Author:
Bumped again (NT)
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Date Posted: 19:09:07 07/12/04 Mon
In reply to:
Bumper (NT)
's message, "Re: overbite questions + more root resorption questions - dr. rick?" on 18:53:12 07/12/04 Mon
>>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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