Braces

Invisalign

Assuming the aligner is tight from movement teeth moving, you should not change yet. Pain, pressure and fit are used to evaluate when to change. You can decrease the pain and pressure as well as accelerate tooth movement with OrthoPulse.&nbsp; Visit our website or look up OrthoPulse&nbsp;to learn about the technology. I assume you are being treated by an orthodontist. You can possibly get an orthopulse unit from a dentist, but most orthodontist haven't seen these yet, so it's pretty much a guarantee a general dentist will have never heard of photobiomodulation.

i am on my 43/57 tray, and i wear each tray one week each. the tray im wearing at the moment is unbelievably painful, the edges are really sharp no matter how much i try to file it down and at this point just wearing them will make my mouth bleed where they cut at it, and my tongue is covered in bumps and is numb :( i have 3 days until i would have switched this tray out, is it safe to start wearing 44 early and then just continue from my normal schedule ?

Can I switch trays early with Invisalign? Current tray is unbelievably painful.

Assuming you could see your upper teeth prior to braces more than you can now, the treatment most likely&nbsp;intruded the upper anteriors to get the bite in a good position. Hard to tell if there was a better way to do this, but usually we try to increase the smile arc and these flat smiles can be due to bracket positioning. Ask your orthodontist about the smile arc and flatness. Honestly, if a general dentist did your treatment, you are&nbsp;better off asking an orthodontist to correct this for you. Make sure to ask about smile arch in particular.

I suffer from having small teeth. And that really causes a problem when i smile or laugh. Before having braces i didn't have this problem but afterwards my teeth were pushed up into the gums so when i smiled they didn't show much. I don't think about applying veeners but is there a way to pull teeth downward

Can teeth be pulled downward? (Photo)

Yep, broaden the arch. See an orthodontist and they will help you and evaluate the other parameters. Invisalign will work, although you will see the change more slowly. Maybe even consider 6 months of braces if you can endure it, and then fine tune with Invisalign. We also use OrthoPulse on all of our adult patients to accelerate treatment and expect most to be done in about a year under our OP&nbsp;protocol. Dr. D

I have a large buccal corridor, an overnight, my teeth are slightly too spaced and slightly crooked. Also need some whitening. I am 29 and wondering what my best course of action would be, obviously I would prefer not to get braces at this age but I'm feeling really self conscious of my teeth lately and need some advice.

Large buccal corridor, do I need braces? (Photo)

It's really tough to tell from the angle of the photo, but:
-I suspect you can be treated nonextraction because of how narrow your upper archform appears in what is visible. If you want to decrease the fullness of you lips, extraction is probably the solution. In these optional cases,we often wait 6 months and revisit that question. Dr. D

I just got my braces this week and there's still this hanging question of whether I should extract the four premolars or not. My orthodentist said that it would be better aesthetically if I extracted them but he also gave me the option to keep them with the possibilities that my protruding profile would stay the same and a bigger chance of relapse. Should I just extract them all? Hearing all the horror stories are making me apprehensive so I'm looking forward to objective answers here

Should I have premolars extracted for braces? (photos)

You can have the wisdom teeth removed any time during treatment. I&nbsp;would recommend starting the straightening and then removing wisdom during or after treatment since the orthodontics is going to take&nbsp; the longest and removal can be done at anytime during treatment. Dr. D

If not could I first take the treatment and later have my wisdom tooth removed as I'm only 20 years now.

Should have all four wisdom teeth extracted before I do Invisalign treatment to straighten my crooked teeth? (Photo)

Yes, that's quite a while to have braces, but you should seek additional help. Your bite is not visible in the photos, but I suspect it can be improved and maybe even help your tmj issues. We treat a lot of patients nonsurgically that were told surgery was the only option, so I suspect you may be able to find the same where ever you may live.&nbsp;

I've used braces from 2008-2011. My bite is still horrible (only two teeth touch) and developed terrible TMJ and daily headaches. I was told I should pursue orthodontic treatment followed by orthognatic surgery to correct my bite and improve TMJ/headaches. I have 2 dental implants in the lower teeth (premolars?) and 1 crown in the upper left central incisor. My previous dentist also told me my upper right central incisor suffered severe root resorption. I would really appreciate your opinions.

Should I try orthodontic treatment again? (photos)

Yes, Invisalign or other aligners will move your teeth to an ideal position, as will braces. Remember, Invisalign is simply a brand name for one of the clear plastic removable aligner companies. It is simply the best known. At the time of this writing, Invisalign is the best clear plastic aligner available in the US, but that may change as there are other good alternatives entering the market. The key is the provider, however, not the product, don't let a massive amount of marketing money confuse you.

My teeth are little bit forward.

Will Invisalign move my teeth backwards to their ideal position or not?

Brackets are often placed high to improve the smile arc. This is totally normal and usually gives you a more natural looking finish and smile.

The brackets are placed so high near my gums! I'm so upset because I find it SO unattractive! Is it possible for them to realign it after one day or is it too late?

Why are my brackets on my braces not centered? Is it possible for them to realign them?

Todd Dickerson, DDS

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