Adult Class III, Flared Front Teeth, Crowding, Crossbite to Be Treated with Damon, IPR, Acceledent, Possibly TADS - Bloomington

I am a 32 year old woman who has never had braces...

I am a 32 year old woman who has never had braces and in the past few years have developed jaw pain (and clicking at times), gum recession, and the beginnings of tooth destruction from grinding/clenching and a bad bite. Besides a bad bite my teeth are also very crooked and the bottom are crowded. I've wanted braces for years but it hasn't been an option financially until now.

I recently had an orthodontic consultation and am a little uncertain how I should proceed. We seem to be in agreement that if my teeth were straightened then I would actually have an underbite. I would be using elastics, of course, to help correct this, but I'm worried that my jaw joints won't be able to handle the pressure from the elastics. I might just be overly neurotic and it could be fine, but I don't think my concerns are unfounded. He gave a few other options in that case-- IPR (which he might do anyway, and I'm not sure I would want that); removing a bottom front tooth and pulling in my bottom teeth (wouldn't have a good midline then, not that i do now); or TADS.

I am VERY concerned that my profile is going to be even worse than it is now. If my lower teeth are pushed back then my mouth will look completely sunken and I will be very unhappy. Right now my upper jaw is sunken/small and ideally, I think, I would have my upper jaw surgically pulled forward, since I'm happy with my lower jaw pretty much, but I don't think surgery is an option for me financially. I wanted Damon braces because of the purported arch expansion, however I don't know if my upper jaw could even physically accommodate having my top front teeth pushed forward anymore. I haven't had xrays yet to determine the state of my skeletal structure (for braces, I've had them at the dentist of course), so the orthodontist doesn't know, either.

I have scheduled my records appointment for next week (where they would take the scans and xrays) and then the braces would be put on the middle of August.

I'm not sure what to do. I am in school and want my braces put on before school starts so I have some time to adjust, however I'm worried that non-surgical treatment won't give me the results I want. What I want is 1) a good bite; 2) a good midline (at least on the top, I might be able to live without it on the bottom); 3) no more shrinking of my profile, and ideally pushing the upper jaw forward a bit.

Should I have a consultation with a surgeon, even though I'm pretty sure that isn't an option for me? I'm happy with the ortho, they have great reviews and my consult went really well (in terms of time spent, their willingness to answer questions, etc), so I'm not inclined to go to another ortho for their opinion.

What do you think? Might I be happy with non-surgical treatment?

Braces scheduled!

I've scheduled to have my braces put on August 14! They took my x-rays and did a digital scan of my teeth (instead of taking impressions, which was an interesting and long process!). Apparently my x-rays didn't show anything bad/surprising since no one said anything (about my skeletal development, bone density, etc).

The bottom braces will be metal Damon, top will be half metal half clear (front 6 are clear). I debated on whether to get all metal, but decided that the potential risks of the clear (breakage, staining, harder to remove at end of treatment, etc) were worth the possibility of having less noticeable braces.

I'm REALLY nervous to have them put on and to be committed to them for up to 2+ years! I hope the Acceledent really makes a difference in reducing my time in braces. I'm worried about it hurting when they put the brackets on (my teeth are sensitive, especially to blowing air) but that is such a small part of the treatment I shouldn't worry about it. I feel I can handle "regular" pain (abrasions, etc) much better than "nerve" pain, though (like from air, cold, fillings etc).

So far so good!

I got my braces on Aug. 14th and so far so good! I was so worried about it hurting (sensitive teeth) and making me want to gag when they put them on but it was totally fine! The tech was so careful and used warm air and warm water, and lots of suction so it was fine.

Once the wire was placed I felt it immediately. At first it was a "good" pain (like a healthy pain) but then it got more insistent. It wasn't too bad when I wasn't eating but I had pretty bad pain when I chewed on the right side, so I chewed on the left. I never had to limit myself to liquids or mush, though. The pain spread to the left side, too, after a few days but then quickly started to fade so that now I don't have real pain at all just some general discomfort when chewing. It's a weird feeling, it's like I can feel every tooth when I chew and they all feel pointy! Weird.

I've been using the Acceledent daily and I'm not sure if it's doing anything but maybe that's what made the pain go away (or I'm just getting used to the braces).

My mouth is very dry and nothing seems to help it. I'm hoping I just have to get used to the braces and that I'll go back to normal soon. Having dry mouth makes the wires stick to my cheeks, makes it more difficult to talk and even eat. The only good thing about it is that it makes the Acceledent easier to use since I have no spit! The first few days I used the Acceledent it was really gross there was so much spit.

I'm finding that keeping my teeth clean is pretty easy, flossing isn't bad at all it just takes time and patience. I haven't gotten any sores but if my mouth continues to be dry I probably will :( . I used wax at night the first few days in hopes of avoiding sores but I haven't used any lately.

Very few people notice I have braces! It's pretty cool and I'm not very self conscious about them. I haven't really eaten in public yet since a lot of food does get stuck and it's annoying.

I keep looking to see if my teeth have moved but I know it's too early. My 1st adjustment is the middle of September, I hope there's some movement by then!

First Wire Change!

It's been a little over 1 month and 1 week since I got my braces! I had my first wire change last week. One of my bottom brackets had popped off the Friday before the appt (the appt was on Thursday) but it was no big deal to reattach. She said that since I'm so early in treatment and since it wasn't off that long it didn't matter too much.

They changed both my wires, up to the very next wire. She said they're concerned about flaring my teeth so I may have to go through every single size wire! I don't really mind, though, since it looks like I'll be getting the wires changed every 4 weeks so I can at least feel like I'm making progress. I also don't want my teeth to tip or my roots to have problems, of course.

The wire change was so incredibly easy, she popped open the doors and took out the wire. She let me brush and floss without the wire and it wasn't as nice as I thought it would be! The doors were still open so the brackets were very abrasive, I just wanted her to put the wire back in and close the doors as fast as possible!

One thing that was interesting is she changed the bumpers out and I could see how smooshed and degraded they were! They definitely feel a lot better new, have more cushion. Even if I didn't have an appointment every four weeks I'd still probably want to go in to get the bumpers changed out, it makes a big difference. They also were getting discolored so it was nice to have new ones.

I have almost no pain from the wire change. Maybe that's from the Acceledent or maybe it's because I only went up one size. My teeth have definitely moved, mostly outward increasing the arch. My front teeth have barely started to rotate. I will feel like a new person with straight front teeth, that will be the biggest change for me!

I'm only a bit over a month in and am already getting lax in cleaning :( . Instead of immediately brushing my teeth after eating dinner I wait a few hours sometimes (so I can keep grazing...) bad for my teeth and my weight. I'm getting back on track though.

I'm also finding it difficult to use the Acceledent for 20 min every day. 20 min is a looooong time to sit around when you're in grad school and have a million things to do. I think I've only missed one day, though. My dry mouth is also weird, it comes and goes. Sometimes I can barely stand to use the Acceledent I have so much spit and sometimes I have no spit at all.

I'll post pictures at some point to show the progress. My back molars are still not hooked up to the braces, she didn't say when that would happen. I wonder what that will be like? It's weird to me that my teeth can still move properly even though they're not all hooked up.

The biggest difference so far is in my bottom front teeth. I really have to take some photos so I can compare. I can tell just by looking, though, that the arch is becoming rounded in the front instead of squared off. The teeth are still really crowded, though.

So far so good!

Two months!

It's been 2 months and 1 day and I'm definitely seeing some movement! I'm glad I've been taking photos since the movement is much easier to notice in comparison to how my teeth were in the beginning.

I have my second adjustment this week. I'm hoping I'll go up another wire size and that they'll take off the bottom bumpers for good, since my top front teeth no longer seem able to hit the brackets on the bottom. I'm really concerned about tartar on the bottom teeth, and those bumpers don't help. I'm going for an extra cleaning in November. I've always had a lot of tartar on the bottom just naturally, and braces don't help. I am concerned about getting a permanent retainer on the bottom because of this, I might see if I can avoid that. But that is a loooooong ways off...

Second Wire Change-- and Elastics!

I had my second wire change a few days ago and also started on elastics! They're the fox elastics, and I wear them in the Class III configuration from top back to bottom front. They attach far enough back so that they're not visible during normal conversation, thankfully. The teeth they attach to were sore for a day or two (especially the top ones), but they aren't sore anymore and it was never so bad that I couldn't chew. I only take the elastics out for eating so I wear them probably 20 hours a day or so? I actually look forward to putting them in because they symbolize progress for me!

For the wires, I started with .014 in August and then went on to .016 in September (they were being very cautious because of my crowding, etc). I'm now at .018. I LOVE having my wire changed every month! I know that probably can't continue (I don't think there are that many wire sizes!) but I love feeling that I'm making extra progress that way (even if it's not necessarily true).

I'm still using the Acceledent every day. I wish there was a way to know whether it is making a difference. All I know is that my teeth have moved substantially in just two months and I have had almost no pain (after the first 10 days or so when eating really hurt).

I really hope I can avoid extraction (of a front bottom tooth) or TADS. Maybe at my next appointment I'll ask them what they think my chances are of doing this only with elastics.

TwoPlusOne, I did ask about having a removable retainer instead of a permanent bonded one and they said that would be no problem! She said it's hard to talk with both retainers in, though, and I'd have to wear them 24 hours a day so I'll have to think about that. I think I'd be fine with a permanent retainer on the top, it's the bottom that's the problem for me, so maybe I could do half and half :)
Dr. Henderson

We had a great consult, they answered all of my questions and made me feel comfortable that they would fix my bite and straighten my teeth however I have concerns about the final aesthetic result.

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