r/orthodontics

Hi everyone,
I’m currently working on a clinical case for school and would love to get your insights. To be honest, I really need a solid grade to pass this course, so I thought asking the community here would be a great idea!
Patient Profile:
Age: 10 years old.
Biotype: Mesiofacial with a dolichofacial tendency.
Profile: Convex.
Diagnosis: Skeletal and dental Class II malocclusion.
My Proposed Treatment Plan:
My initial idea is to use dentoalveolar expansion combined with a distalizer to regain space for the second premolar. Once those necessary corrections are made, I plan to use a Fränkel Type II appliance to address the Class II relationship.
Constraint:
I cannot use fixed orthodontics for this case; I am strictly limited to removable/functional appliances.
I would highly appreciate any advice, corrections, or suggestions you might have on this approach. Thanks in advance!

I have lots of symptoms here’s a list of a few:

Tounge too feeling too big, forward head posture, smaller smile width, brain fog, sinus pressure or congestion, difficulty nasal breathing during exercise, puffy face, poor sleep quality, dark circles under eyes, smaller airways, underdeveloped maxilla, overjet, poor nasal airflow, mouth breathing, Difficulty with proper tongue posture, Neck tightness, jaw tension+ TMJ., brain fog. All of these are symptoms of a narrow palate and I’ve got all of them, looking for a second opinion online. Thanks

I am getting braces in a week and my ortho is suggesting that I get 4 premolars removed because I have crowing and a big overbite. After hearing all the storylines of other people getting their teeth extracted I am extremely scared and not sure what to do. She also said if I came in younger I could have gotten a palate expander but it’s too late now. Please help I am really scared.

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I had recently cleaned my retainer with Polident for the first time after not using it for months. It seems like there is some black stuff along the top ridges of the retainer (residual mould perhaps?). I don't think I can afford another retainer so I wonder if I still use it.

Context: I haven't been using my retainer as I gradually forgotten about it (it's bad i know) and instead stored it in a container for which had a tissue to absorb moisture. Eventually, it grew plenty of mould (no picture unfortunately) so I decided to brush it with dishwater soap and use Polident afterwards to get rid of the microbes.

My other part of retainer (not pictured here) seems pretty fine.

Invisalign is coming to an end 1-2 trays away for top. Looking for what I can/should do next

Hey my smile is all fked so I decided to go to the ortho at the age of 25 and I found out that I’ve a deep bite, with very crowded teeth. At first I wanted to ask for marpe, but now that seems unlikely to improve my bite or the facial aesthetics.

During the diagnosis appointment my ortho told me that he’s going to give me braces to bring the lower jaw forward, granted his opinion might’ve changed in the meantime. The issue is that both of my lips have 0 support, resulting in next to no tooth show and them curling inward. I’d just like to be well informed, all that waiting is increasing my anxiety. Honestly I don’t mind a double jaw surgery

Does this seem like something that can be fixed with braces alone?

So I have a six millimeter overbite, open bite, overjet. I got braces taken off five years ago. And two years before my braces journey began, I do remember my orthodontist telling me I may need double jaw surgery in the future because the braces aren't going to be able to fix the structural problem with my teeth. I was 10 at the time, and obviously me and my mother were like, hell no, I'm never getting double jaw surgery.

Seven years later, I'm having jaw pain and sensitive teeth. I tell my original dentist this, and he tells me it's a bite problem and that he's going to refer me to the maxillofacial department. And I made a really stupid mistake and missed my consultation. I called them up immediately to explain the situation. I mistook the dates, and they told me that I was still on the waiting list, and that I should get a call after Christmas.
I called them after Christmas, and they tell me that I'm on the list, and there's not much more they can give me. I call them again six months later, and they tell me I'm on the list, but I'm no longer priority. And that's kind of how it's been because I missed the consultation. So I kind of understand I've probably been put at the back of the queue, and I'm going to wait a while.

I decide to call them a year later, a few days ago today, and they tell me I was actually discharged the day after the consultation was missed. So I haven't been on the list for one and a half years of waiting. Obviously, my main priority is to get myself back on the funnel.
So I go to the dentist I have currently and ask them if they can refer me. I explain my jaw issues again, how I only eat with my back teeth because when I close my mouth, none of my teeth touch except my very back last teeth. She says she thinks that we should try mouth guard first and that the hospital would want us to try conservative treatments beforehand.

However, I don't feel like there's any point in doing that because this is a structural issue. I remember the original dentist that referred me told me that because of the way that my bite is, there's a lot of pressure on my teeth and a lot of compensation, which is stressing out my jaw muscles and contributing to the pain, and that my teeth are basically going to wear out quicker than the average person's, which is why he thought it was serious enough to refer me.

My current dentist also said this, that she thinks because of my bite, my teeth or my jaw muscles are overcompensating, but she would like us to try a mouth guard first for like six months to a year and then see after that. I absolutely don't agree with that, and I can tell that she's not going to refer me. I'm really stressed out because I was not really willing to get double jaw surgery in the past, but as the years go by, I'm starting to see that I don't have much options here.
I do believe this is going to escalate as I get older, and I want to get the double jaw surgery as young as I can. I'm 20 now. I don't want to get it when I'm in my 30s or beyond because I want to be able to heal as quick as possible and retain nerve sensations because I saw the older you get, the more the nerve damage is to be permanent. Problem is, I don't currently I'm really broke so I feel like my options are thin at the moment. I don't really have enough money to go and find a private orthodontist consultation, and I'm worried to spend money on it just for the orthodontist to think they don't need to refer me. Same thing with finding another dentist.

I had a hygienist appointment today, and I asked her for her opinion on it, and she told me she definitely thinks I need to be referred to the hospital, and that I unfortunately will need to find an orthodontist to consult about this to try and get me a referral.

I don't even understand why my current dentist doesn't want to refer me because I personally feel it's very obvious that I need double jaw surgery. It's been mentioned for years, and it would just have made things so much easier if she just referred me. What would you do if you were in my position?

What should I do now to try and get a referral as quick as possible? Because I know even when I am referred, it's going to be years before I actually get the double jaw surgery. So I just want to get this done as quickly as possible so I can crunch the time, because I've already wasted a year and a half.

I just got braces to fix an open bite, but after looking at similar situations online, it seems most people end up hating their smile afterwards. My orthodontist suggested this but should I have opted for Invisalign and maybe a molar extraction? And do my teeth seem too crowded? I don’t want to have a wide, veneer-style, bite but I am unsure how to bring this up to her. Thanks everyone!

Hi everyone,

I’m 6,5 months in with invisalign. I chose to do it because of my two diastemas (gaps), one due to a lateral incisive rotating. Previous ortho extracted my first molars too…

It’s way better but I noticed some people have more spectacular changes in less time.

Why would you think is that ?

Thank you !

hi guys! I’m just looking for some options on my aligners. I’ve been on Invisalign a little over a year now & in the last couple of weeks I haven’t been keeping them on the full 22hrs (irresponsible I know:( ) anyways, I’ve noticed a gap on my trays & im wondering if yall could give me opinions on if this could be fixed with chewies? I appreciate any feedback