r/orthodontics

Very concerning as many comment with the issues they have with Hawley.

You have to wear a retainer for 22/7 during the first 12m yet so many still have bite issues from wearing a Hawley and tooth movement.

Is it this bad

My 16-y-o son got braces on Monday and by Tuesday wanted them off. His teeth are straight, it’s more for the jaw alignment and his overbite. Orthodontist said Invisalign wouldn’t work for his problem.
He’s not happy, not talking to me, and isn’t eating the soft foods I’m providing him. What to do? Any advice/tips greatly appreciated.

Went to a an Orthodontist advertised as airway and breathing specialist, was immediately dismissed of UARS, was told that if my sleep apnea test is negative then I don’t have airway issues. I expressed that I experience intermittent and frequent wakening every night, chronic daytime fatigue, brain fog, chronic migraines / headache, snoring, mouth breathing / sore throat, TMJ / jaw ache, sinus and ear pressure issues and was not concerned at all. I also have a small palate, deep bite and recessed jaw. Was only told that my TMJ tension could be improved by fixing my bite with invisalign / braces but MARPE wouldn’t be advised as I don’t have a cross bite. I have had braces in my tween years so my teeth are only slightly crowed. Should I be concerned of airway issues and seek a second Ortho opinion, request CBCT? I’m not a confrontational person so I seem to get dismissed pretty easy. I saw a HNS surgeon for concern of my recessed jaw and TMJ and she just recommended PT….

I also saw someone comment in this subreddit that UARS is more common in ADHD folk, which I do have. I’m also a slim female in early 20s.

Is there any way to fix an open bite (posterior and anterior, with occlusion only on 2nd molars) without jaw surgery or extraction/refractive orthodontics?

I dont have the classic "long face gummy smile" rather the opposite, a short face, but I've developed/worsened an existing open bite in the last few months. It isnt that severe but it is causing a lot of discomfort eating, TMJ problems, constant jaw clenching and trouble keeping mouth closed comfortably.

I also have a narrow palate, im open to palatal expansion like FME or MARPE

Also regarding invisalign, I'd ideally want to stay away from it due to what I've heard online, and also the fact that I'd need to wear retainers for life.

Im open to jaw surgery, but it wont be possible anytime soon atleast within the next 1 or 2 years, so I need to reliably fix this problem for the time being

With braces there is also the issue of the jaw side profile looking more recessed, or the face looking shorter and aesthetic impacts like this so Id be aiming for the most aesthetically possible option possible

What do you guys think? Im in constant pain and would really love to hear your thoughts.

I just got Invisalign put on today. The first time I took my liners off, two of my attachments broke off. I went back again today, they showed me how to properly remove them. Later on in the day I removed them like they showed me, and I lost yet another attachment. Is this like….normal? I go to a highly rated orthodontist. It just doesn’t sit right with me for an almost $7000 treatment.

Desperate. Looking for recommendations. Hello, long time lurker and hoped to never have to post-er.

I have an anterior open bite and have been recommended bimaxillary surgery. I have one scheduled for later this year, but looking for more local suggestions. Being in the Bay Area (CA) it comes as quite the shock that I would need to travel hours away and rent a long stay in a strange place and also drag along a mandated caretaker for the extended follow ups etc. for my situation this is proving to be extremely inconvenient and likely not feasible.

It's been a weird experience with trying to communicate with Dr. Brad Williams office in Walnut Creek - but I reached out to them because I see he is mentioned a few times here. My orthodontist apparently trusts absolutely no one and refuses to give me any other referrals. Concerning.

Does anyone here know a good surgeon with experience? And if they are from Kaiser, do you know if non-Kaiser insured folks can still get a consult?

Is this a breach of dental ethics? Should I be receiving a refund? (Invisalign)

Dentist skipped my Invisalign 4 trays (8 weeks) ahead of schedule. Is this malpractice or negligence?

This is long but I think context matters.

In January I went to a dentist and paid 6k for Invisalign. 18 trays total each to be worn for 2 weeks. Instead of getting them all at once i received 3 trays at a time and scheduled a visit every 6 weeks to get the next 3.

Week 10, I lost tray #5 and at my next appointment I was told to wear tray #6 an extra week. When I put in my next set a week later they were tight and painful but I was told it’s apart of the process. Over the next 2-3 months I complained about the fit and how my indicators weren’t working right. I have two indicators and one turned clear after 1 week and the other stayed blue. I was told I wasn’t wearing them long enough (I was) and that I need to wear the trays for longer than two weeks. (They also told me I only have 1 indicator instead of checking, first red flag)

Long story short, I was dismissed everytime I brought up a complaint of the fit and told I wasn’t wearing them long enough and overall felt like they were blaming me. At my last appointment I received my new set of 3 and was given trays 7, 8 and 9. I had just worn tray 14. 15 and 16. It turns out they gave me tray 11, 12, 13 after my 6th tray back in march. Meaning they skipped 4 trays (8 weeks)I called them and they said they dont know what I’m talking and and they have trays 16 and on (which I already wore and have) and don’t have tray #10. Again trying to blame me. I went to the office the next day with all my trays and they obviously had tray 10 and were missing my future trays. They even insinuated it’s my fault I didn’t tell them what tray I was on and almost made me wear past trays to get back. I fought to get a scan and new Invisalign. I have every tray I wore and the dates written out on when I wore them.

This is obviously negligence in care (i have many instances of complaining and then not checking anything) and At the time my front tooth was in pain from the aggressive moves. I planned to see an endodontist in case there’s nerve damage. My tooth feels better but still not the same. All the dentist offered is to restart the Invisalign free of charge and pay for my retainers (100$ per year). Am I owed a refund of the 6k? Is this not negligence and breach of standard of care? They are asking for all of my old aligners at my next appointment and I’m fearful they’ll keep them and throw away the evidence. Please let me know what I should do.

I (29F) recently went to an airway dentist for the very first time. As I’ve gotten older I’ve noticed that I’ve had more difficulty breathing during intense exercise (I’m very active and fit) and also during sleep I notice I’m sleeping with my mouth open, occasionally snoring and drooling. I was diagnosed with a deviated septum by an ENT and a tongue tie earlier this year. The airway dentist said I have a grade 3 tongue tie; I also have lip and buccal ties. I also did a sleep study and have mild to moderate sleep apnea. She recommended I start myofunctional therapy and potentially get a frenectomy. I’m very open to this and I’m also interested in getting a septoplasty down the road.

She also mentioned my palate width measures at 30mm and that I may benefit from expansion. I was wondering if this is really worthwhile and if so what type of expansion device/ technique works best for adults and what results can be expected. I’ve read briefly about MARPE, SARPE, DNA/ MRNA, EASE, FME, MMA, DDJS. This dentist specifically offers Vivos DNA, and it sounded great in theory but after reading up on it after the appointment now I’m not so sure.

As a note, I had braces around age 13 and then Invisalign age 18 and then again age 28 (with IPR on two bottom incisors for space for my crowded front bottom teeth). After braces I was advised by my dentist to wear my retainer for only one year but afterwards my teeth moved. After my first Invisalign treatment I lost my retainer and so my teeth moved. I am 100% committed to my retainer now and will not allow that to happen again. When my teeth moved it wasn’t my upper as much as my lower teeth specifically the front incisors getting crooked.

Any recommendations or advice? Is this even worth pursuing?

Edit: after reading more about Vivos and seeing that it doesn’t seem to offer true expansion and runs a risk of tooth tipping, I’m going to seek out an orthodontic specialist to get evaluated and see if I would benefit from MARPE. Vivos is also insanely expensive, it seems more expensive that MARPE. If you have any orthodontist recommendations for San Antonio, Austin, Houston I would really appreciate it.