| Subject: Re: overbite questions + more root resorption questions - dr. rick? |
Author:
drrick
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Date Posted: 15:29:52 07/05/04 Mon
In reply to:
lilleth
's message, "overbite questions + more root resorption questions - dr. rick?" on 12:33:25 07/03/04 Sat
Your tinitius can be caused by a deep bite and a retruded mandible. FWIW, ENT's dont know much about the jaws. Many cases of tinitis have been corrected by moving the mand down and forward.
If your bite is deep it may be from overeruption of the front teeth or more lieky; from undereruption of the lower posterior teeth(deep curve of spee) Many times by flattening this plane out the bite opens. The results can be stable. I will often leave a shelf of composite on a splinted upper retainer to keep the bite from closing back down.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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