POSTED UNDER Invisalign REVIEWS
Starting 36 Sets of Invisalign
ORIGINAL POST
I finished the first set of trays today. My teeth...
jawbexAugust 27, 2015
I finished the first set of trays today. My teeth hurt a bit during the first 3 or 4 days, then the pain subsided. I found the upper tray much more difficult to remove right from the beginning and it became even harder near the end of the two-week period.
As soon as I began wearing the trays, I noticed that there was a bit of play where the upper tray fits over the teeth. I could push the tray up about half a millimeter with my lower teeth and when released, the tray would move back down. At the end of the two week period this has not changed. I am not sure if the tray has done its work as I was under the impression that it is supposed to fit perfectly by the end of two weeks.
I did start wearing trays #2 last night. They do not seem to apply as much pressure on the teeth as did the first set of trays. The movement/slightly improper fit on the upper front teeth feels exactly the same.
As soon as I began wearing the trays, I noticed that there was a bit of play where the upper tray fits over the teeth. I could push the tray up about half a millimeter with my lower teeth and when released, the tray would move back down. At the end of the two week period this has not changed. I am not sure if the tray has done its work as I was under the impression that it is supposed to fit perfectly by the end of two weeks.
I did start wearing trays #2 last night. They do not seem to apply as much pressure on the teeth as did the first set of trays. The movement/slightly improper fit on the upper front teeth feels exactly the same.
Replies (4)
August 28, 2015
I should have started by saying that I am undergoing the treatment NOT for cosmetic reasons but rather due to persistent health issues. I am experiencing frequent headaches, tension in facial muscles, and TMJ discomfort. I am also unable to mash most foods as my molars do not connect when my jaw is fully closed. I have sought help from my physician and my dentist. They referred me to a TMJ specialist who, in turn referred me to an orthodontist. I have had consults form three orthodontist before I finally decided to undergo a treatment proposed by a fourth ortho that I saww. The first three orthos suggested treatements that ranged from doing nothing to wearing a Gelb retainer. Neither of them were confident that they could alleviate my symptoms.
Here the analysis and treatment plan from my the orthodontist that is currently treating me with Invisalign:
Occlusal Analysis: Moderate Class II Division 2 Subdivision right malocclusion. There is 2mm of arch length deficiency in the maxillary arch and adequate arch length in the mandibular arch. The anterior overjet is 1mm and the anterior overbite is 90%. There is evidence ofn moderate incisal attrition combined with posterior erosion. Temoromandibular assessment reveals decreased translation on the left with closing and the patient report discomfort and tension on a daily basis.
Facial Evaluation: the patient has retrognathic, convex profile and an obtuse nasolabial angle, thin labial support and lower lip eversion. He has a good chin prominence and the deviates to the left. Upon smiling, the maxillary dental midline is 3mm righ tof the facial midline.
Radiographic Findings: The panoramic radiograph reveals the absence of the third mollars and the mandibular right second premolar. The maxillary right canine is vertically impacted.
Intraoral Findings: the patient's overall periodontal health is good. There is evidence of incisal attrition due to lack of posterior support and contact to sufficiently break down the food he eats.
Temporomandibular Joint Evaluation: the patient reports frequent headaches associated to the restricted movement of his mandible. He persistent tension in his jaw and facial muscles, particularly the masseters that is affecting his quality of life.
Treatment plan: Due to the face that the patient is unable to find orthodontic provider in his remote location and his quality of life so severely affected, his options to pursue a more ideal treatment plan consisting of exposing #13, mandibular advancement, and setting up for future restoration to replace his lost tooth structures, is not possible on along distance situation. However, his tempromandibular joint is experiencing discomfort due to the mandibular restriction, hence we will attempt to improve malocclusion and overbite with Invisalign. The space for #13 will match the contrlateral #23 and hem have #13 extracted and an implant placed in the future. The 3 unit fixed prosthesis in quadrant 4 in not ideal due to the overeruption of #16 and intrusi will be planned in the movements. The patient understands that this is a compromised treatment option; however it will improve his occlusion if worn well. We anticipate that the active treatment will be approximately 1.5-2 years to be followed by long-term retention. Throughout treatment, we will incorporate elastic wear with his aligners. While the patient is undergoing his orthodontic treatment, he should maintain his routine dental visits.
Here the analysis and treatment plan from my the orthodontist that is currently treating me with Invisalign:
Occlusal Analysis: Moderate Class II Division 2 Subdivision right malocclusion. There is 2mm of arch length deficiency in the maxillary arch and adequate arch length in the mandibular arch. The anterior overjet is 1mm and the anterior overbite is 90%. There is evidence ofn moderate incisal attrition combined with posterior erosion. Temoromandibular assessment reveals decreased translation on the left with closing and the patient report discomfort and tension on a daily basis.
Facial Evaluation: the patient has retrognathic, convex profile and an obtuse nasolabial angle, thin labial support and lower lip eversion. He has a good chin prominence and the deviates to the left. Upon smiling, the maxillary dental midline is 3mm righ tof the facial midline.
Radiographic Findings: The panoramic radiograph reveals the absence of the third mollars and the mandibular right second premolar. The maxillary right canine is vertically impacted.
Intraoral Findings: the patient's overall periodontal health is good. There is evidence of incisal attrition due to lack of posterior support and contact to sufficiently break down the food he eats.
Temporomandibular Joint Evaluation: the patient reports frequent headaches associated to the restricted movement of his mandible. He persistent tension in his jaw and facial muscles, particularly the masseters that is affecting his quality of life.
Treatment plan: Due to the face that the patient is unable to find orthodontic provider in his remote location and his quality of life so severely affected, his options to pursue a more ideal treatment plan consisting of exposing #13, mandibular advancement, and setting up for future restoration to replace his lost tooth structures, is not possible on along distance situation. However, his tempromandibular joint is experiencing discomfort due to the mandibular restriction, hence we will attempt to improve malocclusion and overbite with Invisalign. The space for #13 will match the contrlateral #23 and hem have #13 extracted and an implant placed in the future. The 3 unit fixed prosthesis in quadrant 4 in not ideal due to the overeruption of #16 and intrusi will be planned in the movements. The patient understands that this is a compromised treatment option; however it will improve his occlusion if worn well. We anticipate that the active treatment will be approximately 1.5-2 years to be followed by long-term retention. Throughout treatment, we will incorporate elastic wear with his aligners. While the patient is undergoing his orthodontic treatment, he should maintain his routine dental visits.
UPDATED FROM jawbex
6 days post
I should have started with by saying that I am undergoing the treatment NOT for cosmetic reasons ...
jawbexSeptember 1, 2015
I should have started by saying that I am undergoing the treatment NOT for cosmetic reasons but rather due to persistent health issues. I am experiencing frequent headaches, tension in facial muscles, and TMJ discomfort. I am also unable to mash most foods as my molars do not connect when my jaw is fully closed. I have sought help from my physician and my dentist. They referred me to a TMJ specialist who, in turn referred me to an orthodontist. I have had consults form three orthodontist before I finally decided to undergo a treatment proposed by a fourth ortho that I saww. The first three orthos suggested treatements that ranged from doing nothing to wearing a Gelb retainer. Neither of them were confident that they could alleviate my symptoms.
Here the analysis and treatment plan from my the orthodontist that is currently treating me with Invisalign:
Occlusal Analysis: Moderate Class II Division 2 Subdivision right malocclusion. There is 2mm of arch length deficiency in the maxillary arch and adequate arch length in the mandibular arch. The anterior overjet is 1mm and the anterior overbite is 90%. There is evidence ofn moderate incisal attrition combined with posterior erosion. Temoromandibular assessment reveals decreased translation on the left with closing and the patient report discomfort and tension on a daily basis.
Facial Evaluation: the patient has retrognathic, convex profile and an obtuse nasolabial angle, thin labial support and lower lip eversion. He has a good chin prominence and the deviates to the left. Upon smiling, the maxillary dental midline is 3mm righ tof the facial midline.
Radiographic Findings: The panoramic radiograph reveals the absence of the third mollars and the mandibular right second premolar. The maxillary right canine is vertically impacted.
Intraoral Findings: the patient's overall periodontal health is good. There is evidence of incisal attrition due to lack of posterior support and contact to sufficiently break down the food he eats.
Temporomandibular Joint Evaluation: the patient reports frequent headaches associated to the restricted movement of his mandible. He persistent tension in his jaw and facial muscles, particularly the masseters that is affecting his quality of life.
Treatment plan: Due to the face that the patient is unable to find orthodontic provider in his remote location and his quality of life so severely affected, his options to pursue a more ideal treatment plan consisting of exposing #13, mandibular advancement, and setting up for future restoration to replace his lost tooth structures, is not possible on along distance situation. However, his tempromandibular joint is experiencing discomfort due to the mandibular restriction, hence we will attempt to improve malocclusion and overbite with Invisalign. The space for #13 will match the contrlateral #23 and hem have #13 extracted and an implant placed in the future. The 3 unit fixed prosthesis in quadrant 4 in not ideal due to the overeruption of #16 and intrusi will be planned in the movements. The patient understands that this is a compromised treatment option; however it will improve his occlusion if worn well. We anticipate that the active treatment will be approximately 1.5-2 years to be followed by long-term retention. Throughout treatment, we will incorporate elastic wear with his aligners. While the patient is undergoing his orthodontic treatment, he should maintain his routine dental visits.
Here the analysis and treatment plan from my the orthodontist that is currently treating me with Invisalign:
Occlusal Analysis: Moderate Class II Division 2 Subdivision right malocclusion. There is 2mm of arch length deficiency in the maxillary arch and adequate arch length in the mandibular arch. The anterior overjet is 1mm and the anterior overbite is 90%. There is evidence ofn moderate incisal attrition combined with posterior erosion. Temoromandibular assessment reveals decreased translation on the left with closing and the patient report discomfort and tension on a daily basis.
Facial Evaluation: the patient has retrognathic, convex profile and an obtuse nasolabial angle, thin labial support and lower lip eversion. He has a good chin prominence and the deviates to the left. Upon smiling, the maxillary dental midline is 3mm righ tof the facial midline.
Radiographic Findings: The panoramic radiograph reveals the absence of the third mollars and the mandibular right second premolar. The maxillary right canine is vertically impacted.
Intraoral Findings: the patient's overall periodontal health is good. There is evidence of incisal attrition due to lack of posterior support and contact to sufficiently break down the food he eats.
Temporomandibular Joint Evaluation: the patient reports frequent headaches associated to the restricted movement of his mandible. He persistent tension in his jaw and facial muscles, particularly the masseters that is affecting his quality of life.
Treatment plan: Due to the face that the patient is unable to find orthodontic provider in his remote location and his quality of life so severely affected, his options to pursue a more ideal treatment plan consisting of exposing #13, mandibular advancement, and setting up for future restoration to replace his lost tooth structures, is not possible on along distance situation. However, his tempromandibular joint is experiencing discomfort due to the mandibular restriction, hence we will attempt to improve malocclusion and overbite with Invisalign. The space for #13 will match the contrlateral #23 and hem have #13 extracted and an implant placed in the future. The 3 unit fixed prosthesis in quadrant 4 in not ideal due to the overeruption of #16 and intrusi will be planned in the movements. The patient understands that this is a compromised treatment option; however it will improve his occlusion if worn well. We anticipate that the active treatment will be approximately 1.5-2 years to be followed by long-term retention. Throughout treatment, we will incorporate elastic wear with his aligners. While the patient is undergoing his orthodontic treatment, he should maintain his routine dental visits.
Replies (0)
UPDATED FROM jawbex
15 days post
Trays #2 Completed - Aug 26 to Sept 9, 2015
jawbexSeptember 10, 2015
Set 2 done and they went pretty much as good as I could have hoped. I did have a nasty sore on my gum for a few days, probably due to a scratch during tray removal it got irritated from frequent brushing and flossing but it has healed.
I am also resigned to live with linea alba (a white line of tissue) on the inside of my cheeks for the duration of the treatment. It seams that swallowing with the trays is causing a suction on the cheeks which develops this line. It does not hurt but I can feel its ridge along the whole length of my cheek with my tongue.
Iput in tray #3 last night. The small gap between the tray an the upper incisors that had with set #2 is still there with tray #3. I'll be asking my orthodontist if this is a concern.
I am also resigned to live with linea alba (a white line of tissue) on the inside of my cheeks for the duration of the treatment. It seams that swallowing with the trays is causing a suction on the cheeks which develops this line. It does not hurt but I can feel its ridge along the whole length of my cheek with my tongue.
Iput in tray #3 last night. The small gap between the tray an the upper incisors that had with set #2 is still there with tray #3. I'll be asking my orthodontist if this is a concern.
Thanks for sharing your experience. The first few trays are definitely the hardest. If you're comfortable, I suggest adding some photos of your smile so you can see the progress of your teeth over time.