Search found 41 matches

by DrBill
Fri Jun 15, 2012 5:58 am
Forum: Metal Mouth Forum
Topic: What's the difference between and LICENSED and CERTIFIED?
Replies: 3
Views: 687

Re: What's the difference between and LICENSED and CERTIFIED

Very true - my answer applied to the USA.
by DrBill
Wed Jun 13, 2012 9:07 pm
Forum: Metal Mouth Forum
Topic: What's the difference between and LICENSED and CERTIFIED?
Replies: 3
Views: 687

Re: What's the difference between and LICENSED and CERTIFIED

Licensed means they graduated from an accredited program and meet state requirements for licensure. Board certified means they went a step beyond, including passing a comprehensive written exam, completing an oral examination in front of examiners, and presenting records from completed cases that ar...
by DrBill
Sat Jun 02, 2012 10:37 am
Forum: Metal Mouth Forum
Topic: Braces & T.M.J.
Replies: 3
Views: 923

Re: Braces & T.M.J.

Kev,

In this thread from April 2012

http://www.archwired.com/phpbb2/viewtopic.php?t=42055

you said you just got your braces off. Yet in the above post you said they were removed at 13-14. Were you retreated? Have you discussed your jaw issues with your orthodontist?
by DrBill
Sat Jun 02, 2012 10:10 am
Forum: Metal Mouth Forum
Topic: Satisfactory Result? Opinions Please!
Replies: 17
Views: 2792

Re: Satisfactory Result? Opinions Please!

A couple of questions: 1) What are your restorative plans? Jason is correct in that there is wear on the upper right incisor - are you having a bridge for the missing tooth, which would also retore the edge of your upper right front tooth, or are you planning on an implant? It's certainly affecting ...
by DrBill
Tue May 29, 2012 6:47 am
Forum: Metal Mouth Forum
Topic: reversing extracted teeth ?
Replies: 9
Views: 2583

Re: reversing extracted teeth ?

If surgery is truly indicated and the changes you're seeing aren't the result of ordinary aging, facial type, etc then you WANT lots of overjet before the procedure. The more overjet you have the further the lower jaw can be advanced. It's not uncommon for surgery patients to look worse during presu...
by DrBill
Sun Apr 29, 2012 11:40 am
Forum: Metal Mouth Forum
Topic: Do you think this is wrong of me?
Replies: 22
Views: 4664

Re: Do you think this is wrong of me?

I will say as an orthodontist working with some pretty picky restorative dentists, most of my referring dentists are more concerned about how the front teeth relate than the fit of the back teeth. Why? It's a concept called protected occlusion. If the jaw worked like an absolute hinge - moving strai...
by DrBill
Sun Apr 29, 2012 8:10 am
Forum: Metal Mouth Forum
Topic: Frustrated Need Opinions
Replies: 42
Views: 5794

Re: Frustrated Need Opinions

I PM'd you yesterday. The message is still unopened in your inbox.
by DrBill
Thu Apr 26, 2012 2:34 pm
Forum: Metal Mouth Forum
Topic: Deep bite
Replies: 6
Views: 1554

Re: Deep bite

A deep bite is synonymous with deep overbite, but NOT Class II malocclusion. The bite can be looked at in 3 dimensions: 1) Vertical (Up-and-down) - Openbite, deepbite, etc 2) Anteroposterior (Front-to-back) diagnosed from the molars and/or canine relationship- ex Class II (which can lead to overjet,...
by DrBill
Thu Apr 26, 2012 12:54 pm
Forum: Metal Mouth Forum
Topic: Implants or close the gaps, need advice please!
Replies: 4
Views: 799

Re: Implants or close the gaps, need advice please!

Looking at your profile from a previous post I completely agree with your orthodontist. I would not want to retract your incisors as you have a very nice profile, so (based on the information provided - no teeth pictures) it looks like implants are the right decision.
by DrBill
Thu Apr 26, 2012 9:59 am
Forum: Metal Mouth Forum
Topic: Frustrated Need Opinions
Replies: 42
Views: 5794

Re: Frustrated Need Opinions

It depends on how far the midline is off. If it's just a mm or two most patients would say definitely not! If it really bothers the patient or is quite noticable then perhaps, assuming the extraction won't detorque the lower incisors or have adverse profile consequences. Every case is different and ...
by DrBill
Thu Apr 26, 2012 9:04 am
Forum: Metal Mouth Forum
Topic: reversing extracted teeth ?
Replies: 9
Views: 2583

Re: reversing extracted teeth ?

It can - and has - been done, but it certainly requires a lot of consideration, time, and expense on your end. The first thing you would need to do is see an orthodontist to determine if it makes sense for you. Here are some things to consider 1) Because upper teeth were extracted, you likely have w...
by DrBill
Thu Apr 26, 2012 8:46 am
Forum: Metal Mouth Forum
Topic: Archwire to widen smile?
Replies: 3
Views: 1918

Re: Archwire to widen smile?

Depending on the angle of your teeth, archwires can certainly broaden the smile and reduce those "tunnels" (called buccal corridors if you want to get technical with your orthodontist!). Key word is "reduce" - depending on jaw size, tooth angulation, etc they can't always be completely eliminated - ...
by DrBill
Thu Apr 26, 2012 8:30 am
Forum: Metal Mouth Forum
Topic: Frustrated Need Opinions
Replies: 42
Views: 5794

Re: Frustrated Need Opinions

Studies I've seen show no correlation between premolar extraction and TMD or bone loss. In fact NOT extracting in patients where it's warranted (and I'm certainly not saying it's warranted in this situation) would seem to have a much more deleterious effect on bone (overexpansion) or TMD (improper f...
by DrBill
Thu Apr 26, 2012 8:19 am
Forum: Metal Mouth Forum
Topic: Deep bite
Replies: 6
Views: 1554

Re: Deep bite

It really depends on where the deep bite is coming from. Most commonly it's from an exagerrated curve of Spee in the lower arch (the arch isn't level - lower front teeth swoop up under upper front teeth). In this case leveling that curve through a "relative intrusion" with braces - intruding the low...
by DrBill
Thu Apr 26, 2012 8:03 am
Forum: Metal Mouth Forum
Topic: Adults : Success with expanders??
Replies: 6
Views: 975

Re: Adults : Success with expanders??

This is still a topic of debate; there was just a point-counterpoint published about six months ago in the AJO/DO (the official journal of the AAO) debating the issue. Suffice to say there is not one good answer! If the palate is severely constricted, the molars are tipped towards the cheek, an incr...