Reverse pull headgear for 9 yo: need advice on Doctor

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Motherofmax
Posts: 2
Joined: Tue May 03, 2016 5:26 pm

Reverse pull headgear for 9 yo: need advice on Doctor

#1 Postby Motherofmax » Tue May 03, 2016 5:53 pm

Hello, I am new to this forum so please excuse me if this subject has been posted before.
My 9, almost 10 year old son just had his follow up consult with ortho who recommended the RPHT for his class Iii underbite. It's very slight which he's had since birth. I have 2 concerns.
1. The Doctor didn't address the fact that my sons bone age is actually 11.5 (as per hand xray for his endocrinologist). I've read some papers indicating the bone age is more important than actual age in predicting success.
2. Doctor did not take panaramic X-rays which I've read were standard practice to get a proper diagnosis and make the correct treatment plan.

Anyone have experience with these or feedback as to how to tell if it's a good doctor? We have a second opinion scheduled.

Thanks

cdmoses6
Posts: 151
Joined: Mon Feb 09, 2015 8:52 am
Location: Kansas

Re: Reverse pull headgear for 9 yo: need advice on Doctor

#2 Postby cdmoses6 » Wed May 04, 2016 5:40 am

I don't have any particular experience with this subject, but I can suggest in general that it would be in your best interest to have multiple consultations. It looks like you have another one so that's good! I had 3 consultations just for my standard braces and every treatment plan was different in one way or another. I do also find it very fishy that they didn't perform a panoramic x-ray before devising a treatment plan. This seems to be standard practice. At your next consultation I would be sure to have a written list of questions so you can address these concerns up front. Maybe they will have a logical explanation for everything? Best wishes to you!
Braces on March 6th, 2015
Metal Empower self-ligating brackets, upper and lower
Class II, Division II overbite with crowding
Upper 2nd premolars extracted May 1st, 2015
First Powerchain and Class II Manatee Elastics June 15th, 2015
TADs placed July 27th, 2015
Box Manatee Elastics April 1st, 2016
Teeth shaping May 4th, 2016


My Progress: viewtopic.php?f=9&t=48229

oldfart
Posts: 819
Joined: Mon Dec 17, 2012 1:46 am

Re: Reverse pull headgear for 9 yo: need advice on Doctor

#3 Postby oldfart » Wed May 04, 2016 6:22 am

At my daughters (age 10) consult, they never did a panoramic. We were offered headgear for he if we wanted to get started with her. We decided to wait another year or two.
Braces on: 2/25/2013. Braces Off: 12/23/2015
Current Retainers: Hawley Top, Essix Bottom, and Permanent Lingual Bottom

Motherofmax
Posts: 2
Joined: Tue May 03, 2016 5:26 pm

Re: Reverse pull headgear for 9 yo: need advice on Doctor

#4 Postby Motherofmax » Wed May 04, 2016 6:45 am

thanks for your replies! I was initially suspicious of the doctor not getting xrays but I perhaps for the headgear alone, and no braces for now, the treatment plan is not dependent on what the films show. We'll see what the second opinion says in 2 weeks.

oldfart- did your 10 year old experience much pain or problems with the headgear?

Thanks!

oldfart
Posts: 819
Joined: Mon Dec 17, 2012 1:46 am

Re: Reverse pull headgear for 9 yo: need advice on Doctor

#5 Postby oldfart » Wed May 04, 2016 11:29 am

I've seen a few that don't do full xrays for an initial free consult. They do them once a treatment plan is finalized.
Braces on: 2/25/2013. Braces Off: 12/23/2015
Current Retainers: Hawley Top, Essix Bottom, and Permanent Lingual Bottom

oldfart
Posts: 819
Joined: Mon Dec 17, 2012 1:46 am

Re: Reverse pull headgear for 9 yo: need advice on Doctor

#6 Postby oldfart » Wed May 04, 2016 11:30 am

No, we didn't do the braces on her. She was kid #3 and could only afford the first two. She's probably next year.
Braces on: 2/25/2013. Braces Off: 12/23/2015
Current Retainers: Hawley Top, Essix Bottom, and Permanent Lingual Bottom


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