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Medical Forum / General / Dentistry / October 2005

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Lousey Orthodonture work?

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kabinnnn - 25 May 2005 15:31 GMT
My daughter got her braces off yesterday. They look the same as they
did $4000 ago (2 1/2 years). Lets see if I can describe the problem. I
would have hoped that after all this her top teeth would line up with
the bottoms (when closed) and it appears that she still has an
overbite? ie her top teeth  overlap the bottoms. Guess I got ripped
off? Any comments welcome.
K
Dr Steve - 25 May 2005 16:03 GMT
Show us before and after models of her teeth and we will comment.

Signature

~+--~+--~+--~+--~+--
Stephen [What's a Temporary?], D.D.S.
Michigan, USA
....................................................

This posting is intended for informational or conversational purposes only.
Always seek the opinion of a licensed dental professional before acting on
the advice or opinion expressed here.  Only a dentist who has examined you
in person can diagnose your problems and make decisions which will affect
your health.
......................

> My daughter got her braces off yesterday. They look the same as they
> did $4000 ago (2 1/2 years). Lets see if I can describe the problem. I
[quoted text clipped - 3 lines]
> off? Any comments welcome.
> K
Bill - 25 May 2005 16:07 GMT
> My daughter got her braces off yesterday. They look the same as they
> did $4000 ago (2 1/2 years). Lets see if I can describe the problem. I
[quoted text clipped - 3 lines]
> off? Any comments welcome.
> K

What did you say to the orthodontist in this regard, and what was his
reply?

- dentaldoc
Mark & Steven Bornfeld - 25 May 2005 16:38 GMT
> My daughter got her braces off yesterday. They look the same as they
> did $4000 ago (2 1/2 years). Lets see if I can describe the problem. I
[quoted text clipped - 3 lines]
> off? Any comments welcome.
> K

    It is normal to have a discussion with patient and parent about the
goals of treatment.  Is it possible you have discussed what the desired
outcome was, and you don't remember?
    FWIW, front teeth edge-to-edge is not usually the desired endpoint of
orthodontic treatment, and a certain amount of overbite/overjet is
considered normal.
    For instance, this young lady has a significant overjet that works
quite nicely for her:

http://www.celebrity-image.com/download/juliaroberts01.html

Steve

Signature

Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

Steven Fawks - 25 May 2005 16:51 GMT
Hard to say without models, X-rays, and pictures.

As Dr. Steve said, some overbite and overjet is desirable.

Orthodontic treatment (like any dental treatment) has limitations.
Extractions and surgery is sometimes indicated to achieve 'ideal'
results.

Communication does seem to be an issue.

JMO,
Fawks

> My daughter got her braces off yesterday. They look the same as they
> did $4000 ago (2 1/2 years). Lets see if I can describe the problem. I
[quoted text clipped - 3 lines]
> off? Any comments welcome.
> K
W_B - 25 May 2005 16:54 GMT
>My daughter got her braces off yesterday. They look the same as they
>did $4000 ago (2 1/2 years). Lets see if I can describe the problem. I
[quoted text clipped - 3 lines]
>off? Any comments welcome.
>K

Post some pictures.

My computer monitor cannot display the teeth without them.

uppers overlap the lowers in the normal dentition.
It is the amount of overbite, and overjet that is important.
--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
carabelli - 25 May 2005 17:08 GMT
> My daughter got her braces off yesterday. They look the same as they
> did $4000 ago (2 1/2 years). Lets see if I can describe the problem. I
[quoted text clipped - 3 lines]
> off? Any comments welcome.
> K

I would suggest that if you have questions regarding the treatment result go
with her to the next visit.  Call ahead and indicate that you would like to
have a post treatment consultation with the orthodontist to review
pretreatment problems, treatment objectives, and treatment results.

IMO most fathers don't accompany the patient to very many visits and after 2
1/2 years frequently forget what the appearance of the child's pre-treatment
occlusion was.  And as others have indicated ideally there should be some
overlap in both and up and down direction, and also in an up and down
direction.

carabelli
W_B - 25 May 2005 17:16 GMT
>And as others have indicated ideally there should be some
>overlap in both and up and down direction, and also in an up and down
>direction.
>
>carabelli

Is that like the old in/out/in/out ?
--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
carabelli - 25 May 2005 19:12 GMT
> >And as others have indicated ideally there should be some
> >overlap in both and up and down direction, and also in an up and down
[quoted text clipped - 4 lines]
> Is that like the old in/out/in/out ?
> --
oops - forward and backward

Viddy well, little brother. Viddy well.

carabelli
Dr.Braces - 19 Oct 2005 03:42 GMT
sometimes I get this comment, and I have to remind the patient's that
some times the teeth are ideal in the front and their bite is off in
the back.  However this usually a rare case.  Would love to see photos,
etc.

> My daughter got her braces off yesterday. They look the same as they
> did $4000 ago (2 1/2 years). Lets see if I can describe the problem. I
[quoted text clipped - 3 lines]
> off? Any comments welcome.
> K
orthodmd - 19 Oct 2005 04:16 GMT
As a practicing orthodontist, my first thought would be did you daugher
do the things she was supposed to do: headgear, elastics, brekage,
missed appointments.  If she did her part, then as suggested, have a
consultation and find out what went wrong.

charlie ruff
Roy Brown - 19 Oct 2005 06:12 GMT
Ummm ... top teeth are supposed to overlap the bottoms for most people.

Signature

Roy
rem NADA to reply

| sometimes I get this comment, and I have to remind the patient's that
| some times the teeth are ideal in the front and their bite is off in
[quoted text clipped - 8 lines]
| > off? Any comments welcome.
| > K
Dartos - 19 Oct 2005 14:18 GMT
That's the first thought that popped into my head.

Before and after photos would help a lot.

Dartos

> Ummm ... top teeth are supposed to overlap the bottoms for most people.
W_B - 19 Oct 2005 16:06 GMT
Except for Bruce Springsteen, C III

>That's the first thought that popped into my head.
>
[quoted text clipped - 3 lines]
>
>> Ummm ... top teeth are supposed to overlap the bottoms for most people.

--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
 
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