u/Forsaken_Subject_940

I just started using clobetasol cream a few days ago, 2x per day. After the first application I started feeling better overall, like I could stand without the itching or burning for the first time in months. But as I’ve used it more times, I’ve been getting more and more burning/itching pain right after application that lasts like 30 minutes or so. This last time it was as bad as I’ve ever felt down there!

Does the post-application discomfort go away? I haven’t been scratching so I don’t think there’s new broken skin to sting. Should I ask to try a different steroid? or an ointment? or a different medication?

HELP! We're looking into expanders for my 10 year old. It seems like we missed the window where RPEs would be the obvious choice. He doesn't need a ton of expansion for his teeth crowding, but an ortho has strongly recommend a MARPE for him (or RPE, if we won't do that). It seems excessive and invasive, but I'd hate to have him wear something for a year just to find out that he needs more expansion. He doesn't have any obvious airway issues, no mouth breathing or snoring, but he does have allergies and apparently a narrow nasal passageway. Any insights/experiences with these expanders with a 10 year old are much appreciated!

Notes from the ortho:

7mm class II skeletal

Maxilla is about 8-9mm narrow

Narrow nasal passageway

Adenoids are 50% swollen

Tonsils are grade 2

Dental asymmetry to the right

Baby teeth present: all Cs-Es

Oral hygiene needs improvement

Tongue frenum ankyloglossia: 40%

Occlusion: right full step class II, left 1⁄4 class II

Overbite 60%

Overjet 3mm

Lower teeth are lingually rolled

Mild baby tooth edgewear and lower 1s

Severe crowding upper arch under the bone, and moderate crowding lower arch under the bone

Child Airway Questionnaire Score (>33% high risk): 14%, no sleep study

NOSE Score: 5, mild