Tuesday, August 24, 2010

Advice on best treatment option?

After having braces for 2.5 years in High School, my teeth have moved outwards as a result of ';tongue thrusting';. I have a fairly severe recession on a bottom-center tooth (sometimes it is painful). My orthodontist told me that I should put braces on again for 2 years to pull the teeth back to position, possibly alleviate the recession, and to put the jaw into more of a U shape (apparently there are new wires which can do this which weren't available before).





If I don't get braces, she recommends going ahead with the graft of the recession and that I wear a nightguard for the rest of my life to prevent ';occlusive pressure'; on my front teeth at night.





I don't know which I should go for- wouldn't my teeth just move back again after the braces? Could I just correct the tongue thrusting and get the nightguard and the graft and then the problems won't get worse/ what are potential future problems if I don't get braces to fix this?





Advice is greatly appreciated.Advice on best treatment option?
I believe you should have 2 opinions from different orthodontists and an opinion from a periodontist (the person how should do the graft) before you make any decision. Make sure they are specialists and not general dentist who do this type of work. FYI- there is an appliance that can be made to help correct the tongue thurst problem. If you dont start with correcting this problem, you will end up in the same situation after ortho or without ortho, it will get worse. People who have tongue thrusts usually do it all the time and not just night. For the consults, ask to have a copy of any relevant xrays and that may cut down on your costs. Also, call around, most orthodontists in our area do not charge for consults. It depends on where you live. The periodontists in our area do charge for consults. Good luck.Advice on best treatment option?
WHY ARE YOU HERE?





Take your Orthodontists advise, Discuss with your PARENTS and don't listen to anyone here--They don't know you. Why would you take these peoples advise over a person that has many years experience in the field?
as much as i would like to help you with your dilemma, a good treatment plan by a dentist or an orthodontist is not only base on what the patient say..a dentist would need to study your case with the help of x-rays, study casts, pictures and a good oral examination..i know it would be costly to get a second opinion from another orthodontist but it will really be helpful once you decide on what you really want. good luck.

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