I have a 5 mm overjet which my orthodontist said was mild. Initially he said I may need 2 teeth extracted in the upper arch and to get my overjet fully corrected I can have jaw surgery to move my lower jaw forward. He said he would know more after looking at my X-Rays which I had done after the consultation appt. After reviewing my X-Rays, my orthodontist informed me that he felt he could reduce my overjet by 50-75% using elastics and without extractions. I didn't want to have surgery because my insurance does not cover it. I was satisfied with the reduction that he said he could obtain with the elastics. He said my teeth were very well aligned and I had a crossbite on one side, which was corrected before I got my upper braces using an expander, a 5 mmm overjet and a few minor corrections he will do while wearing braces. I will be getting my lower braces next week (I have had my upper braces for about 3-1/2 months) and not sure when I will begin to wear the elastics to reduce the overjet.
I know a 5 mm overjet isn't severe but it has always been on my mind and when I went in for the consulation I wasn't even aware of my crossbite, I was concerned about the overjet. I knew if I had not proceeded with beginning ortho treatment now I wouldn't do it in the future. My hesitation was due to being an adult wearing braces. It was a difficult decision but I knew if I didn't proceed with the ortho treatment, it would always be on the back of my mind, so it was now or never.
I went to 4 consultations and one said I didn't need braces, one said I needed 2 extractions and full braces, another said I needed a retainer and the ortho I chose. I also felt most comfortable with my orthodontist and his staff - they are so kind and never too busy to answer my questions - this is what has made my ortho treatment a pleasure and I do enjoy going to my appts. My ortho treatment was estimated at 20 months.
You indicated you already have your upper braces - what results did he say you would get without the extracations/surgery. Are the braces alone reducing the overjet and how much of a reduction? If you are not satisfied with the reduction amount he can get without the extractions I do suggest you think about it. But, a 4 mm overjet isn't severe - I think this decision will be how you feel about it unless your orthodontist informed you of pros/cons for the health of your teeth. Just curious, are you going to be getting lower braces? Are your braces now just to correct the overjet or is it to correct other ortho problems? My feeling is if the health of your teeth is not a concern, go with what you feel is best. You are already wearing braces so just be sure you will be happy with how your teeth will look once your braces are removed.
With the extractions, how much will your ortho be able to reduce your overjet and how long will you have to wear braces?
My orthodontist told me that 1-2 mm overjet is the standard.
Keep us posted.
Last edited by ssfw
on Mon Aug 28, 2006 12:48 pm, edited 1 time in total.
Quad-Helix expander: 1/20/06 - 1/16/07
Upper braces: 5/19/06; lower braces: 9/7/06
Braces removed: 8/19/08
Received retainer: 8/26/08 - wearing retainer 24 hours/day
Next appt.: 11/18/08