, however, I don't think it is necessary.\n\nI am shocked, as far as I know, taking x-ray is necessary for correction of any problem bite.\n\nIs taking AT LEAST ONE x-ray a must for correction of ANY reverse bite?\n\nThanks for any advice. Zuri Barniv: Any tooth movement requires an x-ray to get a baseline picture of the root lengths and position. One of the risks to teeth movement is root resorption and this can only be detected with an x-ray. I recently wrote about this on my blog if you are interested. \nDr. Barniv" }, { "id": 241, "title": "Advice for a better smile.", "dialogue": "DBennett: I'm looking for advice on what route to go with fixing my smile. I have a good sense of humor and love making people. And love laughing and smiling myself. But because my teeth are crooked and crowded, its kind of embarrassing. I feel like I take a better picture without a \"cheesing\".\n\nPlease take a look at the pics I've provided and let me know what some good options would be. At this point I would actually be ok with extraction of all my teeth and replacement. Zuri Barniv: The options for you are too numerous and the number of variables too great to address this in a meaningful way on a forum. Thankfully, it does appear that most all your concerns could be dealt with by an orthodontist. Most US orthodontists happily provide a consultation at no charge or a very small one. I think you will be best served by seeing one in-person. I know that doesn't answer your question, but some things can't be done online. I will say that removing all your teeth would be extremely drastic, unnecessary and much more expensive in the long-run." }, { "id": 242, "title": "Life problems from braces I had at 10 years old", "dialogue": "James5000: When I was 10 years old, I had 2 healthy upper teeth taken out, the ones just behind my \"fangs\" and a brace to pull back my front teeth for cosmetic reasons. It was all the rage years ago.\n\nAs I grew through my late teens, I was tense and nervy but did not know why.\n\nWhen I was 22, my spine twisted up and my hips rotated and 3 years later, was in so much pain that I couldn't keep on working. \n\nBy then, I realized that it was because of the operation and the braces that had pulled back my teeth way too far, changing the way my skull developed, putting pressure on my neck and back. Since then, I've had lots of helpful chiropractic treatment to straighten my neck, spine and hips and I've even got some good cracks, correcting a twist in my skull, but I can still feel the immense pressure from my teeth through my temple area on to my neck and back which I continually have to correct using chiropractic techniques. \n\nI'm 46 now and haven't given up because I'd like to have a life and a family but the NHS in Britain does not recognize the condition. I've been begging them to take my teeth out, but they just ignore me.\n\nMy question: - Is there any evidence of this condition that I can refer to so that I can show my doctor? I know that the BBC made a panorama about this subject, having braces when very young which I was stunned to see but that was 20 years ago and it's not available online now.\n\nWould appreciate any help.\n\nJames JJ_8613: Hi.\n\nIs it possible for you to see a private dentist or an oral surgeon?\n\nI'm not sure what options you have there as I'm in the US, but this sounds like something that maybe oral surgery or jaw surgery could correct.\n\nI've had jaw surgery myself for different reasons, but it did improve the functionality of my teeth and jaws.\n\nI hope this was of some help.\n\nGood luck.\n\nJJ James5000: Thanks for the reply JJ, private treatment generally is not an option for me but possibly for a diagnosis i could manage one. I'll have to investigate. Thanks for that! My jaw is fine, it's the warped setting of my upper teeth which put a twist in my skull as it developed and the effect it has on my neck spine. I've had lots of chiropractic treatment to straighten my spine which had multiple slipped disks and rotated hips. I've had a couple of good cracks in my skull too relieving some of the pressure but it's still problematic and need a diagnosis to be able to claim benefits when needed as my ability to work is effected considerably\n\nThanks for the advice JJ. I'll come back and update this thread when just for the record\n\njames" }, { "id": 243, "title": "After perio treatment, do I have to wait for few months or years", "dialogue": "kenny siu: before correcting reverse bite? Will it be better to allow some months or years for the gum to heal\n\nbtw , I am already 31 now. Is it too old to correct bite.?\n\nThank lot JJ_8613: Hi.\n\nI'm sorry, but I don't know too much about gum disease. My suggestion would be to ask your periodontist, dentist or even get a consultation with an orthodontist and ask them. It's best to get a professional to answer this question for you.\n\nGood luck.\n\nJJ" }, { "id": 244, "title": "White spots on retainer?", "dialogue": "Jamie H: I have had my clear plastic retainer now for around 4/5 months I keep them in all day take them out when eating and wash/brush any saliva off each time. I do clean them with tablets and mouthwash on a regular basis and haven't had any problems till now as I am starting to see a few white spots appear on the clear retainer that won t come off with brushing or tablets. How can I tell if this is plaque or tartar or just pressure marks from biting down with usage? It only seems to be on bottom retainer" }, { "id": 245, "title": "Wearing an old retainer?", "dialogue": "BitewingPilot: Hi all!\n\nI got braces in 2010, had them removed in 2011, and wore a retainer every night until 2012. For the past 2 years I have not been wearing the retainer at all, and have noticed gaps beginning to form between some of my teeth. I still have my old retainer, but when I put it on it is a very tight fit. If I were to begin wearing the retainer every night again, would it realign my teeth, or might it be detrimental because it's so tight?\n\nI was 17 when the retainer was made, I am 20 now. Also my dentist said he began to see my wisdom teeth on X-rays he took about a year ago Dr. Garrett Fiorenza: BitewingPilot,\n\nIt is not detrimental to wear your retainer. If the teeth have only moved slightly the retainer can correct the slight movement. Teeth continue to drift throughout life so many people are getting permanent retainers to keep the teeth in their final position. I would ask your dentist if a permanent retainer is a good option. \n\nOn another note. You should definitely consider getting your wisdom teeth removed. Most often these cause much more tooth movement than the natural drift seen over years and years. From my view it sounds like that is an underlying issue that should be taken care of sooner rather than later. Hope this helps,\n\nGarrett Fiorenza, DDS\nFiorenza Dental Group\nwww.fiorenzadentalgroup.com\nGreenwood, IN BitewingPilot: Thank you for the advice! xyz123: I was going to start my own thread but noticed this very similar one, so I figure I'll ask here instead...\n\nI have a similar situation except very extreme, haha. I'm 28 now, and I don't even remember what year I last wore my retainer (I'm thinking like 13 years ago?). I have some crowding that I find very annoying with my lower central incisor. It was a problem for me in the past and my retainer has a kind of spring mechanism that pushes one of these teeth into place.\n\nI still do have my old retainer in it's original case, but I'm wondering if I should use it or if it's even safe to use. From what I've read in this forum it seems that it may be worth trying (let me know if I'm wrong), but one thing that weirds me out is that it has some white plaque looking stuff stuck to it in some areas. The stuff is like cement. I'm assuming when I was a lazy high school kid I didn't clean it as well as I should have, oops. I'm assuming any bacteria wouldn't have survived after all these years anyway, but is there anything I should do to clean it? Zuri Barniv: Hi, there is probably little harm from at least trying it in, but if it is super-tight and hurts a lot, I would forget it. Getting a new retainer made so it doesn't get any worse is usually not expensive.\n\nThe white stuff is probably tartar which caked on over the time you wore it and it's harmless. \n\nWith all due respect to Dr. Fiorenza in his post above, wisdom teeth do not cause crowding and there is a lot of research that refutes that old wives tale. \nDr. Barniv" }, { "id": 246, "title": "Tooth displacement due to plaque", "dialogue": "Oddtimeflex: I have a lingual brace behind my front bottom teeth, which remained there for many years now (my dentists never recommended removing it).\n\nI haven't been to cleaning for a while and plaque (tartar) accumulated between the brace and the teeth as well as between the teeth themselves (it's hard to clean there).\n\nNow that I've got them cleaned, it looks like they are more separated than they use to be, as well as a bit separated from the brace, probably because the plaque pushed them apart.\n\nNow I'm wondering whether they will return to their original position over time, despite or because or even regardless of the brace, or whether there needs to be an orthodontic intervention in order to pull them back.\n\nThanks!" }, { "id": 247, "title": "what's the possible consequence of reverse bite?", "dialogue": "kenny siu: hello\nI am 31 now and I have reverse bite. I have a couple of concerns about it\n\n1. If I don't look for treatment, does it mean more likely to suffer from tooth loss later in my life?\n\n2. Except the reverse bite, the rest of my teeth are aligned very correctly ( I guess, most likely) . The nurse told me in the phone that even the simplest form of treatment for incorrect bite, X-ray is essential. I now have paranomic x-ray, and a series of bitewing x-ray already taken in Perio clinic. She said they could not be used. Is it real? I don't quite understand why they always like to take a lot of x-ray.\n\nThank You." }, { "id": 248, "title": "Baby teeth in adult", "dialogue": "Lola1981: I am 33 years old with 3 baby teeth still present, all upper. They are a lateral incisor and both canines. On top of that I have a slightly bulging hard upper palate (condition called Torus palatinus), but this has never really bothered me. I was wondering if the two conditions are related?\nAnd more importantly: what can I do to rectify my teeth? I've got an awful smile : ( David48: Neither the torus nor the bony exostosis requires treatment unless it becomes so large that it interferes with function, interferes with denture placement, or suffers from recurring traumatic surface ulceration. When treatment is elected, the lesions may be chiseled off of the cortex or removed via bone bur cutting through the base of the lesion." }, { "id": 249, "title": "Herbst Appliance and Expander", "dialogue": "kseerla: Hello, My daughter who is 8 needs braces due to crowding and thumbsucking issues. We went for a consult and the ortho suggested expanders and herbst appliance. We were supposed to have the expander put in first for a few weeks and then followed by the herbst appliance. However, when we went in today, she just put the herbst appliance and said she will look at installing the expander 6 months later. I am very confused. The more I read about expanders, it says that it needs to be put in before or at the same time as the herbst appliance so that the upper jaw can expand at the same time the lower jaw is growing with the help of herbst. I am worried that 6 months of only the herbst appliance without the upper jaw expander may not give us the ideal results. Please help!!!" }, { "id": 250, "title": "Permanent tooth doesn't seem to be coming out, help?", "dialogue": "Martin Antoszczak: Hey, I'm 15 and for what seems to have been the past year (2 at max), my first premolar seems to be a bit... broken.\n\nI had the tooth patched up with a filling god knows how long ago and almost 2 years ago the tooth started to come out. I thought at first it was going to be the whole tooth but at first 1/4 fell out, then another 1/4 maybe a month after that, and then what seems to have been 1/6 few months after that. During the process the tooth would hurt when it came in contact with cold fluids in the morning (such as milk) but now it doesn't hurt at all. Once in a blue moon it hurts when it's in contact with cold milk in the morning but other times it doesn't hurt at all.\n\nWhat's remaining now is a bit of the tooth and a bit of the filling which seems to be the black spot. In comparison to my other teeth, in vertical length it's about an 1/8th or 1/6th in size, and in diameter it takes up almost 3/4 of the what I'll call designated tooth area.\n\nI have attached an image.\n\nAll my other teeth are perfectly fine, they used to be yellowish and I just had some minor cleaning+filling done to both my third and fourth molars on both sides of the mouth (lower). But I started brushing them and they are starting to look nicer.\nNone of my teeth are crooked, some at the front are a tad tighter than the rest while others are a tad wider apart than the rest but it's nothing that is causing a problem.\n\nI'm really worried about this because although I have no fear of needles or anything like that I feel that it may be complicated removing the teeth due to it's size and it the process of getting an implant, or the tooth removed would be long and annoying and a bit painful.\n\nI'd love to hear from someone who has or had the similar issue and what happened to them.\nI also have an orthodontist appointment booked as recommend by my dentist (who's quite frankly a crappy dentist (getting the fillings hurt and he tried his hardest not to appear sympathetic)\n\nThanks. drmins: You can get a radiograph of that tooth to check, if a post and core restoration can be done. This can save you from going for an extraction and an implant.\n\nKeep smiling...\ndr.mins" }, { "id": 251, "title": "Help me with my Underbite", "dialogue": "Guest: My age is 21 yrs. I've consulted many doctors for the treatment of underbite and got so much confusion in return about what treatment to take, and whether if it is worthy to opt for jaw surgery in my case? Now finally I am thinking just to take the treatment for gaps in upperteeth. My doctor suggested me to cover upper 6 teeth with dental crown. I want to know will it be a good decision? Seeing my photos what do you think, should I opt for underbite treatment or just crowns will be sufficient. Dentgr: I would suggest you to follow an orthodontist's opinion. Orthognathic and orthodontic treatment. You are too young to place crowns and your problem will not solve." }, { "id": 252, "title": "Retainers", "dialogue": "Victor: So I misplaced my retainers for a 3 weeks and it really screwed up my teeth to the point where it cant go back to proper position. Should I ask my orthodontist to tighten my retainers so it can be pushed back into place or do I have to get braces again" }, { "id": 253, "title": "Nasal stuffiness and dry mouth", "dialogue": "bigmaneh: Hi,\nI am new here but had this problem for a while now. I always have nasal stuffiness like the stuffiness/blockage (not runny or filled with mucus) keeps shifting from one nostril to other. I had myself checked for sinusitis but I didn't had it although doc said it is allergy. It has been more than 5 years since this problem. So i researched and found that narrow palate can cause this- and I have attached the pic for specialist to see whether I have narrow palate. \n\nMy mouth also gets dry when I talk and the tongue starts sticking to soft palate. I do keep getting thin white phlegm which is irritating and during this instance my tongue starts building this white coat on it (Candida?) which stinks and the saliva turns frothy and thick. Although if I don't talk my mouth slowly gets filled with saliva again, especially the mouth floor and because of that I have to intentionally swallow it. \n\nAlso, I have attached some pictures and circled in black- like near my molars the inner side gums are huge. The other picture is about narrow palate (to confirm if i have one), one about tongue (tongue tied ?), and the last one about cheeks inflating inwardly so much that it might come between teeth. One last thing- I have a scalloped tongue (couple of teeth marks) and buccal exostosis (confirmed by dentist).\n\nTl;DR (Summarized Post) - do i have narrow palate? do i have tongue tie? whats wrong with inner cheeks protruding so much? the gums on molars are huge (not swollen) is that ok? tongue seems swollen?" }, { "id": 254, "title": "Should I get my retainer checked?", "dialogue": "John Smith: Hello, I recently got my braces removed and have started wearing a clear retainer on my top teeth. However, recently my retainer seems to have gotten loose? To elaborate, my retainer doesn't move or fall out of place on its own (it stays on pretty well without any jiggle), but when I start to take it out (especially on the left side) it comes off very easily with very little resistance.\n\nI'm not sure if this is fine or not and would like to know whether it would be a good idea to get an appointment with my orthodontist to get it replaced or something.\n\nThanks for your help!\n\nP.S. If needed, I can, and will, offer any other information you might need regarding this situation." }, { "id": 255, "title": "Can i wear braces?", "dialogue": "petronel13: Hello,\nI am a 26yo male and i have an overjet as the upper incisors are slightly angled forwards. I asked my dentist some time ago if this could be corrected using braces and i was told that i can't wear braces because there is some decay and the front incisors are a bit chipped.\nIn the meantime i fixed these problems and put crowns on the two front teeth and even though they look better than before i'm still not happy with the look because of the overbite.\nI recently read that braces can be applied even on teeth with rooted canal and crowns so i have a feeling i might have been misinformed in the first place.\nSo, is it any possibility for me to correct my bite at this point?\nAny advice is appreciated." }, { "id": 256, "title": "Should I Get Braces?", "dialogue": "cjstorm: Hi. I am a 16 year old male High School student who is very concerned about the possibility of needing braces. I have not had a dental checkup since September of 2013 due to my family having to drop Oxford and switch to Medicaid due to financial troubles. My mom learned that braces are FREE, but of course these are only the traditional wire braces. Here is a list of a few dental problems that I have:\n1. Medium sized gap inbetween my front teeth\n2. ONE crooked tooth on the bottom row of my teeth\n3. Chipped tooth\n4. Tooth that needs crowning\nI am not sure if 3 or 4 needs to be resolved in order for the braces to be setup in the first place. but I know that 1 can be resolved by bonding, which leads me to 2. This tooth RECENTLY became crooked. I asked a few people and they didn't notice it until I told them about it, but it kind of bothers me a little. It doesn't physically bother me, but I get slightly overwhelmed when i see it in the mirror. So now here is a list of concerns I have about braces:\n1. The metal braces are noticeable, and very few people my age still have them.\n2. Braces require very high maintenance.\n3. Braces take well over a year to complete.\n4. Once braces are done, I need to wear a retainer and from what I heard, it's for the rest of my life.\n5. I only have one dental issue that can only be solved by getting braces.\n6. My wisdom teeth are currently coming in, Will that conflict with my braces if I do get them?\nSo what would any of you guys do if you were in my position? Can anyone who has experience with braces tell me some experiences they had? Thank you all for your time. Dr. Garrett Fiorenza: Braces are well worth the wait if you do not like the way your teeth look. However, you are right that the other issues need to be taken care of before you start braces. Wisdom teeth can sometimes cause your teeth to crowd and get crooked, so I would also advise getting those removed before starting braces. \n\nI think you should go to an orthodontist (braces dentist) and get a consultation. These are usually cheap and they can tell you all of the risks and benefits to your specific case. They'll take xrays and make sure whether you need braces or not. Hope this helps, \n\nGarrett Fiorenza, DDS\nwww.fiorenzadentalgroup.com\nGreenwood, IN cjstorm: I think I'm gonna go ahead with the braces. Thanks for your response. My case is less serious than others, so they should hopefully be out a year after I get them. I am actually more nervous of getting a regular dentist appointment after over a year rather than getting braces on my teeth." }, { "id": 257, "title": "Dental Bonding", "dialogue": "Chris Wallace: i recently got my 2 front teeth bonded because I had a little chip. I hate the outcome of the bonding its looks unprofessional and to top it off you can see the bonding material because it's clear on my teeth. It looks weird because my teeth are white and the bonding material is clear. Can my dentist redo the bonding with a color that matches my teeth color? And can she take the old bonding material off? It's a composite bonding btw Dr. Garrett Fiorenza: Yes, Your dentist can easily do both. Just tell them that you are not happy with the result and make sure they know that you are looking for a good color match to your tooth. Bonding material is easily removed and replaced. Hope this helps,\n\nGarrett Fiorenza, DDS\nwww.fiorenzadentalgroup.com\nGreenwood, IN" }, { "id": 258, "title": "palatel expanders causing pain", "dialogue": "diksha mahat: Hi.\nI've had my palatel expanders (cemented to my molars) for a month now and I have now fully adjusted to it.\nBut recently I noticed that the wire (They are called arch wires I suppose) that connects my molars to the expansion screw is pressed agasint the roof on my skin (left side) which causes slight pain every time I chew from my right side.\nDo I need to check with my dentist to correct this?\nOr is this normal? Dr. Garrett Fiorenza: I would check with your dentist. That is an easy fix. They will most likely just need to bend the wire slightly so it is not coming in to contact with the roof of you mouth. Hope this helps,\n\nGarrett Fiorenza, DDS\nwww.fiorenzadentalgroup.com\nGreenwood, IN" }, { "id": 259, "title": "What are the recommendations to straighten teeth with a veneer on a tooth?", "dialogue": "HugoMason: Hi there,\n\nI have a question. I want to straighten my teeth but I have a veneer on my front tooth.\n\nWhat are the recommendations to straighten my teeth?\n\nI'm worried if I wear braces it'll damage the veneer after braces are taken off. Dr. Garrett Fiorenza: That is a true risk. Braces, and more so Invisalign or Six Month Smiles, can do well when teeth have crowns on them. However with a veneer it loses a little of the support. I would ask your dentist if he is comfortable with it. He will be able to judge how much the tooth needs to move and give you a good answer. If the tooth is moving very little then it shouldn't be an issue. Hope this helps,\n\nGarrett Fiorenza, DDS\nFiorenza Dental Group\nwww.fiorenzadentalgroup.com\nGreenwood, IN HugoMason: Dr. Garrett Fiorenza said:\n\n\n\n\t\t\tThat is a true risk. Braces, and more so Invisalign or Six Month Smiles, can do well when teeth have crowns on them. However with a veneer it loses a little of the support. I would ask your dentist if he is comfortable with it. He will be able to judge how much the tooth needs to move and give you a good answer. If the tooth is moving very little then it shouldn't be an issue. Hope this helps,\n\nGarrett Fiorenza, DDS\nFiorenza Dental Group\nwww.fiorenzadentalgroup.com\nGreenwood, IN\n\t\t\nClick to expand...\n\n\n\nThanks for the reply. I have another question. Let's say I had the braces done, and my wisdom tooth is unchanged (or changed but teeth is straight).\n\nIs there a big risk in wearing retainers? I'm afraid after removing the retainer it may remove the veneer every now and then I take the retainer out. Dr. Garrett Fiorenza: No there is no risk in wearing a retainer after the braces. Retainers don't cause enough force to break off the veneer. Hope this helps, \n\nGarrett Fiorenza, DDS\nFiorenza Dental Group\nwww.fiorenzadentalgroup.com\nGreenwood, IN HugoMason: Dr. Garrett Fiorenza said:\n\n\n\n\t\t\tNo there is no risk in wearing a retainer after the braces. Retainers don't cause enough force to break off the veneer. Hope this helps,\n\nGarrett Fiorenza, DDS\nFiorenza Dental Group\nwww.fiorenzadentalgroup.com\nGreenwood, IN\n\t\t\nClick to expand...\n\n\nNot break off in particularly. But more of pull off. I had braces before, and retainers are quite tight. I feel the retainers may pull the veneer out after numerous nights of wearing retainer?\n\nHopefully your previous reply still stands. \n\nMason. Dr. Garrett Fiorenza: Yeah the reply still stands, it shouldn't be a problem at all.\n\nGarrett Fiorenza, DDS\nFiorenza Dental Group\nwww.fiorenzadentalgroup.com\nGreenwood, IN" }, { "id": 260, "title": "Extraction - 1 vs 4", "dialogue": "JJJ: My 11 year old daughter has crowding of her lower jaw. One of her front lower teeth is completely behind the other teeth under her tongue. She has lost all of her baby teeth. The first orthodontist we went to looked at her X-rays and moulds etc and advised that there was not enough room to bring the tooth forward and that the options were to take this one tooth out or alternatively take 4 molars out. He recommended taking out the 1 tooth. He said that although she would have only 3 teeth at the front and it would create a small overbite he preferred that then taking out 4 teeth. I got a second opinion and the other orthodontist agreed there was not enough room to bring the tooth forward and that it was either take out the 1 or 4 EXCEPT her preference was to take out 4 molars so that she wouldn't have an overbite/better bite. I can appreciate there is probably more than one way to resolve the issue but I am now unsure who's advice to take. They both had good arguments as to their preferred method. It would be fantastic if anyone has any information, advice or comments to help me make a decision. Thanks in anticipation! LisaP80: Is there any pictures?" }, { "id": 261, "title": "Functional Orthodontists?", "dialogue": "Jaters: I have an overbite with a 6mm protrusion, crowding, and a bit of TMJ. I've visited multiple orthodontists on regarding getting braces for my mouth. In regards to my receding chin (Class II case), all 4 doctors have told me they cannot move my chin forward; they can only push back my upper front teeth. One of them told me I may need to extract 4 teeth, another told me 2 on the top. Last two doctors told me I didn't not need to extract any teeth. They all told me that the changes will be subtle and they will almost be no change to my face and/or jaw structure because I am 17.\n\nNow the real reason I'm started this is to ask if anyone has any experience with a \"functional orthodontist.\" I have browse the net for them and according to various sources, they can actually move the jaw forward by using \"functional applications.\" But even so, there was very limited amount of information about this practice. So follows a few questions:\n\n1) ANY experiences at all with functional orthodontists?\n\n2) What is the average cost difference of functional vs traditional?\n\n3) Ways to find a functional orthodontists? I tried the International Association of Orthodontists website.\n\n4) All other information regarding this and my overbite is greatly appreciated drmins: Hi Jaters,\n\nI practice myofunctional stimulotherapy (mfs) at my practice. You can find many others at your place too. You may check online directories of the respective local dental associations. Functional appliances will have their better roles in growing induiduals,to guide the growth. \n\nRegarding whether you have to extract 2 or 4 teeth, it all depends upon your model analysis.\nShare any side view pic of the case (although precise opinions need further examinations)" }, { "id": 262, "title": "Avg time length for braces/Invisalign to close gaps", "dialogue": "Tony from australia: How long would it take on average for braces or Invisalign to close the gaps in my teeth !??? gersson: It is difficult to say the exact time period for closing the gaps. Better, consult with an orthodontist today to get the best idea and the complexity level of your teeth. drmins: Hi Tony\nIt would be good if you can post a side view profile pic of your tooth,to analyse the over jet and bite.\nJust a front view pic is insufficient to make a comment upon. \nThere are chances that you will need some bonding or veneers. Pls update with pics\n\nThank you\ndr. mins" }, { "id": 263, "title": "worry about my kid orthodontic issue", "dialogue": "Munzir Khan: My body is 12 years old and have now serious issue with his teeth, main issue started when he had continuous two milk teeth from the same location caused the permanent teeth bend up on a upper jaw\n\nSecond issue is on a bottom jaw a permanent teeth is coming overlapping with another permanent teeth instead of its actual location\n\nKindly suggest the best way to overcome this issue ...\n\nattached is the picture for the reference\n\nMany Thanks\nGod Bless you all Munzir Khan: Anyone??? Atul Sharma: Tooth Contouring and Reshaping Surgery procedures are helpful to solve problem of dental overlapping. Tooth reshaping, or dental contouring, is commonly used to alter the length, shape or position of your teeth. drmins: Dear Munzir Khan,\nYour kid badly needs his orthodontic consultation and treatment to be started asap.\nThere are few appliances which can be used to guide the eruption,rather than waiting for permanent teeth eruptions to be complete." }, { "id": 264, "title": "Fluoride dentifrice prescribed to you?", "dialogue": "fauzi: Hi everyone.\n\nLast meeting, my dentist given me some toothpaste called Duraphat 2800. he said this paste will help me prevents me from major caries tooth issues. I never heard of this type of high fluoride toothpaste, and I wonder its effectiveness.\n\nI'm a guy who loves to do some research when I encountered something new. I found out there are others high fluoride paste such as Duraphat 5000 and neutrafluor 5000 in the market.\n\nI just wonder if anyone here also given/prescribed high fluoride toothpaste like me?If so what is the brand/type of the toothpaste?\n\nThanks guys." }, { "id": 265, "title": "Had my teeth cleaned after braces, now have small gaps?", "dialogue": "123A: So I recently got my braces off after three years.\nThe week after, I went to see the hygienist who cleaned them thoroughly and polished them.\nI now have a couple of gaps in between my front bottom teeth. \n\nQuestions are:\nWill the gaps close up again after a while, as I am assuming they were previously filled up with plaque/tartar/cavities?\nBecause one of the smaller gaps already seems to be closing\n\nThe other gap is fairly big, so can I get some bonding done to close this gap? this gap is in between my two middle lower front teeth\n\nThanks everyone!" }, { "id": 266, "title": "The Most Common Causes of Adult Tooth Loss", "dialogue": "dentistfinder: Adult tooth loss can be extremely embarrassing. Read about the most common causes tooth loss so you can keep your pearly whites healthy into your senior years.\n\nGum Disease\n\nGingivitis, Periodontitis, and Alveolar Bone Loss\n\nGum disease is a serious condition that affects millions of men, women, and children throughout the world. The gum disease gingivitis is a milder form of gum disease that can be easily treated by adopting a proper brushing and flossing routine. However, if gingivitis remains untreated, it can progress into periodontitis.\n\nPeriodontitis is caused by a severe build-up of bacteria on the teeth and along the gum line that eventually results in bone loss. As the alveolar bone, which supports the teeth, deteriorates, teeth can become loose and fall out. Periodontitis is one of the main causes of tooth loss, especially among adults aged 65 and older.\n\nAccording to an article published in the Journal of Periodontology, you are at increased risk of losing your teeth to periodontitis if you are:\n\nAged 35 and older\nMale\nAvoiding professional dental care\nNot using a toothbrush\nA smoker\nSuffering from diabetes\nSuffering from high blood pressure\nSuffering from rheumatoid arthritis\n\nDental Caries Disease\n\nCavities and Tooth Decay\n\nWhile periodontitis is more likely to lead to the loss of multiple teeth, dental caries can lead to the loss of an individual tooth. Dental caries are caused by the presence of plaque on the tooth’s surface and are most commonly known as cavities or tooth decay. When a cavity initially develops, it damages the outer surface of the tooth. As it continues to break down the tooth’s surface, it gains access to the inside of the tooth, where it can cause significantly more damage and tooth pain.\n\nThe length of time a cavity is left untreated is proportional to the degree of damage sustained by the tooth. If a cavity is detected in its earliest stages, a simple filling may be all that is required for treatment. If the structure of the tooth is severely damaged, a crown or inlay or onlay may be needed to provide additional support to the affected tooth, while root canal therapy may be required to remove damaged areas of the tooth and seal any openings.\n\nIn the most severe cases, the tooth cannot be saved and must be removed. When people lose a tooth to a cavity or some other trauma, dentists strongly recommend that a replacement tooth be used to fill the gap so that surrounding teeth are unable move out of alignment. A dental implant, bridge, or partial dentures can be used to replace missing teeth.\n\nInjury\n\nAuto Accidents, Falls, and Trauma from Sports\n\nAccidents or events that cause sudden impact to the facial area can lead to the loss of a tooth or several teeth. For example, a person can fall on an unforgiving surface such as concrete and snap off the bottom portion of a tooth, permanently damaging the nerves and structure of the tooth. An individual involved in a fist fight could receive a forcible blow to the mouth area that knocks a tooth out of its socket.\nTooth loss from injury can be caused by:\n\nMotor vehicle accidents\nBiking accidents\nFalls\nAssault\nContact sports\n\nPrevention of Adult Tooth Loss\n\nProtecting your teeth from dental caries and gum disease is pretty simple and straightforward. You just need to maintain proper oral hygiene by thoroughly brushing and flossing your teeth twice a day and scheduling dental exams every six months.\n\nProtecting your mouth from injury, however, is not quite as easy because most dental injuries result from accidents. Common sense safeguards are the surest way to protect your teeth in the event of an accident; for example, wearing protective mouth guards while participating in sports, being a safe and attentive driver, and avoiding physical altercations can help you to avoid losing your teeth to injuries. mandy22: Hello\n\nHi Everyone. FamilyOrthodontist: Brushing is important and correct brushing technique is essential. Many do not brush long enough and to make it worse, they don't brush with the proper technique and as a result they are leaving harmful bacterial behind. \n\nAlong with proper technique, I suggest using a good quality mouth wash. LADentalclinic: Fortunately there are much better options for replacing missing teeth than there was in the past. One of the latest and most ideal are dental implants. Once restored, they function like natural teeth. gersson: Usually, the teeth nature of each individual will vary from other, consulting a proper orthodontist is the best way for finding the right solution for adult tooth loss. Nicolas: In order to prevent Adult tooth loss, you need to take good care of teeth. I too agree that brushing teeth twice a day is the most effective way to avoid tooth loss. In addition, visiting a dentist for a check up after every two or three months is advisable and get your teeth cleaned up will save you from dental problems." }, { "id": 267, "title": "Open Bite", "dialogue": "Hannah: Hi, I have a question concerning my chin and bite -- I've done some research and after comparing myself to pictures, it seems that I have a receding chin? My orthodontist gave me braces (twice) in high school and a retainer in middle school to straighten out my teeth and address my underbite and open bite. Before my braces, my jawline and chin seemed to be perfectly fine, but since then, my chin has receded. My open bite isn't any better -- my upper teeth barely touch my lower front teeth. My orthodontist noticed this and said that maybe I should look into making an appointment with a jaw surgeon. Although I dislike my profile and my lack of a jawline, I'm not so keen on jaw surgery. Are there any other options? I'm not sure if this has any significance, but I am going into my 3rd year of college (19 years old) and I just had my wisdom teeth removed last week. I'd appreciate any advice!" }, { "id": 268, "title": "Demerits of Invisalign Braces", "dialogue": "stevengoldy: Is Invisible Invisalign Braces Have Any Kind Of Demerits?\nI don't think that it have any kind of demerits,\nbut still any one of you face problems with invisalign\nthen please share with us LADentalclinic: In my practice we've offered Invisalign for years and haven't received any complaints from patients. Not every ortho case can be corrected with Invisalign. Severe cases would still require traditional braces. dr atish malviya: only non-extraction cases are better with invisalign, Dr.RatnaIndah: Hello buddy, I don’t think there are any drawbacks. It’s all about how to maintain them. I have been installing invisalign braces for 2-3 years, and I have not heard any complain from my clients. gersson: I think Invisalign braces are not having any kinds of disadvantages. It is one of the comfortable way of solving all kinds of minor and major teeth issues. MarkSummers: Invisalign aligners are removable, they can be lost or broken when they are out of your mouth; and If they are not worn properly or enough of the time during the day, then your teeth will not move properly or at all. Therefore, patient cooperation can be an issue. Success with Invisalign treatment begins with proper diagnosis of a patient’s problem." }, { "id": 269, "title": "Is there any way to fix off centered teeth?", "dialogue": "Alice: Is there any way to fix it? I had braces and my teeth have been like this. My family says its from not wearing my retainer, but I know it was like this when I first got them off. They aren't really that much off center, but I absolutely hate it and try to hide my teeth. Also, it is only my upper teeth, the lower teeth are perfect. If they were to fix it, wouldn't it mess up the occlusion?\nI plan on going to the orthodontist in a few weeks for their opinion. But do you think there anyway to fix it without braces? LADentalclinic: Is there a photograph? MarkSummers: Invisalign can fix your midline concerns but it can be difficult. I know if bothers you but I would ask some friends if they notice it. I am sure they will not even realize you had an issue. BilboSwaggins: +1 for Invisalign! No one even needs to know about it http://" }, { "id": 270, "title": "Night guard", "dialogue": "Frenchie: This is my second day wearing a custom made night guard that the dentist made for me and I am having problems with it. I noticed that when I bite down only with the right side of my molars there is a gap between the night guard and the upper molar encased(at the very end where the night guard ends). When I bite down with my left molars there is no gap. So the pressure of my bottom back molars to that of the upper back molars shifts the night guard BACK slightly. This is a problem because the gap puts pressure on my front teeth when biting down. When my jaw relaxes during sleep the very back molars rests on each other causing a slight pull of my front teeth and my front teeth feel sore in the morning.\n\nAlso the night guard seems to make me more aware of my clenching and grinding during sleep, is this normal? I specifically notice when I bite down with my back molars.\n\nIs this normal or should I talk to my dentist? LADentalclinic: It is not unusual for a custom night guard to need some adjustment. Many times a patient can't identify areas that are uncomfortable until they wear the guard overnight. You may need more than one adjustment. Adjusting them is pretty fast and easy to do. Definitely contact your dentist for an appointment." }, { "id": 271, "title": "Discolored false tooth in invisalign", "dialogue": "cpecrivaine: I'm in the process of having and implant done, and I have an invisalign retainer with a pontic (I think that's what it's called) filled into the gap. It's a front tooth, and the substance to fill it is a slick, spongy type, which used to be white, but has now discolored to a near brown--needless to say it looks awful. Is there any way I can whiten this again? I tried using an efferdent cleaner, and the teeth whitener I received from my dentist, but no luck. \n\nAny ideas? I'm not sure how much it will cost to replace, but perhaps that's my only route. \n\nThanks!!! AuraOrthodontics: Regardless of what you're dentist says, there are no teeth whitening procedures that will make a false tooth or dental work the same color as the rest of the teeth. I would get a second opinion, but chances are if it bothers you that much you may need to see a cosmetic dentist. There are options with crowns and dental implants. MarkSummers: Consult with your dentist for the best tooth discoloration treatment options for your individual case." }, { "id": 272, "title": "retainers", "dialogue": "thejwar: how long after braces must you wear your retainer? chicagodentist: braces\n\ni think it depends on your dentist. i have my braces for more than a year already but can't proceed with having retainers for the reason that my bite is still not normal. my dentist told me that it depends on how fast your teeth respond on the braces. NemesisLQ: depends on dentist AuraOrthodontics: I'm an orthodontist in Surrey, B.C. The amount of time you must wear a retainer really varies by person. Some people need to wear it for a few months every day, all day and then only at night for the rest of the year. Others, who's teeth begin to move back to where they were prior to braces might have to wear their retainer for years, however, at night only. stevengoldy: Hello, \nI think that the situation of using retainers is depends upon the time consumed by your teeth to repositionized well. LADentalclinic: I've noticed several patients who have to have orthodontic treatment for a second time because of not wearing their retainers. Many of them choose Invisalign the second time because it is more comfortable and is removable. leerap: After your braces you need retainers, you have to wear it 24/7 normally 3-6 months or until your bite stabilises." }, { "id": 273, "title": "congenitally missing lateral incisors", "dialogue": "kaycie: To start off, please be easy with the comments, I am extremely sensitive about my teeth. I consider it a deformity and this has caused years of depression and misery in my life. I cry about it nearly everyday because I feel so helpless and I wish somebody would have cared enough to fix my teeth before I realized how ugly they make me look.\n\nAnyway, i am 23 years old and was told about 3-4 years ago that I'm missing my upper lateral incisors and that my canines had taken their place. I'd always wondered why my teeth always looked so different and it did not help my self esteem any to finally know what was wrong because I realize it costs thousands of dollars to fix. I am a mother of two and am desperate to find some way to pay for the procedures to have a beautiful smile like the rest of my peers. It seems everyone that I come in contact with has all their teeth perfectly where they should be and its so upsetting. While I understand everyone is different, I feel there is no one else with teeth like mine. Though, I have read online there are, I have never met anyone with this condition.\n\nI am searching for advice on how to fix my teeth and how to afford it without insurance. I just moved into a new area and have had trouble landing a job because I have no one to watch my youngest son. My boyfriend works all day long, but doesn't make nearly enough to afford my problems. This deformity has caused me so much anxiety and depression I just need to start somewhere, I need to get this fixed. Ive never had any friends, I've always felt no one likes me because I look like an ogre....Before I knew what was wrong with my teeth, in middle school, I attempted suicide because of my severe depression over this matter. I am 23 years old and have spent over half my life feeling ugly and worthless, I NEED HELP! If ANYONE has any advice or knows an orthodontist who is caring enough to work with me and my needs, I would be eternally grateful. Finally being able to smile would make me one of the happiest people alive! Ive never been able to smile. I have little to no pictures of my childhood because I've never been able to smile confidently. I really need this, if you have dealt with this or know what I can do, please dont hesitate to share!\nPlease excuse my \"ogre smile\", this is what I have to work with. dr atish malviya: kaycie said:\n\n\n\n\t\t\tTo start off, please be easy with the comments, I am extremely sensitive about my teeth. I consider it a deformity and this has caused years of depression and misery in my life. I cry about it nearly everyday because I feel so helpless and I wish somebody would have cared enough to fix my teeth before I realized how ugly they make me look.\n\nAnyway, i am 23 years old and was told about 3-4 years ago that I'm missing my upper lateral incisors and that my canines had taken their place. I'd always wondered why my teeth always looked so different and it did not help my self esteem any to finally know what was wrong because I realize it costs thousands of dollars to fix. I am a mother of two and am desperate to find some way to pay for the procedures to have a beautiful smile like the rest of my peers. It seems everyone that I come in contact with has all their teeth perfectly where they should be and its so upsetting. While I understand everyone is different, I feel there is no one else with teeth like mine. Though, I have read online there are, I have never met anyone with this condition.\n\nI am searching for advice on how to fix my teeth and how to afford it without insurance. I just moved into a new area and have had trouble landing a job because I have no one to watch my youngest son. My boyfriend works all day long, but doesn't make nearly enough to afford my problems. This deformity has caused me so much anxiety and depression I just need to start somewhere, I need to get this fixed. Ive never had any friends, I've always felt no one likes me because I look like an ogre....Before I knew what was wrong with my teeth, in middle school, I attempted suicide because of my severe depression over this matter. I am 23 years old and have spent over half my life feeling ugly and worthless, I NEED HELP! If ANYONE has any advice or knows an orthodontist who is caring enough to work with me and my needs, I would be eternally grateful. Finally being able to smile would make me one of the happiest people alive! Ive never been able to smile. I have little to no pictures of my childhood because I've never been able to smile confidently. I really need this, if you have dealt with this or know what I can do, please dont hesitate to share!\nPlease excuse my \"ogre smile\", this is what I have to work with.\n\t\t\nClick to expand...\n\nconsult with an orthodontist first" }, { "id": 274, "title": "Orthodontic Disaster", "dialogue": "OrthoHelp: Hi,\n\nI live in the UK. I had a tooth extracted following a nasty abscess. Rather than having an implant to fill the gap I decided to have orthodontic treatment to correct some over crowding.\n\nI was advised my treatment would take 2 1/2 years and cost £7.5k (Incognito top teeth,Radiance on the bottom teeth). I was also advised that another tooth on the opposite side of my mouth would need extracting to create space (upper teeth).\n\nI am now 2 1/2 years into my treatment, it should now be complete.The 2 large gaps created by the missing teeth have not closed at all, this is because I have had continual Incognito breakages, approximately 8 breakages of the brackets. I am now being told that my treatment will take a further 18 months IF there are no more breakages. I remember in my original consultation the Orthodontist mentioned putting 'blocks' on my teeth because of my bite. This has never happened and the breakages have been constant.\n\nI am female in my mid 30's and my confidence is shattered because of the missing upper teeth, I never expected to have to endure 4 years (at least!) of braces and missing teeth - my treatment should be finished by now. I am totally self-conscious in work and social settings, I can't smile properly for fear of showing the large gaps and I dread having my photo taken. Aside from all this, the time out of work to go and have the breakages looked at is becoming unmanageable. I also have to be careful what I eat and how I eat it, something I was prepared to do for 2 1/2 years but not 4+ years!\n\nI have 2 questions:\n\n1) Should I be entitled to a complete refund and go elsewhere to finish the treatment ?\n2) If my orthodontist offers the Damon Clear self-litigating braces, would this significantly reduce the time it take to close the gaps compared to Incognito ?\n\nThank you! dr atish malviya: you have not mentioned your age,as age advances density of bone increases ,if after certain age bone becomes dense and teeth are not able to move .so its not a matter of type of braces ,its matter of aging process,may be." }, { "id": 275, "title": "Brushing with braces, is 2x a day enough?", "dialogue": "ThatSurfin'Guy: Hi, i've only had my braces for 4 days and my teeth are just starting to stop hurting so i will be able to brush thoroughly now but i was wondering, is brushing thoroughly with flossing as well twice a day enough to keep them healthy and prevent future problems? Also i have a constant problem of the wire behind my teeth scratching my tongue. Will my tongue get used to it and 'acclimatise' (in want of a better word) or will i just have to live with it? stevengoldy: Yes.!\nI think brushing and flossing is more than sufficient twice in a day.\nand you must get better suggestion from your nearest dentist\nhe can check the exact situation of your teeth and check why it scratching your tongue LADentalclinic: Hygiene is more difficult with braces, so most ortho patients have to brush and floss more frequently than non ortho patients. If your braces are scraching your tongue, have a dentist or orthodontist adjust it because this is not something that you will get used to." }, { "id": 276, "title": "gum from bridge area rubs on cheeck", "dialogue": "lunchtime12: hi in my upper left back area I have a 3 tooth bridge i got my wisdom tooth out in that area i don't have any pain or anything but sometimes it feels like my gum is rubbing rubbing on my cheecks is that normal if anyone can let me know why that is that would be great thanks" }, { "id": 277, "title": "Interested in Braces", "dialogue": "NemesisLQ: I'm 32 and I am planning on going to get some work done on my teeth (braces, possibly wisdom teeth out, clean ups, etc) I was wondering basic of these pictures how much work do you think would need to be done because I am a little worried about the cost. I know braces go for 3-5k. do I need my wisdom teeth out in order to get braces? I also have a tooth that had a root canal done to it without a crown on my lower jaw which the tooth just chipped off today (posted as a picture) and I also have another tooth on my upper row with a hole without any chips yet.I also have a brown spot on my front tooth which I am not sure what the cause is, maybe decay? I brush my teeth twice a day so I'm not sure why I have so many dental problems. Any advice would be kind, thank you.\n\n\ndownload1.jpg Photo by NemesisLQ | Photobucket\n\ndownload.jpg Photo by NemesisLQ | Photobucket freeandhappy: Leave it to the Pros!\n\nFirst off, I applaud you for getting your teeth overhauled. That's a hard decision to come to for so many reasons! The big one, MONEY!\n\nYou're right, braces can cost between 3-5K normally. For all the other work you're looking to have done too- it will cost a pretty penny. It really does NOT have to! AuraOrthodontics: The cost of braces varies depending on how long your treatment will be, the complexity of your case, and the type of braces you choose. For example, standard metal braces are much cheaper than Invisalign or other options. When you go to your first appointment, tell the orthodontist up front that you're concerned about cost and discuss possible financing. I offer a variety of options at my orthodontics practice and I'm sure most orthodontists do as well. MarkSummers: The braces can cost about 5k. Some insurance carriers provide partial coverage for orthodontic treatment stevengoldy: Hello,\nThe overall cost of braces depends upon the complete duration of treatment u need to implement.\nand in other hand it also depends upon, which type of braces you prefered\nif you choose invisalign braces then it will more expensive as compare to traditional metal braces.\n\nBut i will suggest you invisalign braces, because these are the best alternative solution for metal braces. Dalton S. Coutu: It is really remarkable of you to list out every one of your dental problems like this. Not everyone will be able to do that.You need both braces and orthodontic treatment. he braces will cost around 5k, the normal ones, and anything else like the invisalign will cost you more.As for the orthodontic procedures I here that there is no limit. You can spent as much as you like for a cosmetic dental treatment. But since you are only doing to get your teeth corrected and whiten your teeth I won't cost much." }, { "id": 278, "title": "Canine root?", "dialogue": "darren: Hello\n\nI had two teeth extracted in November 2013 and the gap seems to be closing fairly quickly - had my upper First Premolars extracted. But last month I felt the root of my Canine through my gum, by that I don't mean it's protruding the gum line, I can just feel the root and the top of the root. I've spoken to my Orthodontist and was told 'they are keeping an eye on this tooth, it will be fine' \n\nJust wanted to see if anyone else experienced this when undergoing orthodontic work.\n\nI'm currently two years into my treatment and should be ready for jaw surgery by June/July this year. \n\nThanks" }, { "id": 279, "title": "Should I Get A Bonded Retainer or Will My Removable One Work?", "dialogue": "William: Okay dokay...\n\nI've been out of braces for 3 years.\n\nI have a bonded retainer on the bottom only. On top I have a removable retainer.\n\n I'm just worried that overtime my plastic \"invisalign\" type retainer will morph with heat exposure, etc. and pretty soon I'll be forcing my teeth away from where they are now.\n\nI have consulted a few ortho's and they really don't have any definitive answer for me. Hopefully the internets will! \n\nNow, I am not posting this question to get out of any \"work\" of dealing with a removable retainer or flossing around a permanent retainer.\n\nSo which is best for my top teeth? Perm or removable? And I've been told if I go perm on the front teeth, I will still have to do a removable to keep my molars in place.\n\nSo is it worth getting a perm. retainer for the top??\n\nThanks for your time!!!!!!!!!" }, { "id": 280, "title": "Do i really need a brace?", "dialogue": "searsison: Hello everybody, \n\nI have a bit of a dilemma where ive asked my dentist what i should do about my teeth and the only answer i have been given is to get a brace fitted, my trouble is only 1 tooth is out of place which is my right canine tooth. Ive searched over the internet and have struggled to find anybody with a similar kind of problem to myself, its not a major hassle but i feel it slightly affects my speech and makes my smile not very appealing.\n\ni would love to know if there is anybody here who knows anybody who has had the same or similar kind of trouble in the past, understandably i dont want to fork out over £3000 for invisalign just to move 1 tooth! \n\nany suggestions of alternative treatments would be greatly appreciated, the only option i can think of is get the tooth pulled and then have an implant in the correct place but im in way over my head thinking about the costs of that procedure!\n\nthanks \n\nView attachment 54\n\nView attachment 55 AuraOrthodontics: I'm an orthodontist in Surrey, B.C. I'd have to examine your teeth to give you a definitive answer. However, in my experience a retainer can sometimes fix the problem at a fraction of the cost. I have had patients who have needed braces for one or two teeth that were \"out of place.\" This was due to their bone structure and the severity of the tooth's displacement. I would definitely see an orthodontist (not just the dentist) and get at least two opinions. If the retainer doesn't work you can always finance braces at a later date. It's worth a shot. LADentalClinic.com: It's probably best to follow the advice of your Dentist, although I a retainer can be effective in moving one tooth. Taking the advice of a dentist who has actually examined your mouth is far better, though. My suggestion, is to raise your concerns with your dentist. Rex Fuller: Like above comments, I think that it is best to listen to your dentist about it. Braces would be better than surgery." }, { "id": 281, "title": "How I'm fixing gap in my teeth the cheap way (Progress thread)", "dialogue": "informedbrah: nvm" }, { "id": 282, "title": "What is a 1st-Order Rotation Bend Exactly?", "dialogue": "kellogg9: Hi!\n\nQuestion: I have braces but my upper-left canine (tooth #2.3) is a slight mesial rotation towards the palate. I have been trying to tell my ortho the problem but he doesn't seem to understand what i mean entirely. He's tried to do a detail bend to correct it but i feel after 3 attempts the bend is not working and my canine is still incorrectly positioned. So i would like to better describe the problem to him. So to be clear:\n\nMy tooth #2.3 is mesially rotated towards my palate. Which means that its distal surface is a tad rotated facially (labially). So my thinking is it needs a 1st-order rotation bend? Is that the correct terminology for it? I say this because 1st order bends are all about step-ins and step-outs and so i am looking to step-out the mesial surface, but at the same time step-in its distal surface. By doing so at the same tine would result in a rotation around its long axis. The bend i am thinking would look like this (see attached image).\n\nIs that correct? If you can give me the problem wording i would say to my ortho that would be great. Thanks very much!" }, { "id": 283, "title": "What is the best way to close teeth gap permanently?", "dialogue": "jtangpos: I'm searching around the internet to find the best alternative for braces but I'm confuse to buy the orthofill bands at orthofill[dot]com website since I'm not familiar into it but I see some testimonials in youtube that its working.\n\nI would like to hear some suggestion before purchasing this bands.\nthanks in advance. invisaligng4: Invisalign for open bites, vrowding and alignment issues\n\nI have an anterior open bite, a vertical gap, which is harder to close than horizontal gaps, such as spaces between your teeth. I have read that invisalign is great for crowding and horizontal spaces (alignment issues) as well. \n\nI am a current invisalign g4 patient and am in the beginning of my treatment. I have already started to see results. If you are hesitant about results, you can see pictures of results so far on my blog [link below]. You have to \"qualify\" for invisalign treatment so I would ask your ortho if this an option for you. Invisalign has features that gives dentists more control over tothe movement than traditional fixed braces. A clincheck is a visual video computer simulation of your teeth movements that your dentist can show you after you do your impressions. \n\nI am really starting to see results for the first time and I am thrilled. I smile now, which i never did before. I dont bite when i smile yet because i still have a gap but by the end of the treatment, i am sure i will be able to. I hope this helps you make a decision. Best of luck to you. Below is the link to my blog. Because we cannot post links i have seperated the link into pieces but be aware that when you type this link into your address bar on your browser,there are no spaces. http :// invisaligng4 .blogspot .com FamilyOrthodontist: I would suggest Invisalign as well. We achieved outstanding results using it and our patients are very happy during the whole treatment process.\n\nThere is lots of information available online with plenty of before and after pictures. AuraOrthodontics: As the other commenters said, Invisalign is a great alternative. If you are unable to afford treatment, inquire as to whether or not your orthodontist has financing options. I would not buy anything on the Internet that claims to work the same as braces, because you are not an orthodontist and most likely neither is the manufacturer. See a doctor and find out your options. It could be as simple as having a retainer fitted, which is a fraction of the cost. atulmishra: I will suggest you take advices in advance from a Dentist, Also you need to check up your current health status that will decide which procedure is reliable for you..." }, { "id": 284, "title": "Is expired carbamide peroxide dangerous?", "dialogue": "RJ2000: I got my braces removed many years ago, 6 or 7 to be exact, and I was sent home with a take home whitening kit that used a carbamide peroxide gel, around 22% I believe. I was instructed to put a small amount in each depression of a retainer I have and use overnight, maybe 2 or 3 nights in a row. Well it worked fine, with some sensitivity of course, and i wanted to use it again. I realize that it expires after about 2 years at the max, but i went ahead and used it again as directed for 3 nights. The kit had 2 syringes, and one was still unused. I should have just used that, but instead finished off an old half empty one w/ no results. Heres my question.... Is there any danger of damaging my enamel with this expired product? This is not an easy answer I know but i would appreciate it... I used the unopened syringe and started seeing results around the edges and ridges of my molars, areas of pure white.... after only 3 hours so I think the unopened syringe may still have something left in it.... Of course I dont want to do permanent damage to my teeth because i am too lazy or cheap to buy a new whitening kit so, I took it out and came down to the computer for some answers. Just wondering if anyone knew the dangers, if any. Thank you. AuraOrthodontics: I'm an orthodontist and I've heard of this dilemma a million times from patients. Carbamide Peroxide actually expires after 2 1/2 years. After the expiration date it is less effective. If the product is no longer good you will notice that it turns a milky white. It shouldn't damage the enamel (orange juice is much more acidic), however if you notice extreme tooth or gum sensitivity, discontinue use and purchase a new whitening kit." }, { "id": 285, "title": "Help dentist charge", "dialogue": "Klam1991: First of all I had visited a dentist office about getting Invisalign which they told me they can do it for a much lower price then what another office had quoted me. (It turned out costing the same). I agreed and paid anyways and all my receipts says I'm paying $4500 for clear aligners and an expander. 5 months down the road the dentist office calls me and tells me I can't get clear aligners and I have to get braces. Otherwise they'd have to charge me and additional $225 per aligner and I'd need 8. I very reluctantly agreed to the braces because I had financed it and wouldn't be able to get the money I paid them back. Is that legal? I thought this would be considered bait and switch. Another question is the braces took 6 months to put on and take off. Well they give me a retainer and never told me that I was going to pay for it and 7 months down the road I get a letter saying I owe $600 for that retainer. Is it legal for them to charge me without informing me and I never signed anything to agree to pay for it either. Is anything they are doing legal? AuraOrthodontics: I'd have to be present for the entire interaction to say confidently whether or not it's illegal. However, as an orthodontist, if there was no fine print that you signed in the very beginning or it's not listed anywhere visible at the orthodontist's office, I would say there's a good possibility that it's illegal. Perhaps discuss this with a lawyer, after talking with the orthodontist's office and explaining your concerns." }, { "id": 286, "title": "Braces for 8 years - HELP!", "dialogue": "eg0132809: Hello all-\n\nI have had braces for 8 years and while they have made major improvements, I have not seen anything change in the past 2 years. They have suggested that I wear rubber bands, but I never have the capability to wear them. I work at a call center and am required to talk on a phone, and then go to class during the week also. I find it hard to find time to wear them. When I did attempt to wear my rubber bands I did not see any changes. At this point I am ready to have them taken off, but would like a second opinion. Should I keep them on or take them off and look at an alternative solution? i.e. cosmetic surgery, dental caps Thanks for reading. moon: I'm not a professional, just a consumer, and am sorry nobody has answered your question - AND that you have had braces for EIGHT YEARS! That is remarkable (perhaps even insane).\n\nPersonally, I'd be going elsewhere for a 2nd opinion. I'd also be figuring out how to be compliant and wear rubber bands for the time you need to. AuraOrthodontics: I'm an orthodontist and I've never had a patient where braces for 8 years. I would definitely get a second opinion. As for other options, Invisalign is great because you don't need rubber bands and you can take it out to eat, brush your teeth, etc. No bands are required. Also, have you looked into sublingual braces? This is where the actual brackets and ties are placed behind the teeth. If you're teeth haven't moved in 2 years, you definitely need to look into it with another orthodontist." }, { "id": 287, "title": "Bottom Crowding", "dialogue": "issuance72: I had a lot of work done as a child, including root canals, crowns and an abscess that had to be drilled and filled but couldn't be numbed. As a result when my wisdom teeth grew in I avoided having them taken out as by then I avoided dentists whenever possible. The result is the crowding seen in the photo.\n\nI'm 41 now, and have been seeing dentists regularly form more than 10 years now, so my anxiety is manageable. I'm open to any solution at this point, as I would like to mitigate the crowding, fix the discoloration and change out the cap on my front tooth as part of my plan to correct my smile..\n\nThanks,\nJohnny" }, { "id": 288, "title": "Overbite affecting my speech?", "dialogue": "overbitekid91: I've been struggling with basic speech for quite a while now and I haven't really been able to pinpoint a reason. Upon speaking in front of a mirror, I realized that my teeth overlap while I am speaking. Is it possible my overbite might be the cause of my distress? danielhermann: hi overbitekid91\noverbite has many causes unevenly jaw growing ,childhood oral habits, nail biting etc.it is also possible due to distress. it can affect the structure of face.if you are suffering from overbite, never too late to correct your overbite and improve your quality of life." }, { "id": 289, "title": "Dental Bridge Cost", "dialogue": "rnaderpo: Hello,\n\nWhat is an average cost of Dental bridge? \n\nThanks,\n\nRN" }, { "id": 290, "title": "Will Braces.....", "dialogue": "AlphaK3: Unfortunately i have bad teeth therefore need braces\n\nAnd i was wondering my bottom half of my face is pretty long.... mouth to chin, etc\nAlso my jaw isn't straight so if i don't express any facial expressions my jaw will slant to one side, even my orthodontist said my left side of my jaw is growing more than my right!\n\nSo i was wondering will Braces, fix my jaw? Make it straight and my face less protruding?" }, { "id": 291, "title": "tongue thrust /sucking / suction / clicking sound while asleep", "dialogue": "mommy715: My young daughter has this same issue. I'm supprised its not more common or a well known issue. Her dentist is not even knowledgeable about the condition which frustrates the mess outta me. Even more annoying is the sound my daughter makes when performing this action. It makes my skin crawl seeing her mouth move in that manner and her chin tighten up so much that I can't even pry her mouth open to break the suction and stop the clicking noise it produces. There orthodontist inserted an appliance for normal tongue thrusting but it did nothing to prevent it. This started when shelost her front teeth at 6.5 years old and its been going on for two years now (she's 8.5 years old) her entire front teeth and gingiva and palate protrude so much it seems she can't close her mouth and her teeth look like they're gonna fall right out of her mouth. So frustrating !! I'm pretty sure her habit is hereditary as I had a lip sucking habit, one of my siblings was a thumb sicker and another two have a tongue thrusting habit although very mild and not nearly as extreme as my daughter's. Ian's they never seemed to break that habit even as adults. That worries me because I don't want my daughter or anyone ho has to be around her to have to deal with this. I wish there was a solution. I need help !" }, { "id": 292, "title": "Paperless patient check-in", "dialogue": "arrowortho: Hi! \nOur office recently started paperless charting. We, however, are still working on figuring out a way to check our patients in. Our charting program does have an option for this- but can be quite expensive. Before going paperless, when a patient arrived we would pull their charts. In transition we've been printing tray sheets with the patient's name and placing in arrival order. This is very wasteful since we only need the sheet to see the patient's name. \nI am curious as to how your office checks patients in and informs the assistant/hygiene staff. \nWe've tossed around ideas of a dry erase board with a patient's name.... listing names on a sheet of paper.... nothing that has been an amazing idea yet. \nThanks so much! FamilyOrthodontist: I know this post is a year old, yet no one had replied, especially with more and more orthodontists wanting to go paperless and thought I would chime in to help.\n\nA good solution is a using a tablet PC mounted at the front counter. There are a few ways to go about this. One is a paid program and the other is free or close to it. \nThe free one or the lowest cost option is that your office could setup a webpage on your website that patents could access via a tablet PC that is located at the front counter.\n\nThere the patient could enter their info and then have it sent to the front desk. It would be as simple as just typing your name and clicking the submit button. \n\nNot only is this a simple and clean process, you can also ask for info such as their email and cell number to use for paper free messaging and have them check a box to authorize this type of communication for further use.\n\nWith new technologies becoming available almost daily, paperless has been an easy transition for us here at Family Orthodontics of Wellington, Florida and has actually help us connect better with our patients.\n\nBest of luck to you!" }, { "id": 293, "title": "For a Fresh and Clean Mouth", "dialogue": "dentistfinder: Aside from the fresh and clean feeling, and being unafraid to smile at the world, there are other benefits associated with a well maintained mouth. It is not for nothing that an idiom was born about an ounce of prevention being worth a pound of cure. And keeping your mouth clean is relatively easy, and cheap, for the most part. \n\nHere are a few tips to begin with: \n\nYour Toothbrush\n\n\nReplace your toothbrush every three months. After about three months, most brush bristles become frayed. This makes it less effective in cleaning your teeth. \nUse a sanitizer. Research shows that germs can remain and breed on wet toothbrushes. This can potentially prolong infections such as gum disease or sore throats. Choose from several brands available on the market. Most can kill almost 99 percent of germs.\nKeep toothbrush separated from others'. Airborne bacteria can move from other toothbrushes and from other sources in the bathroom can spread infections such as periodontal disease, common colds and flu. \n \nFloss and Mouth Wash \n\n\nUse floss and mouth wash daily. Just like you brush your teeth. Why use just one tool when there is a whole tool box? \nLearn proper flossing techniques. Improper flossing can damage your gums and leave food particles still stuck between your teeth. Proper flossing helps remove particles between teeth that brushing cannot remove. Check out this brushing and flossing animation from the American Dental Association.\nConsult your dentist on choosing the best mouthwash. There are two types of mouth wash; cosmetic and therapeutic. Cosmetic mouthwashes mask bad breath. While they can eliminate some bacteria, they only have a limited effect on dental health. Therapeutic mouthwashes help build tooth enamel and combat disease and cavities. \n \nBe Well Fluoridated\n\n\nFluoride is nature's cavity fighter. It is present in all water sources. According to the Surgeon General, “Fluoridation is the single most effective public health measure to prevent tooth decay and improve oral health over a lifetime, for both children and adults.”\nUse fluoride toothpaste. American Dental Association recommends that teeth should be brushed twice a day with toothpaste containing fluoride. Other fluoride products include mouth rinses, special gels and pastes applied in the dental office. \nDrink fluoridated water. Water from community or public water supplies contains fluoride. Bottled water does not. To ensure you are sufficiently fluoridated, it is best to drink filtered tap water, whenever tap water is safe for drinking. \nFor over half a century, the American Dental Association has continuously endorsed the fluoridation of community water supplies and the use of fluoride-containing products as safe and effective measures for preventing tooth decay. However, according to the Association website, recent news reports have raised questions about the safety of fluoride in drinking water. It is worthwhile watching for the latest developments in this area to ensure you are well informed. FamilyOrthodontist: Another tip is stay away from sugary drinks and smoking." }, { "id": 294, "title": "is my dentist doing something wrong?", "dialogue": "eurii: i currently have braces and my dentist just gave me elastics to correct my open bite, she placed it on all four of my canine, it looks like a rectangle. its the second day im wearing these elastics but i noticed that it hits my upper gums. when i change every 6 hours i see a line embedded on my gums and some bleeding. is she doing something wrong cause it hurts a lot and im scared of the bleeding! FamilyOrthodontist: If your are bleeding you will want to talk to your orthodontist and let them know. They will make adjustments to help ensure they are as comfortable as possible." }, { "id": 295, "title": "Clear Aligner Systems", "dialogue": "grahamindustriesinc: For doctors using the invisalign system for patients needing braces, what makes you want to use them? Would you be open to trying a new system that had the same effect aesthetically and didnt include a monthly fee, or quota? FamilyOrthodontist: Invisalign works very well and our patients love it, but we would look into alternatives as they become available. As with any product, we want to ensure that we are using the best option for our patient's individual needs." }, { "id": 296, "title": "8 year old son with underbite", "dialogue": "Jeff: Please help! Our son is 8 and has what I am guessing is an underbite. His lower teeth protrude in front of his upper teeth. When he chews, you can see his bottom jaw come forward of his upper. We took him to a pediatric dentist and she is recommending a face mask (I think it is called an extra-oral traction device?). She said he would need to wear it full time for 3-6 months. The other option she said would be a retainer, but she said it would most likely have little effect. She said if we do nothing, his teeth would continue to grind away, which could create other problems and he could also be faced with needing surgery when he is older. \n\nDoes anyone have experience with this? Is this action effective? Are there other options? He is 8 and the thought of having to wear the mask is horrifying to him. His first comment was, \"No one at my school wears that.\" We can do all we can to help his self-esteem, but kids can be pretty nasty sometimes.... Any input is greatly appreciated. \n\nThank you!" }, { "id": 297, "title": "Lots of gaps after braces where removed? What should i do?", "dialogue": "bebalove0323: I had my braces removed after wearing them for more than 3 yrs. Right around the time when they were about to remove them, I noticed gaps, told them & was told that they will come together after a month of wearing my retainers. It’s now been 8 months and I only fear that it’s going to get worse. I'm no expert but I've tried my best to explain where they are...\n- gap (small black line) between Maxillary Central Incisors\n- gap (small black line) between Maxillary Central Incisor & Maxillary Lateral Incisor\n- Black triangular gap between Maxillary Lateral Incisor & Maxillary Canine\n- 1mm gap between both Maxillary Canine & Maxillary First Premolar\n- 1mm gap between Mandibular First Molar & Mandibular Second Molar\n(had IPR to have a band fit. Now I get a fowl stench & taste when I don’t remove food that gets lodged in) EWW! \nI know that these gaps may seem minor but it isn't to me. It wasn't only very expensive to get them done but it’s also been irritating my gums (where theres space) & it has made me more self-conscious then before I had any work done.\n***I also had 4 extractions due to crowding and an over-bite; I feel like they had better options (like using IPR) but they just took the fastest & easiest way out. I feel like it was their mistake and they should've calculated if that was going to be an issue. Now my ortho said that I need bondings and I need to pay it out of my pocket!!" }, { "id": 298, "title": "Uderbite. Kicks me when i'm down.", "dialogue": "YaiiE: Hello everyone, my name's Jeremy i'm 26 living down in Florida.\n\nWhen I was around fifteen or so my dentist told me I had an under bite. At the time I was to young for surgery and needed to wait for my jaw to finish developing.\n\nAs the years went on I didn't think much of it. That's until my top teeth started to chip... \n\nCome to find out my squeeky prepubescent voice, \"ass chin\" and constant chipping of my top teeth can all be attributed to my evil under bite.\n\nI knew the surgery was more expensive then I could ever afford so I went to my local dentist (down here in FL) to ask to have my top teeth repaired. She told me she could use vaneers but wouldn't recommend it until my jaw surgery is complete.\n\nCan I do the vaneers anyway? \"It'd be a waste of $600. And I won't do it.\"\n\nI appreciate her honesty but at the same time my heart sank. I just want to be confident when I smile... Or even speak. I swear when ever I talk to someone all they can ever do is stare at my teeth and it really wears on me.\n\nI want to know what my voice (should) have sounded like, what my chin should have looked like... I want to be able to speak without looking at the ground or looking away to mask my chipped teeth.\n\nI'm stuck at a crossroads. I have a 1 on 1 meeting with an Orthodontist on Monday but I fear bad news. I'd bet money my insurance wont cover the surgery and the surgery itself will be well over $30,000. \n\nDo I find a way to swing the surgery and spend the rest of my life in debt? Or do I let it go... And deal with this unnatural insecurity around people.\n\nI've read in some (rare) instances you can get a spot for a dentist in training or have the surgery in front of interns at little to no cost. Is that something within reason? I don't want to get my hopes up... But something has to change! \n\nI sat infront of the mirror this morning thinking what if I just sanded them down.. . So you couldn't see them at all! An irrational, impulsive thought... I just don't want to stand out for better or worse... I just want to look normal." }, { "id": 299, "title": "Types of teeth", "dialogue": "dentistfinder: Four basic types of human teeth make up the complete set of 32 adult permanent teeth. The following teeth can be found on each side of each jaw:\n\nTwo incisors \nOne cuspid or canine tooth\n02 premolars, also known as bicuspids\n03 molars \n\nEach type of tooth has a specialized function. Chisel-shaped incisors are used for cutting food while the canines with their single, prominent cusp are useful for stabbing and piercing food. Bicuspids, as their name indicates, have two cusps and one or two roots, making them suitable for chewing food. Molars are used for mastication—biting or grinding—of food to enable swallowing. Four or five cusps and multiple roots make them ideally suited for this role.\n\nPrimary or baby teeth are 20 in number and include only the incisors, canines and premolars. my smile: The four different types of human teeth are :\n\n1) INCISORS or Cutting teeth \n2) PREMOLARS or Bicuspid teeth \n3) CANINE teeth \n4) MOLARS or Molar teeth" }, { "id": 300, "title": "Can braces help clear sinus issues?", "dialogue": "allysonholley: I have always had sinus issues and recently the farmer we buy goat milk from told me that her orthodontist (who is retired now) said braces can correct behavioral issues (including ADHD) and sinus issues along with a lot of other things. Said it was due all the nerves that could be out of whack with an improper bite. Ever heard anything like that? The orthodontist I talked to in OKC disagreed." } ]