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Medical Forum / General / Dentistry / June 2009Orthodontic retainer and bruxism mouth guard?
Hello, I have worn an upper and lower orthodontic retainer at night since I got my braces off over 12 years ago. I am supposed to continue to wear it for the rest of my life. My bruxism has become bad enough that I'm chipping my front teeth and exposing my gums. My dentist said I should be fitted for a nighttime mouth guard. When I mentioned that I wear a retainer, he said with hesitation that the guard would do the job of the upper (I believe) retainer. Is this true? I really don't want to undo my orthodontic work. Thanks, Jason >I have worn an upper and lower orthodontic retainer at night since I >got my braces off over 12 years ago. I am supposed to continue to [quoted text clipped - 9 lines] >Thanks, >Jason a bruxism guard and retainer are not the same thing but sometimes the splint will serve adequately as a retainer. I have had patients in which the splint did not do an adequate job of retention and their teeth moved. my suggestion to you is to talk with your orthodontist and see if you couldn't have a wire cemented to the inside of your upper front teeth as a fixed retainer. you could then have a bruxism splint made with not fear. good luck Charlie Ruff, DMD Specialist in Orthodontics Diplomate American Board of Orthodontics orthodmd@aol.comnojunk I've made combo guard/hawley for patients works great. > >I have worn an upper and lower orthodontic retainer at night since I > >got my braces off over 12 years ago. I am supposed to continue to [quoted text clipped - 22 lines] > Specialist in Orthodontics > Diplomate American Board of Orthodontics >Subject: Re: Orthodontic retainer and bruxism mouth guard? >From: purple543210@yahoo.ca (Alexander Vasserman DDS., BS.) [quoted text clipped - 4 lines] > >I've made combo guard/hawley for patients works great. Andy is the St. Thomas More of dentistry! Charlie Ruff, DMD Specialist in Orthodontics Diplomate American Board of Orthodontics > >I have worn an upper and lower orthodontic retainer at night since I > >got my braces off over 12 years ago. I am supposed to continue to [quoted text clipped - 22 lines] > Specialist in Orthodontics > Diplomate American Board of Orthodontics That should work. Last week I delivered a custom upper 3-3 NTI fabricated by a local (licensed for NTI) lab. It should work fine, the pt. destroyed a recently delivered Essix with nocturnal clenching. Sure would like to see NTI framework extended distally for these cases. carabelli >Sure would like to see NTI framework >extended distally for these cases. > >carabelli It can be easily done in house with a vacuum former and splint material, which you can get from essix. It's .40 thickness I think. You can use it as the splint to maintain maxillary width & rotations, and add a discluding element with orthodontic acrylic, Regards, Jeff Genecov, DDS, MSD, FICD Diplomate, American Board of Orthodontics All interested parties can refer to Jeff's excellent posts at DentalTown about patient records! Excellent Jeff. Thanks. PS- Do you ever get the vacuum forming material from Keystone Industries, the developer and the patent holder of the process? JOEL >>Sure would like to see NTI framework >>extended distally for these cases. [quoted text clipped - 10 lines] >Jeff Genecov, DDS, MSD, FICD >Diplomate, American Board of Orthodontics thanks for the kudos joel. never heard of these guys, we've always gotten that stuff from raintree essix or great lakes. Regards, Jeff Genecov, DDS, MSD, FICD Diplomate, American Board of Orthodontics > >Sure would like to see NTI framework > >extended distally for these cases. [quoted text clipped - 10 lines] > Jeff Genecov, DDS, MSD, FICD > Diplomate, American Board of Orthodontics I have done that as well. several times. It took waaaaaaaaaay to long. There is a local lab that does a nice job and is licensed by JB's company - FWIW it was worth the additional expense. carabelli Hi Jason, You can check out night guards, which are separate from you orhodontic work. I would recommend googling "TotalGard". They develop some of the best night guards in the industry and are very affordable. I hope this information finds you well! - Deryk >Hello, > [quoted text clipped - 11 lines] >Thanks, >Jason |
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