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Medical Forum / General / Dentistry / August 2007

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Braces for a second time...

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johanna_kopsian@hotmail.com - 05 Aug 2007 19:10 GMT
Approximately 3 years ago I had my braces removed. Now my overbite is
back and my teeth are continuing to shift (my bottom teeth nearly
touch the roof of my mouth - again!). My dentist thought I should get
a consultation and I was given the following options:

1. I could continue to wear the "night guard" my dentist recently made
(the clear plastic retainers my other orthodontist gave me cracked) to
help maintain where my teeth are at. This does not help with the
shifting of lower teeth or overbite.

2. I could put braces back on for approximately 1 more year to fix the
over bite. Wear a retainer on the top (the pink one with the bar
across the teeth) which could help the overbite from returning and
putting ceramic retainers on the bottom teeth.

I really would like to fix the overbite due to some scary stories I've
heard about people's overbites causing them to chew the roof of their
mouth raw; but I am afraid that even after I go through the whole
process again the overbite would return. Anyone have an idea on what
is the likelihood this second treatment would actually work or if it
is even worth it?

Thank you!
~ Johanna
Amatus Cremona - 07 Aug 2007 12:08 GMT
First you must determine where the forces are coming from that are causing
this relapse.  Often, people with ortho relapse will have a night-time habit
of moving their jaws a specific way while clenched together.

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Amatus

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> Approximately 3 years ago I had my braces removed. Now my overbite is
> back and my teeth are continuing to shift (my bottom teeth nearly
[quoted text clipped - 20 lines]
> Thank you!
> ~ Johanna
Ash - 13 Aug 2007 05:02 GMT
Johanna-

Another treatment could very well work.  The biggest problem with
orthodontic treatment is retention, and so the issue probably lies
more in what's going on after the braces come off, than whether or not
they did their job properly while they were on.
I don't know anything detailed about your case, but I see a lot of
patients at the practice I work for who have bonded lingual retainers
on their lower (and sometimes upper) front few teeth.  This prevents
them from slipping past each other and getting out of place from
normal jaw function.  You might consider having one of these
'permanent' retainers, in addition to a Hawley (the pink plastic/wire)
retainer.  Hawley retainers do allow your teeth to settle vertically,
however, and it seems that this vertical settling is actually not
helpful to your situation; you're having too much of it.
It is regrettable that your essix retainers (the clear ones) cracked.
Usually, these retainers are excellent at keeping teeth where they
belong, and do not allow too much vertical settling of the teeth, as
they cover the entire surface of your teeth.You also mentioned wearing
your night guard; if you are referring to a positioner (they look like
mouthguards with your teeth imprinted in them) these are excellent
options too.  Once you have completed your second round of treatment,
if your ortho thinks it is necessary or appropriate, you could use a
positioner to keep your bite in place and open, the way it belongs,
either instead of or in conjunction with an essix or hawley retainer.

That was a long response! But I do think it is in your best interest
to partake in another round of orthodontic treatment, but if the
results from your first orthodontist did not remain to your liking, I
might advise you to find another one.

-Ashley
windycityjohanna - 18 Aug 2007 02:34 GMT
Thanks guys... that was helpful.
I'm going to get a second opinion and see what they say.
But for right now I have an appointment in October to put the braces
back on.
 
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