Teeth Back to Pre-braces, Tried Veneers Too. What More Should I Do?

asked 7 months ago by ls613 in Pierrefonds, QC
Latest answer by Rob van den Berg, DDS, MS
Question viewed 141 times
Tags: narrow, no change, options, palate, unhappy

Dear Doctor, I really need unbiased advice on what I should now do. I had: Narrow palate/teeth, and lateral incisors which were "pushed in" (towards palate). After braces, they looked perfect. Was assured that with a permanent retainer/wire behind teeth, they would stay that way. I'm extremely disappointed to say that 3yrs later they have regressed back. Refused braces. Got veneers instead. They are still too "in", would like them pushed out&widened again. Best solution? Much appreciated

7 answers to Teeth Back to Pre-braces, Tried Veneers Too. What More Should I Do?

Use Invisalign to correct prior orthodontic relapse

Our teeth continue to shift with time unless it is actively prevented. A fixed retainer will hold the front teeth to which it is attached, but not the back teeth. After you have had your teeth realigned it will be essential to wear a rigid retainer at nighttime to retain the result.

Rob van den Berg, DDS, MS
San Ramon Orthodontist

Orthodontic relapse and failed veneers.

The key question is: Are your teeth now in a stable position or not? If they are not, then you must seek consultations from very experienced orthodontists to see why the teeth are not stable. If the teeth are now stable, then you could consider re-doing the veneers at a more pushed-out position. Note that this is going to make the teeth thicker. A quick way of finding out if this will work is to take impressions of you teeth and make a wax-up on the stone... more

Mauricio C. Tijerino, DMD
Miami Beach Cosmetic Dentist

Go see a private dentist

You need to find someone who will take the time to help you understand what has happened & what your best option is.

Eric Ellis, DDS
Houston Cosmetic Dentist

Narrow Palate is Difficult to Treat

I am sorry you are unhappy with all of the work you have done but try not to be discouraged. You do have options-Firstly, if your underbite, crossbite was indeed corrected by braces your teeth should not have regressed. Narrow palates are difficult to treat but it can be done. Veneers are great but can only do so much. You can veneer the veneers and see if that helps push out the smile enough for you-I have done that successfully for many years. You need to get... more

Wendy S. Spektor, DDS
Bellevue Cosmetic Dentist

Correcting Orthodontic Regression

Sorry to hear about your circumstances. It is hard to give advice or a solution without additional information as to what forces have caused the relapse, whether they be solely dental or other oral, neuromuscular issues. Obviously, at some point, there was a satisfactory result as they "looked perfect" after braces, and due to some retainer malfunction, things regressed. Now, it seems that veneers did not obtain that "perfect" result. It is hard to tell without photos... more

Scott LeSueur, DDS
Mesa Cosmetic Dentist

Unstable result?

When an orthodontic result is so unstable we must ask ourselves why? What is it that could be causing the teeth to move and collapse that much? There are many factors to consider, but I have found that in general it is the force of muscles that can cause such relapse. The muscles of the cheeks and lips put an inward pressure on the teeth. This is counterbalanced by the outward force of the tongue. Teeth usually find a neutral zone between these forces... more

Martin Frankel, DDS
Toronto Cosmetic Dentist

What to do it ortho fails

Sorry to hear about your dissapointment. There are questions that if answered , we probably can guide you better. 1) At what age did you have ortho, and did the orthodontist give you apalatal expander ? 2) Did you extract any teeth to make room in your upper arch? 3) Was you lower arch treated and kept with a permanant retainer? 3) How many veneers did you place? 4) Were you give a retainer after the veneers were placed? The answers to these... more

Soheyla Marzvaan, DDS
Orange County Cosmetic Dentist

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