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cannot help but comment on Dr. Lauson's comment!Where does he get the idea that skeletal expansion of the upper jaw is not possible in an adult is a "Myth"?As an orthodontist I have not seen any good scientific studies that show that this is possible...I would love for him to provide me with the studies that show that this is possible
With the crossbite you describe, upper jaw expansion is most certainly required to get a stable result. Upper jaw expansion can be accomplished at any age IF the right techniques are used. It has been a long standing myth in orthodontics that expansion of the upper jaw can't be accomplished without surgery past ages 12-14. Slow palatal expansion (SPE) with removable treatment appliances can be accomplished at any age. RPE's (Rapid Palatal Expansion) attached directly to the teeth can dangerously push the roots of the teeth through the supporting bone structures because they push directly on the teeth and push faster than the bone can accommodate. This RPE treatment has been shown to be unstable long term with as much as a 40% relapse rate. That is why expansion past ages 12-14 has received such a bad rap. The key is in the technique and the viable techniques use SPE with expansion pressures being placed directly in the roof of the mouth, right where the expansion is needed.
Extractions are just a tool...done right...good results...done wrong..bad resultsGiven your very "full" facial profile you will end up at the end still a little protrusive EVEN with extractions Of course you can always do it without extractions, but you will end up even more...
Everyones face has some asymmetry..some more than others. As you grow this asymmetry can get worseIt may be that you have had braces on for so long because the asymmetry is making it harder to correct your bite as the teeth are attached to the jaw bones which are not symmetricFor what it...
Retainers by design are not supposed to be active, just retentive. An invisalign retainer (Vivera) may be a good option, but short roots have no "cure". They are likely are a result of waht we call traumatic occlusion, or simply a bad bite. There are basically two choices,...