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Great question Ryan. When we see open bites, we try to determine their etiology or cause. This helps us figure out the best way to correct it and maintain it afterwards. An open bite typically means that the front teeth can not touch together when you bite all the way down. It makes it difficult and almost impossible to eat things many of us enjoy...like corn on the cobb. When you bite in to a sandwich, you might leave the lettuce behind because your teeth can't grasp it. Following are generalizations, but it should help clear things up.Skeletal open bites: evidenced by only the very last molars touching when you bite. have a diverging growth pattern as scene on a lateral head x-ray, or even visually. In other words, the jaws are growing apart rather than in parellel with each otherare sometimes accompanied by breathing/airway issues.are much for difficult to correct and may require surgical assistance by moving one or both jaws into the correct position.if you try to close it with orthodontic (elastics) and no surgery, it is likely to return once treatment is complete.Dental open bites:evidenced by the only front six or eight teeth not touching when you bite.may or may not have a diverging growth pattern.some type of habit has contributed to the open bite, such as thumb sucking, tongue thrusting, a forward tongue posture (or just a large tongue).more easily corrected with orthodontics (elastics).long term maintenance is more predictable, so long as the habit or other cause has ceased. Even though I mentioned that a tongue habit goes along with a dental open bite, it is quite common that in skeletal open bites for the person to hold their tongue in a forward position between their front teeth...just because there is always a space there. In either case, it is important that either before or during treatment the tongue position and any habits that may be contributing are taken care of by either the orthodontist or a speech therapist.With either type, these are some of our most challenging cases. They are treated totally different than other more typical cases. Brackets are put on differently. Different mechanics are used, etc. Understanding their cause and treating appropriately is imperative to the doctors success. A customized retention protocol that may be unique to you is critical.
If you are referring to a "gap" between the edge of your tooth and the aligner, than it is an indicator that the tooth is not "tracking". This can occur for a number of reasons. not enough room for the tooth - some additional space may be needed for the desired movementno...
It seems that Invisalign is not working out for you with your current dentist. I would recommend completing your current Invisalign treatment, then requesting a refinement. If after completing the refinement, you still have bite issues, your dentist should offer to adjust your bite....
I would recommend you go back to #1. Even though #4 fits now, it will get harder to continue to later aligners and your teeth will not track the way they are suppose to.Good luck!
I'm sorry you're in this predicament, but a cancellation fee of this size usually means that the doctor was already billed by Invisalign. Patients that sign up for Invisalign are usually expected to make some sort of down payment before the doctor approves the case. This down payment...
You are a young woman with white teeth that show at least half Incisal on smilingthe discoloured fillings that you mentioned are not that visible you have a slightly reverse smile where the front 2 teeth are shorter you certainly do not need veneers10 with Invisalign you can...
There may be times when a refinement needs to treat both the upper and lower teeth in order to achieve the desired result. For example, when treatment is completed you are bothered by two lower front teeth that are slightly crowded while your uppers seem perfect, however, it may be necessary to...
