Anterior open bite, retreating 20 yrs later, intro and ?
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Rebeccasmells
- Posts: 93
- Joined: Wed Mar 15, 2017 6:11 am
Re: Anterior open bite, retreating 20 yrs later, intro and ?
It will be fixed with retainers
Re: Anterior open bite, retreating 20 yrs later, intro and ?
How do you figure that closing down non contacting molars would be fixed with retainers? Thank you for your opinons, I'm good.Rebeccasmells wrote:It will be fixed with retainers
Anyway. Got some great news today!!!!
"Since we previously discussed repositioning the upper arch, we will be moving forward with that at your next appointment after taking photos/impressions and provided you are willing to sign a release since the head dr that disagreed (not supervising dr) thinks its most appropriate to deband at this time . We will attempt to pursue ideal finishing for a limited period of time to attempt to satisfy your desires for a healthy smile. We apologize for any confusion in this matter."
See, was that so hard?
I even had a consultation today at a private orthodontist, and he said things looked amazing vs before...but looks can be deceiving. Those molars not touching on the left could also cause extra wear on the others, not to mention he feels that my biting into my front lower brackets is ridiculous, not necessary, and in his practice would have been a 15 minute fix. Even he agreed I had way too many steps in my wires to be able to focus on moving just one problematic tooth unless they added a second archwire. He did say it is all about differing opinions. Many people are for multiple bracket repositionings (sometimes at every appointment), whereas, in a school setting, where it would help them, they would push more for wire adjustments to refine their wire bending skills and more basic things.
All I want is my lower row of front teeth to be level, the right side is a a half a mm too low (from wearing triangle elastic on that side for months and months while other side was class 2 to correct midline), and just close up the spaces where my premolars dont touch and the holes by the k9s. Even he said, due to all the bolton discrepancies, after a few more adjustments things will be perfect. And any other fine tuning can be done with reshaping the tooth, and maybe even enlarging one slightly. He even saw on my pano that my roots were not aligned properly on either of my upper k9s.
He also 100% supported my argument that my cavity that is starting on the lower left 2nd molar is due to all the molar intrusion and that by simply attaching buttons with powerchain on the lingual sides they would be able to pull that forward right away. My appointment is in a month and should be done in about 4 months after that at the school.
This private ortho did agree that the essix/vivera style retainers are best for open bite cases, which is what I wanted to wear in the daytime anyway. But at night he said no problem I could alternate with wraparound hawleys. He agreed with the university that it would be a gamble to also do upper and lower bonded retainers on my front teeth, because it could potentially mask any underlying issues (tongue posture relapse, etc).
The U even said, if you have issues later, we will rebond you no problem, or do some MTM minor tooth movement with the clear retainers. But I honestly do NOT want to deal with that. I am ready for spring gardening and be able to enjoy some steak, celery, etc.
Last issue, I have had a filling come out on my upper right 2nd molar by the gumline. Go figure it was after being on vacation without a waterpik. A few months ago it had looked like a tiny part did come off by they smoothed the surface off in hopes of gums going back over it. Well now it is a big painful hole. How hard is it to do a filling next to a bracket? Should I schedule an appt not at my dentist but at the U to get the filling there so they can pop that bracket off first, or what?
UPDATE: DEBONDED! Re: Anterior open bite, retreating 20 yrs later, intro and ?
AND WE ARE FINISHED!!!!(well, almost)
BEFORE!!!! AFTER!!!
It has been a few weeks since debonding. What an ordeal. I have not posted many updates because I was very sick. In fact after I had my upper/lower fronts repo'd I did not go back for 3 months. At one point my gums became very inflamed as a result of the illness. We did get the space closed a little bit more behind the k9s, but there still is some there due to bolton discrepancies.
So basically I had a little over 3 months of active retention. This was good for stability. Did some final tweaks and a little more over correction. But they wanted to get these off asap because my mouth has been in so much pain. The one thing I do not understand is, why they did not deband the upper molars to close the space? Their reasoning was because one was a crown and a traditional bracket would not adhere to this type of tooth. And that the teeth would settle enough on their own. How can it close with a clear tray?? I don't think I can find many articles that support this. I am doing a good job of keeping things clean but even my dentist made a remark. He said for long term health and stability of this zirconia crown, later on having fixed vloop retainers and doing 50/50 with hawleys and trays would be most ideal. I mean if you think about it, if a crown is made too tall,
We also went back and forth on retention, even beyond my two orthos treating me. They said the best idea was to not do the vloop bonded retainers just yet. We want to make sure there is good oral function (myofunction) since proper tongue posture/intraoral/lip contact is natures retainer. We did a newer type of material I will have to get the name, but not essix or vivera, but is less prone to cracking. The trays extend far beyond the gum line, at least 3-5mms in some places. And it also goes over the roof of my mouth like a hawley retainer, with a hole drilled in it where the "right spot is" for the resting place.
Thought I was going to have a fantastic thanksgiving feast, but that was not the case! It wasnt until just a few days ago that my pain has went away from my upper back molars. I feel its because of the space there from the bands. I did also accidentally fall asleep once without reinserting my trays, went about 6 hours without them, and woke up to blood all over my lips, pillow, and in the trays. I really freaked out. That wont happen again!
Their rationale was there is no better form of retention aside from myofunction, as these trays have a side effect which are good for anterior open bites, posterior bite opening! It will reinforce the molar intrusion. They also had discussed possibly adding some buildups to my impressions, sanding down the rear surface of the trays and bonding some plain brackets to them as a reminder, and even as far as using invisalign attachments on lingual surface of some of my teeth to hold the trays in a little better. All this aggressive retention would just be concealing relapse. If the bite does reopen they will retreat me free of cost as well as do a surgical consultation again, and regardless I am still staying in contact with my certified oral myologist. I will have a videofluoroscopic study done as needed (even though the posture is the more critical part than the tongues movement in a swallow).
Anyone heard of gap closure from molar bands using MTM with the clear trays?
I can skip my 4 week follow up visit and just do it via skype if I am not experiencing any issues. It really was a cake walk getting everything taken off except for the molar bands, and they had my temporary trays made in house in a half hour. I also have been allowed to use tooth whitening of my choice. I use SDI Polanight 16% available for purchase from amazon or from my dentist (use the amazon link here from archwired if you decide to get some). I have medium sensitivity to hot/cold and the polazing and poladay are just a bit too strong. I can tolerate the 22% polanight but the 16% was super cheap for an 8 pack.
Had to have two fillings replaced at the dentist. Either the debonding loosened one, or the pressure from the trays caused a gumline one to fall out. And another was misshapen from having little space to deal with pre debonding. No tray fit issues either! Also have 3 tiny fillings left , one on each bottom molar by the bracket. The dentist told me to calm down and said to be in braces this long and only have basically 3 tiny cavities was quite an accomplishment.
Thank you to everyone that has followed along during this journey. It has honestly been quite tolerable and certainly much better than spending 40 grand for surgical braces and orthognatic surgery. Has been a ton of long trips though. My posture has improved a little with my back (sweet!). I rarely have headaches anymore. All I want at the end of the day though is to have healthy teeth that will last a lifetime. I will most likely wear my retainers 22hrs a day for 2 years. And as long as I'm in the trays I'll have my teeth cleaned every 3 months.
BEFORE!!!! AFTER!!!
It has been a few weeks since debonding. What an ordeal. I have not posted many updates because I was very sick. In fact after I had my upper/lower fronts repo'd I did not go back for 3 months. At one point my gums became very inflamed as a result of the illness. We did get the space closed a little bit more behind the k9s, but there still is some there due to bolton discrepancies.
So basically I had a little over 3 months of active retention. This was good for stability. Did some final tweaks and a little more over correction. But they wanted to get these off asap because my mouth has been in so much pain. The one thing I do not understand is, why they did not deband the upper molars to close the space? Their reasoning was because one was a crown and a traditional bracket would not adhere to this type of tooth. And that the teeth would settle enough on their own. How can it close with a clear tray?? I don't think I can find many articles that support this. I am doing a good job of keeping things clean but even my dentist made a remark. He said for long term health and stability of this zirconia crown, later on having fixed vloop retainers and doing 50/50 with hawleys and trays would be most ideal. I mean if you think about it, if a crown is made too tall,
We also went back and forth on retention, even beyond my two orthos treating me. They said the best idea was to not do the vloop bonded retainers just yet. We want to make sure there is good oral function (myofunction) since proper tongue posture/intraoral/lip contact is natures retainer. We did a newer type of material I will have to get the name, but not essix or vivera, but is less prone to cracking. The trays extend far beyond the gum line, at least 3-5mms in some places. And it also goes over the roof of my mouth like a hawley retainer, with a hole drilled in it where the "right spot is" for the resting place.
Thought I was going to have a fantastic thanksgiving feast, but that was not the case! It wasnt until just a few days ago that my pain has went away from my upper back molars. I feel its because of the space there from the bands. I did also accidentally fall asleep once without reinserting my trays, went about 6 hours without them, and woke up to blood all over my lips, pillow, and in the trays. I really freaked out. That wont happen again!
Their rationale was there is no better form of retention aside from myofunction, as these trays have a side effect which are good for anterior open bites, posterior bite opening! It will reinforce the molar intrusion. They also had discussed possibly adding some buildups to my impressions, sanding down the rear surface of the trays and bonding some plain brackets to them as a reminder, and even as far as using invisalign attachments on lingual surface of some of my teeth to hold the trays in a little better. All this aggressive retention would just be concealing relapse. If the bite does reopen they will retreat me free of cost as well as do a surgical consultation again, and regardless I am still staying in contact with my certified oral myologist. I will have a videofluoroscopic study done as needed (even though the posture is the more critical part than the tongues movement in a swallow).
Anyone heard of gap closure from molar bands using MTM with the clear trays?
I can skip my 4 week follow up visit and just do it via skype if I am not experiencing any issues. It really was a cake walk getting everything taken off except for the molar bands, and they had my temporary trays made in house in a half hour. I also have been allowed to use tooth whitening of my choice. I use SDI Polanight 16% available for purchase from amazon or from my dentist (use the amazon link here from archwired if you decide to get some). I have medium sensitivity to hot/cold and the polazing and poladay are just a bit too strong. I can tolerate the 22% polanight but the 16% was super cheap for an 8 pack.
Had to have two fillings replaced at the dentist. Either the debonding loosened one, or the pressure from the trays caused a gumline one to fall out. And another was misshapen from having little space to deal with pre debonding. No tray fit issues either! Also have 3 tiny fillings left , one on each bottom molar by the bracket. The dentist told me to calm down and said to be in braces this long and only have basically 3 tiny cavities was quite an accomplishment.
Thank you to everyone that has followed along during this journey. It has honestly been quite tolerable and certainly much better than spending 40 grand for surgical braces and orthognatic surgery. Has been a ton of long trips though. My posture has improved a little with my back (sweet!). I rarely have headaches anymore. All I want at the end of the day though is to have healthy teeth that will last a lifetime. I will most likely wear my retainers 22hrs a day for 2 years. And as long as I'm in the trays I'll have my teeth cleaned every 3 months.
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Re: Anterior open bite, retreating 20 yrs later, intro and ?
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assertives
- Posts: 645
- Joined: Fri Sep 01, 2017 5:29 am
Re: Anterior open bite, retreating 20 yrs later, intro and ?
Congratulations! Your teeth look amazing!
Re: Anterior open bite, retreating 20 yrs later, intro and ?
Incredible results. Congrats!
Re: Anterior open bite, retreating 20 yrs later, intro and ?
What is everyone's opinion on this crown on this molar? It's almost as if the swelling went away and now there's major discoloration to the top of the crown around the entire tooth?
Could this be a result of the molar band coming off?
I believe this is a zirconia crown as it's most durable for a molar although not as opaque as a porcelain one.
Everything else is great. Go in a month for final retainer fitting. The pain has went away as well.
Thanks!
Could this be a result of the molar band coming off?
I believe this is a zirconia crown as it's most durable for a molar although not as opaque as a porcelain one.
Everything else is great. Go in a month for final retainer fitting. The pain has went away as well.
Thanks!
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Re: Anterior open bite, retreating 20 yrs later, intro and ?
Amazing results! Are you happy with them?
Started treatment to correct open bite non surgically
My Story so far: http://www.archwired.com/phpbb2/viewtop ... 13&t=44572
TAD's inserted into upper pallet 9/5/13
Braces & intrusion appliance fitted 23/5/13 - journey has now fully begun.
1st adjustment 2/07/13
My Story so far: http://www.archwired.com/phpbb2/viewtop ... 13&t=44572
TAD's inserted into upper pallet 9/5/13
Braces & intrusion appliance fitted 23/5/13 - journey has now fully begun.
1st adjustment 2/07/13
Re: Anterior open bite, retreating 20 yrs later, intro and ?
I am!
Things are so stable I can go part time with aligners. They are causing plaque even with xylitol everything, and dentist wants them gone.
So I now need to convince them to install upper and lower vloop bonded lingual retainers, then make a new mold with those and have new set of essix and first set of hawleys. It's overkill but they wouldn't do the linguals till a year was up. No major issues otherwise. My teeth seem to almost settle better by the day!
Things are so stable I can go part time with aligners. They are causing plaque even with xylitol everything, and dentist wants them gone.
So I now need to convince them to install upper and lower vloop bonded lingual retainers, then make a new mold with those and have new set of essix and first set of hawleys. It's overkill but they wouldn't do the linguals till a year was up. No major issues otherwise. My teeth seem to almost settle better by the day!
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