| Subject: overbite questions + more root resorption questions - dr. rick? |
Author:
lilleth
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Date Posted: 12:33:25 07/03/04 Sat
I had braces as a teen which did not completely correct my overbite, and I had wisdom teeth and 4 lateral incisors (I think) removed to make space in my mouth. When I was about 30 my teeth starting shifting again. Now I am 46 and have pretty significant wear on my front teeth from clenching and grinding, as well as minor hearing loss and tinnitus in my lef tear and some facial pain - no migraines and no significant ear pain. My dentist referred me to an orthodontist who wanted to give me a splint made on an articulator, which I would wear for 6 months, followed by 2-2.5 years in braces to correct my overbite (my upper teeth almost completely cover my lower teeth now). This orthodontist is expensive and seemed focused on TMJ, so I went to see 4 other orthodontists for consultations. The other 4 all told me I need braces for 1.5 to 2.5 years, and they did not find that I had significant TMJ problems. I also visited my ENT, who told me she thought my jaws were fine as well. She says the tinnitus is probably just hereditary, as others in my family had the same problem. (I previously had an MRI on my ear to diagnose reason for the tinnitus, but nothing was found.)
So, I decided to work with one of the orthodontists who does treat TMJ but does not see anything wrong with me in terms of TMJ, because he has excellent references from other people I know who go to him. My dentist said I would probably have the same result no matter who I go to.
This orthodontist has done study models and xrays, but I've not yet signed a contract with him. After reading your site, I'm a little concerned that I didn't work with the ortho my dentist originally recommended. He has a reputation for doing a good job with occlusion, but he was very expensive and was not easy to get answers from.
I'm also reading on the internet that intruding incisors to correct a deep overbite sometimes causes relapse in the teeth once the braces are off. I'm really confused about exactly how a deep overbite can be fixed. I've also read it is not a good thing to move upper teeth back to fix an overbite because that can affect the TMJ.
I don't want to 2nd guess my ortho, who is a professional, but before I get started I would love to have more information about how the teeth are really moved to correct a deep bite.
And I"m curious if there is anything we as patients can do to prevent the dreaded root resorption.
I'm not sure you can tell me any more than I already know with this little bit of information I'm providing, but do you have any thoughts on this?
Thanks so much for your help.
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