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*Treatment results may vary
My diagnosis is a narrow upper jaw anterior edge...
My diagnosis is a narrow upper jaw anterior edge to edge bite, posterior cross bite, Class 1 on the left side, Class 3 on the right, mild upper crowding, and moderate lower crowding. My treatment plan consists of 34 aligners with attachments, Class 3 elastics, and IPR on the lower teeth.
My decision to pursue treatment is driven by an uncomfortable bite with no major concerns with aesthetics.
As a brief background I had traditional metal braces when I was 12 to 14 years of age. I don't remember much about my teeth when the treatment ended, but I was left with spacing on the sides that you can see in the attached photos. My teeth stayed relatively straight over the years, but my bite changed to where it is now. In earlier years I thought about getting the bite fixed, but as time went on I accepted it and didn't plan on doing anything about it.
About 2 years ago that changed. My right upper central incisor started to slowly move back/down which led to a bite where the only point of contact when I bite is the right upper central incisor with the lower incisor directly below it. This is uncomfortable and aggravated my TMJ problems. Also, the single point of contact made me want to clench on that point a lot. Several months ago I had the upper tooth shaved down which made the tooth touch two bottom teeth. That gave me a relief but within a couple of weeks the upper tooth moved again and I was right back where I started. That's when I started to do a lot of research on Invisalign.
I did a lot of online research and used the Invisalign website to choose Daher Orthostyle because Dr. Sam Daher was listed as one of the top Invisalign providers in my local area. His website had great client testimonials with before and after pictures. Further web research and YouTube searches showed that he had clients from around the world and that he travels to do lectures on Invisalign. I e-mailed to schedule a consultation, and my e-mail was promptly answered.
So far in my limited experience Daher Orthostyle is fantastic. The office staff are friendly and responsive. My initial consult consisted of photos and x-rays and then a group consultation with Dr. Daher, Dr. Lam and Helen, the Operations Manager and Treatment Coordinator. Wow! They made me feel really special and involved in my treatment options.
The technically correct treatment for my case is orthognathic surgery, but as soon as I walked in the door I made it clear that wasn't an option. Consequently, Dr. Daher brought it up as a professional obligation but didn't go into a lot of detail as he knew I would not go that option. He advised that with Invisalign he couldn't treat the underlying skeletal issues but that he could treat me in a way that he thought would make me very happy. I needed to give it some thought, but I already knew before I left the office that I was going to go for it. It's just that kind of place - you know it as soon as you walk in the door.
I had a follow up visit for impressions. It was my first time with digital impressions which is such a nice change from the claustrophobic putty impressions I've had done in the past. Watching a 3-D image of my teeth fill out on the screen while the technician rolled a wand over my teeth was really cool!
Then the waiting began. I was advised that it might take 4 to 6 weeks for the aligners to come in. It was so hard to wait during that time! I spent so many hours reading about Invisalign, watching Invisalign vlogs on YouTube, reading orthodontic forums, etc. I can't stress this part enough - do your research!!! It's sad to see people come on the forum who are upset or disappointed because they didn't know about possible discomfort, attachments, etc. There is so much information about Invisalign out there if you take the time.
My aligners arrived in 3 weeks, so that was a pleasant surprise. I was able to get an appointment the same day I was notified they had arrived. One of the first things that happened during that visit was that a technician showed me the ClinCheck video of how my treatment would progress and the final result. When I saw the final result I was so astounded and happy I just about cried. Those lower teeth are perfectly tucked behind the upper ones! In almost shock I asked the tech, "Is this just a model of how it would be nice if my teeth turned out or is it possible this really can happen?" She assured me that it would be how I would look. We then went over the care and wearing of the Invisalign. When she had me practice taking them out she asked me if I was sure I had never done it before. I didn't admit to her that I had spent so many hours watching Invisalign videos that I kind of already mentally had it down pat. Plus, I have two sets of aligners with no attachments, elastics, or IPR to get me used to the aligners, so that makes it easier. One thing I might mention is that the final treatment plan does retain the posterior cross bite for the two back molars. That is necessary to maintain a stable bite, but that will not be visible.
I'm now on Day 5 and have to say that wearing the aligners has been both easier and harder than I thought. Based on my experience with metal braces and Invisalign reviews I was prepared for the worst in terms of pain, sore teeth, cut up mouth, etc. The aligners did feel snug when they were put on, and by the time I left the office I was already feeling discomfort. So far I've not had any real pain, and I can eat normally without having sore and sensitive teeth. I did feel the need for Ibuprofen in the first couple of days - again no pain but discomfort to the point where it kept my attention. I've also experienced a dull ache deep in my teeth that at times feels more like a crazy itch or tickle. They filed down my aligners during the initial visit, so I have had no issue with a cut up mouth, sore tongue, etc. They placed a note on my file where each new set needs to be filed so they can do that right up front.
Compared to traditional braces the discomfort has been minimal, but other parts have been harder. The Invisalign initially felt surprisingly non-intrusive, but there are times they feel foreign and there is an urge to rip them out. It's an almost claustrophobic feeling. At times I have excess saliva while at other times my mouth is dry. I also have a slight lisp which is getting better every day, but I still I have times out of the blue where my mouth just fails when I talk and an "S" sound comes out as an epic fail - it's not even a lisp - it's a total tongue flop that goes nowhere - LOL! There have been big dietary changes for me because I drink a lot of coffee and diet colas, so that has had to mostly stop. I also eat all the time, so now I'm getting used to three "meal breaks" a day. I guess it's not called the Invisalign diet for nothing because the scale is slowly dropping. I'm brushing my teeth 5 to 8 times a day and using floss or a water pick 3 or 4 times a day. Wow are my teeth ever getting whiter even after just one week of this routine!
I'm wearing my aligners around 22.5 hours a day. I don't see any physical changes in my teeth moving, but when my aligners are off I can sure tell things are already starting to shift around. I can't wait to see how it all goes! Oh yea - final thing - in the picture with aligners, that's as far as I can close my mouth with them in. They meet in the back but that's a blessed relief after all this time of having my teeth only clang together in the front.
My decision to pursue treatment is driven by an uncomfortable bite with no major concerns with aesthetics.
As a brief background I had traditional metal braces when I was 12 to 14 years of age. I don't remember much about my teeth when the treatment ended, but I was left with spacing on the sides that you can see in the attached photos. My teeth stayed relatively straight over the years, but my bite changed to where it is now. In earlier years I thought about getting the bite fixed, but as time went on I accepted it and didn't plan on doing anything about it.
About 2 years ago that changed. My right upper central incisor started to slowly move back/down which led to a bite where the only point of contact when I bite is the right upper central incisor with the lower incisor directly below it. This is uncomfortable and aggravated my TMJ problems. Also, the single point of contact made me want to clench on that point a lot. Several months ago I had the upper tooth shaved down which made the tooth touch two bottom teeth. That gave me a relief but within a couple of weeks the upper tooth moved again and I was right back where I started. That's when I started to do a lot of research on Invisalign.
I did a lot of online research and used the Invisalign website to choose Daher Orthostyle because Dr. Sam Daher was listed as one of the top Invisalign providers in my local area. His website had great client testimonials with before and after pictures. Further web research and YouTube searches showed that he had clients from around the world and that he travels to do lectures on Invisalign. I e-mailed to schedule a consultation, and my e-mail was promptly answered.
So far in my limited experience Daher Orthostyle is fantastic. The office staff are friendly and responsive. My initial consult consisted of photos and x-rays and then a group consultation with Dr. Daher, Dr. Lam and Helen, the Operations Manager and Treatment Coordinator. Wow! They made me feel really special and involved in my treatment options.
The technically correct treatment for my case is orthognathic surgery, but as soon as I walked in the door I made it clear that wasn't an option. Consequently, Dr. Daher brought it up as a professional obligation but didn't go into a lot of detail as he knew I would not go that option. He advised that with Invisalign he couldn't treat the underlying skeletal issues but that he could treat me in a way that he thought would make me very happy. I needed to give it some thought, but I already knew before I left the office that I was going to go for it. It's just that kind of place - you know it as soon as you walk in the door.
I had a follow up visit for impressions. It was my first time with digital impressions which is such a nice change from the claustrophobic putty impressions I've had done in the past. Watching a 3-D image of my teeth fill out on the screen while the technician rolled a wand over my teeth was really cool!
Then the waiting began. I was advised that it might take 4 to 6 weeks for the aligners to come in. It was so hard to wait during that time! I spent so many hours reading about Invisalign, watching Invisalign vlogs on YouTube, reading orthodontic forums, etc. I can't stress this part enough - do your research!!! It's sad to see people come on the forum who are upset or disappointed because they didn't know about possible discomfort, attachments, etc. There is so much information about Invisalign out there if you take the time.
My aligners arrived in 3 weeks, so that was a pleasant surprise. I was able to get an appointment the same day I was notified they had arrived. One of the first things that happened during that visit was that a technician showed me the ClinCheck video of how my treatment would progress and the final result. When I saw the final result I was so astounded and happy I just about cried. Those lower teeth are perfectly tucked behind the upper ones! In almost shock I asked the tech, "Is this just a model of how it would be nice if my teeth turned out or is it possible this really can happen?" She assured me that it would be how I would look. We then went over the care and wearing of the Invisalign. When she had me practice taking them out she asked me if I was sure I had never done it before. I didn't admit to her that I had spent so many hours watching Invisalign videos that I kind of already mentally had it down pat. Plus, I have two sets of aligners with no attachments, elastics, or IPR to get me used to the aligners, so that makes it easier. One thing I might mention is that the final treatment plan does retain the posterior cross bite for the two back molars. That is necessary to maintain a stable bite, but that will not be visible.
I'm now on Day 5 and have to say that wearing the aligners has been both easier and harder than I thought. Based on my experience with metal braces and Invisalign reviews I was prepared for the worst in terms of pain, sore teeth, cut up mouth, etc. The aligners did feel snug when they were put on, and by the time I left the office I was already feeling discomfort. So far I've not had any real pain, and I can eat normally without having sore and sensitive teeth. I did feel the need for Ibuprofen in the first couple of days - again no pain but discomfort to the point where it kept my attention. I've also experienced a dull ache deep in my teeth that at times feels more like a crazy itch or tickle. They filed down my aligners during the initial visit, so I have had no issue with a cut up mouth, sore tongue, etc. They placed a note on my file where each new set needs to be filed so they can do that right up front.
Compared to traditional braces the discomfort has been minimal, but other parts have been harder. The Invisalign initially felt surprisingly non-intrusive, but there are times they feel foreign and there is an urge to rip them out. It's an almost claustrophobic feeling. At times I have excess saliva while at other times my mouth is dry. I also have a slight lisp which is getting better every day, but I still I have times out of the blue where my mouth just fails when I talk and an "S" sound comes out as an epic fail - it's not even a lisp - it's a total tongue flop that goes nowhere - LOL! There have been big dietary changes for me because I drink a lot of coffee and diet colas, so that has had to mostly stop. I also eat all the time, so now I'm getting used to three "meal breaks" a day. I guess it's not called the Invisalign diet for nothing because the scale is slowly dropping. I'm brushing my teeth 5 to 8 times a day and using floss or a water pick 3 or 4 times a day. Wow are my teeth ever getting whiter even after just one week of this routine!
I'm wearing my aligners around 22.5 hours a day. I don't see any physical changes in my teeth moving, but when my aligners are off I can sure tell things are already starting to shift around. I can't wait to see how it all goes! Oh yea - final thing - in the picture with aligners, that's as far as I can close my mouth with them in. They meet in the back but that's a blessed relief after all this time of having my teeth only clang together in the front.
Provider Review
Daher Orthostyle