u/Additional_Leading68

How do I know if I need pallet expansion vs teeth alignment?

I've had 3 orthodontists tell me the same thing. I can help my crossbite with invisalign.

Or, I can completely fix it with MARPE/SARPE, then invisalign.

Some say it's necessary, some say it isn't. None will give me an opinion on what I should do.

How do I decide?

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u/Additional_Leading68 — 8 days ago

My dentist keeps treating me like I have Periodontal Disease but won't actually diagnose anything. How bad does it look?

I know I have *gum recession* because I have a crossbite. I am going to do orthodontics soon to correct that and will get a gum graft after on my 2 lower front teeth.

I found a new dentist about 6 months ago.

Prior to the periodontal chart taken by the dentist here, I had not gone for a cleaning in over 2 years. I also had my wisdom teeth removed right after this was taken.

But both times I have gone to this dentist, the hygienist FREAKS out about my mouth. She is constantly accusing me of not flossing correctly (I floss every day) and says my teeth are in very bad condition. She is literally the ROUGHEST hygienist I have ever seen - it hurts when she cleans my teeth and she flosses so deeply that it always makes my gums bleed, but they never bleed at home.

At my last cleaning she told me I need to switch to every 4 month cleanings because my gums bleed during the cleaning. This is without the dentist even seeing me. She also sent me home with paradontax toothpaste to use.

I tried to ask if I'm being switched to 4 months to treat periodontal disease and she wouldn't answer.

That's when I requested my perio chart and saw that my worst pockets are on the wisdom teeth that I dont even have anymore.

Should I find a new dentist? Does it look like periodontal disease?

u/Additional_Leading68 — 8 days ago

Hi!

I am a 30 year old male.

I have recently been exploring getting Invisalign. I had braces as a kid including headgear and an expander.

The main issue I'm looking to fix is a cross bite. I have gum recession on my two front lower teeth.

I went to two orthodontists and got two very different opinions.

*Orthodontist 1*
12-16 months of Invisalign w/ rubber bands would fix my cross bite and align my teeth with "great results".

*Orthodontist 2*
My cross bite can *only* be fixed with a MARPE device within 12 months. Alternatively, I can choose to do 6 months of Invisalign but it will do nothing for my bite. He said unless an expander is started by age 10, it's basically useless which is why I'm having a cross bite again (I was 11 when I started braces). He also heavily emphasized it will help with "breathing problems" even though I said I don't have any breathing, snoring or apnea problems and he looked at a scan of my airway and said it "looked good".

I really don't know what to believe.

I want to get a third opinion - but what questions should I be asking here to know if the treatment plan is going to be successful and if it's what I really need?

reddit.com
u/Additional_Leading68 — 18 days ago