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Eugene Wee, BDS, MDS

Orthodontist

1 Farrer Park Station Road, #15-15, Farrer Park Medical Centre, Connexion, Singapore

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10 Questions Answered

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QUESTIONS ANSWERED

Is a 2-3mm overjet normal?

Asked By:AnonymousANSWERS (1)

Hi ellebelle4,

Hmm, without proper clinical photos, it is very hard to give proper advice. Nevertheless, I will hazard a guess.

If you say that your current overjet is 1mm (which is very minimal), I would venture to say that your overbite (that is, the vertical overlap) of your incisors is very minimal. Again, I do not know what your exact treatment plan involves (with or without extractions), but my guess is that people like to avoid extractions when using Damon braces.

My caution for you would be not so much the overjet, if my assumptions about your clinical picture and treatment plan are correct, but rather, if you would still have a decent overbite after aligning the front teeth. This is a very common problem encountered, especially if a non-extraction plan is followed, given the assumptions already mentioned. The problem you should worry about is whether your front teeth will meet together properly after such treatment.

Once again, I have not examined you before, and we are making a lot of assumptions.

Eugene Wee, BDS, MDS

Orthodontist

My top right canine tooth that won't move and need to get my braces off very soon for wedding! Any suggestions? (photos)

Asked By:AnonymousANSWERS (1)

Hi Lindsey,

These aren't the best clinical photos, and I can't see your bite in totality, but it appears that it is not just the canine that is "out". In fact, the upper 6 front teeth are, in a sense, in a more forward position, and as you have mentioned, there is a slight 'space' between them and the lower teeth.

Assuming the side teeth are fitting in nicely, this is likely due to a tooth size discrepancy, or Bolton's discrepancy, which is fairly common. The usual ways to reduce the 'space' is to change the size of the teeth (through modifying the tooth shape), or to change the angulation (i.e. the torque) of the upper/lower teeth. Either option will take some time.

Seeing that this question was posed 6 months ago, I hope your problem was solved!
Best of luck!

Eugene Wee, BDS, MDS

Orthodontist

Would damon braces fix my overbite?

Asked By:AnonymousANSWERS (1)

Hi Anna,

Whether or not you use Damon braces is inconsequential to the treatment plan, which is really dependent on how your jaws grew relative to each other. Even if you did Damon braces, it still does not address the issue, which is what your original orthodontist said, that you might need either 2 upper premolar extractions, or surgical correction. Of course, without extraction, we can always try to get the upper and lower incisors to meet, with just the use of elastics / rubber bands. However, there is no guarantee that this will work. It is true that Damon braces allows for a greater degree of arch development, which helps to reduce the separation distance between the upper and lower incisors. However, there is a limit to how much this can work, and really, it is really varies between different patients.

In short, it could work for you, but no promises. However, you still have the option of doing the plans the 1st orthodontist gave you, albeit with an extended treatment time.

Eugene Wee, BDS, MDS

Orthodontist

I was quoted $6800 for a 15 month course of Damon clear braces. I am wondering if this is too high?

Asked By:AnonymousANSWERS (1)

Hi DrSpain,

1. It really depends on location and the type of dentist / orthodontist you are seeing. We pay a lot for the location, the rent, equipment etc., and at the end of the day, if you are comfortable with the person treating you, and you know that he or she will do a good job, then go for it. My take is that a cheap dentist is never the best, as if they cheapen the treatment too much, something has to give. It may be the materials, the equipment, or something you don't know about.
Cost-wise, I do charge cheaper, and I do a lot of Damon Clear cases, and I am also an orthodontist, but I'm from Singapore ;)

2. To say that something doesn't do it absolutely is only a half-truth. Whilst it is true that I don't subscribe to a lot of marketing hype of said company, I do think that it is possible to round off the arch with any system. Of course, a fixed appliance (i.e. braces) does it better, as there is more control over the teeth, as the braces are physically attached to the teeth. However, there are physical limits to arch expansion / widening, and there are physical limits, after which, you either have to accept a compromise, or to combine your treatment with jaw surgery. Having said that, if your treatment is complex, and requires a lot of fanciful dental movements to be done, it would be better to do it with braces, rather than tray aligners.

Eugene Wee, BDS, MDS

Orthodontist

What are my best options to close my gap? (Photo)

Asked By:AnonymousANSWERS (1)

Hi Alexis,

Hmm, your front teeth are already quite big, and it might not look very aesthetic to use veneers to close the gap. That would make the 2 front teeth too big, and you would look like a horse (pardon the expression).

I can't tell how the bite looks like from your photos, but it may be possible to just do braces on the upper teeth to close the space. Alternatively, you can use clear tray aligners like Invisalign to close the space, though I think it is not as economical. Braces is probably a cheaper option, unless you absolutely will not wear it again. Treatment time should take less than a year.

I would advise you to wear your retainers afterwards, or if you find wearing them difficult, a permanent wire retainer can be stuck on onto the inner/tongue facing side of the teeth.

Eugene Wee, BDS, MDS

Orthodontist

How to fix lateral incisor length discrepancy caused by braces? (photos)

Asked By:AnonymousANSWERS (1)

Hi DMarie801,

You don't have to worry, the elastic band is to help correct your teeth centreline. If there is a length discrepancy, it can be easily adjusted by the orthodontist. He or she will probably address it at a later time.

Eugene Wee, BDS, MDS

Orthodontist

I'm 27 and looking at braces. Surgery seems a bit more than I want but what is the best treatment plan for me? (Photo)

Asked By:AnonymousANSWERS (1)

Hi missehuang,

The question you have to ask yourself is how perfect you want the result to be at the end of the day, and what you are willing to go through to get the result. Not everyone wants to do the full works.

Looking at your pictures, it might be possible to tuck the lower incisors just under the upper teeth, and you would have a fairly decent result. I would say (in the absence of a proper clinical examination) that from a cursory glance at the pictures you have provided, your bite does not seem to be that bad. From the jargon you have used (normal patients don't really talk about the torque of teeth), you have already been provided lots of information by your orthodontist(s).

In general, I would prefer to perform the most conservative approach possible. It might not earn me the most money, but it is usually reversible, and is usually the least traumatic. (I say this even though I have treated more than 80 patients with surgery and orthodontics). Do note that being conservative might not achieve what may be ideal to you, but I think what is most important is the type of result which is most acceptable to you, at the end of the day.

Eugene Wee, BDS, MDS

Orthodontist

Options for my teeth? (photos)

Asked By:AnonymousANSWERS (1)

Hi ValerieM1,

It is difficult to tell completely what options are available to you, since I can't see the way that your teeth are biting together, and that sometimes affects your treatment options. Nevertheless, I will try to offer some possible options. Do note that it is always important to do a proper consult with your orthodontist.

For many of my adult patients, they often do not want to do the full course of orthodontic treatment, as it often involves a lot of time and cost. There are a number of cost-effective options available (they may or may not fit you, as I have not personally examined your teeth).

Options:
1) Partial metal braces
2) Partial ceramic / "white" braces
3) Partial lingual braces
4) Invisalign

Most of my adult patients usually choose either option from 1-3, depending on their aesthetic need and budget. It is possible to do Invisalign, but I think that if you want a cheaper and quick fix, nothing does it better than braces.

It is also hard to tell from your photos, but it appears like the incisor edges are unevenly worn, and you would probably want to consider modifying them to improve the aesthetic result. Again, suitability for any procedure is pending a thorough orthodontic check-up.

Eugene Wee, BDS, MDS

Orthodontist

Which would you recommend; Jaw surgery vs Chin augmentation? (photo)

Asked By:AnonymousANSWERS (1)

Hi, as with all cases, it is important to do a proper consult with your orthodontist, but I will try to address some of your concerns.

A weak chin can be due to insufficient development or growth of the chin and/or the entire lower jaw (which is more likely). A large overbite, or for that matter, a large overjet (which is the overlap of the upper teeth over the upper teeth) may also be an indication of a skeletal / jaw problem.

Do take note that other facial features, such as the proportions of the rest of your face, can affect your appearance. For example, the relative prominence of your nose might also give the appearance of a reduction in the proportions of the rest of your face.

My advice is to think carefully about what you really want corrected, and not just to take the cheapest option.

Eugene Wee, BDS, MDS

Orthodontist

I have raised canines. How to fix it? Are Braces an option? (photos)

Asked By:AnonymousANSWERS (1)

Hi. Yes you can do braces to straighten both the canines, as well as the incisors. You are unlikely to need surgery, but you may require dental extractions to be done. For a more detailed treatment plan, it would be best to consult your local orthodontist.

There are many different types of braces that you can wear. The normal metal braces are the cheapest and most cost-effective option, and work very well. There are also self-ligating braces like Damon or Damon Clear, which are more comfortable to wear, and cost a little bit more. It is possible to do other options like lingual braces (where the braces are placed on the tongue side of the teeth), although it might be less comfortable, and sometimes treatment time may be a little longer. Options like wearing clear tray aligners like Invisalign may be possible, and it is best to discuss the options with your orthodontist.

Eugene Wee, BDS, MDS

Orthodontist