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To answer this question more clinical and radiographic studies will be necessary, however we can provide information about lip incompetence and how to correct it. Lip incompetence occurs when the upper lip loses tone and becomes hypotonic while the lower lip becomes hypertonic. This is a characteristic of class II patients, whose upper incisors inclination is increased and produces the failure in the lip seal. It can also be caused by skeletal problems and parafunctional habits, such as mouth breathing. So the first step will be to determine the cause, then choose the best treatment, either orthodontics to correct dental inclination problem that most of the time will also require a consultation with an otolaryngologist. Dr. Patricia Moezinia, specialist in dental aesthetics, will be in charge of guiding you to achieve the best treatment plan.
While more clinical and radiographic studies would be necessary for an accurate answer, invisalign currently provides cutting edge technology capable of resolving complicated cases, IPR is a technique to achieve space through minimal interdental wear. That said, it is also true that certain...
Find a dentist/orthodontist who has many years (over 10) in treating TMJ Dysfunction (TMD) 1. Fix the TMD first, 2. Then orthodontics, but this should include Functional Facial Orthopedics (Jaw widening) and eliminate the need for extracting any teeth.
I don't see root resorption here in the x-ray provided. If a full exam revealed no issues, I would consider you a candidate for aligners. Your previous treatment is irrelevant.It is true that root resorption can cause problems, so an orthodontist must be very vigilant with a patient with this...
