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Author Topic: dream orthodontic treatment  (Read 48524 times)

Offline pepetheskunk

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Re: dream orthodontic treatment
« Reply #45 on: 09. August 2017, 11:16:17 AM »

Offline Bracesluvr

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Re: dream orthodontic treatment
« Reply #46 on: 14. August 2017, 06:33:59 AM »
Another dream treatment would be full metal braces with steel crowns on all molars. 4 elastis on each side and upper expander with thick bite plate and habit crib just behind my top teeth that is highly visible and very tall. Fixed lower expander screw and 2 more elastics forming an X in front. This all for pleasure making my mouth full with lots of tightness

Offline libtech

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Re: dream orthodontic treatment
« Reply #47 on: 16. August 2017, 21:44:42 PM »
My dream orthodontic treatment would be full metal braces with a herbst appliance with fixed expanders on both top and bottom with the biteplates on the back molars. Then I would get a lower lip bumper. After about 8 month of these appliances the orthodontist soon then realizes that the Herbst aren't doing their job so now I am strapped into headgear per the treatment coordinator. The headgear that I receive is the custom one which I am wearing in my Avatar. I then realize that it has been wired in and fixed to my upper appliance after the cheek retractors are taken out and the Vast Ortho Gear is not budging a bit. The treatment coordinator then tells me to try to get used to my new orthodontia because this is going to be my Perminant 24/7 look for the next 10-11 months at least :)

Offline Bruss88

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Re: dream orthodontic treatment
« Reply #48 on: 19. August 2017, 19:55:02 PM »
I wore ceramic fixed braces as an adult - afraid of a full metal mouth for "social" reasons. My dream treatment is, however, full-banded metal. I'd especially like the hours it would take to get them installed! Upper and lower expander would be good, as well as headgear for a time. Wonder in any orthodontist would do that these days. I'd almost be afraid to ask.

Offline Olivia

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Re: dream orthodontic treatment
« Reply #49 on: 28. August 2017, 03:33:02 AM »
Disclaimer: this is a rather long description of a relatively uneventful dream treatment that I actually wouldn't mind having at one point in life. I will also have a thing about a nightmare / insanely unrealistic treatment plan :)

My dream orthodontic treatment would be something that doesn't look particularly excessive but is actually causing a great deal of discomfort for the wearer. It would be tackling real issues as an excuse to pile up some orthodontia to treat them in a rather disproportionate way.
I would opt for ceramic brackets, because let's face it, they are pretty much just as visible as metal ones are, but they give off that vibe that the patient tried to go for something not too conspicuous which is the image I think I would like to project. They also come in pretty big sizes so with a nice set of thick metal wires, with all sorts of bends on them and a generous sprinkling of hooks for elastics, they would  push out my lips quite a bit, so even with my mouth fully closed people would be able to tell quite easily that I'm wearing braces.
On my lower jaw there's a considerable gap between my third and fourth teeth on one side that I subconsciously created by pushing them out of alignment after I got my braces off as a teenager. To rotate these teeth back to where they belong I would have both of them banded and joined with a coil spring. To the back of these two bands I would have a custom tongue spurs fitted to train my tongue to stay away from these teeth. Again, the two banded teeth would be super noticeable among the ceramic brackets but something I could explain to whoever is wondering. Even after these two teeth were moved back to the correct position, my ortho would keep the bands in place because of the tongue spurs. 
As you can see my tongue thrusting is clearly an issue (it has created a tiny gap between my upper front teeth when I was a child and even with wearing my retainer, I can achieve a 1/4 - 1/2 mm gap) I would be fitted with a removable habit crib. I would of course struggle an awful lot with it in my personal life (there's no way for your tongue to fully get used to it, from the day you're fitted with the appliance there's room for improvement but ultimately you can only get used to your new, impaired speech really) and the first day of trying to have it in at strategically okay times at work I would just give up and not wear it at work altogether. Even with trying to wear it 24 hours  over the weekend I would still fall short of the 20 hours  / day required wear. After 6 month of this my ortho would voice his concerns that this isn't working as he expected and at the next check up he would fit me with a permanent habit crib. It would be barely visible but it would make my speech infinitely worse and without much chance for it to improve considerably. I would keep these for the entire length of my treatment.
Soon after this I would receive my headgear. It would be a sturdy cushion loop facebow with a with a generously sized black high pull and cervical strap. It would be putting a small amount of pressure on my upper molars to move them back ever so slightly so it would be rather comfortable to wear but I would be struggling with the 16 hour wear time as I would be categorically rejecting to wear it to work. I would try to make up for the lost time by wearing it all weekend which would put a strain on my social life. I would mostly just spend time at home with my boyfriend who says he doesn't mind the lisp too much and is learning to come to terms with the headgear. I would on occasion head out with him wearing the headgear but as I wouldn't be used to it, I wouldn't be able to relax in public, not for one second. I would already be super aware of my lisp caused by the tongue crib, which gets far worse when I'm talking to someone I haven't met before (the nerves).
As I had some issues with popping some of my lower brackets off, my ortho would decide that the lower ceramic brackets have to go. He would just blame it on the material and say that the technology unfortunately still has its limits. I would get most of them replaced by metal brackets of the same size (my ceramic brackets were already quite big!) and some of them he would band without bothering to explain why this would be strategically important (it isn't).  They would be 10 times more noticeable, but in reality, people have already gotten used to my braces and this change doesn't seem to shake anyone too much. All the metal on my lower jaw becomes more apparent when I get my lower lip bumper. Thankfully it fits quite snugly so it doesn't really show, but it does push out my lower lip a fair bit making it look very plump. My orthodontia is now permanently on display and even without the headgear, my lips don't touch anymore and I do look like as if I had a bit of an underbite. After careful consideration I decide I don't mind this particular development too much as I always wanted fuller lips, I experiment a bit more with lipsticks on work days.
We are at about 9 month into the treatment now, and most of my devices don't change too much for the next year, year and a half. I wear plenty of elastics in various configurations, always to be worn all day and some strengths will only come in particular colours which I will find mortifying but there will not be much for me to do about it.
Towards the end of my treatment, it will be time to rotate my molars that are slightly out of alignment. My ortho decided to do this last so that everything will have a bit of time to settle. I will lose the elastics and the lip bumper, I will only wear the headgear at night, but my molars will be anchored to mini screws in my palate. This relatively uneventful last phase will take another half a year until my ortho declares it's time to lose the braces.
My retainers will be Hawleys and will come with a tongue crib built into the plastic bite plate. For the first year I will wear them all the time I'm not at work (totalling about 16 hours a day with almost full time wear over the weekend) and I would continue wearing my headgear at night. After a year I would reduce the wear to 12 hours a day, and on the 2 year anniversary I would graduate to only wearing them at night, with headgear only 3-4 nights a week. This configuration I would then continue with until the end of time.

Offline Miketehcat

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Re: dream orthodontic treatment
« Reply #50 on: 28. August 2017, 20:26:30 PM »
Wow, I love the specificity, Olivia. That sounds like a very realistic dream plan - just the right amount of appliance changes and inconvenience! I can't wait to hear about the nightmare treatment plan  >:D

Offline OtherNotion

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Re: dream orthodontic treatment
« Reply #51 on: 07. September 2017, 01:47:57 AM »
I see this treatment taking between 4-5 years. Iwould want about a year of lower palatal expansion with the first year 6 months or so being with upper braces only but upper and lower bands, during this period I'd also be wearing headgear for about 14-18 hours a day. At the 6 month mark I'm fitted with lower braces and and removable tongue crib and instructed to wear both it and the headgear as close to full time as possible, however compliance is an issue as a young professional and at the one year mark.ive only made a bit of progress mostly in the area of palatal expansion. As a result my tongue crib is exchanged with a permanent one and and the headgear is swapped out for a forsus appliances that I'll wear for.the next 2 years, to further combat my tongue thrusting a habit spikes are soldered expander which is now mostly there for retention of.the work done earlier. For the next year I struggle to make myself understood, until the lower expander is removed and replaced with a lip bumper, while upper crib remains. I'm also given elastics for mid line correction and to close some gaps near the front, these are to be removed only for eating but restrict my mother even more than the forsus alone. This portion of treatment takes about 2 years, at it's conclusion I'm given up and lower Hawley retainers for full time wear.

Offline pepetheskunk

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Re: dream orthodontic treatment
« Reply #52 on: 07. September 2017, 02:20:22 AM »
the part about the habit spikes sounds mean

Offline OtherNotion

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Re: dream orthodontic treatment
« Reply #53 on: 07. September 2017, 04:08:13 AM »
Maybe a little, they are however, necessary. More annoying that painful.

Offline Bracesluvr

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Re: dream orthodontic treatment
« Reply #54 on: 29. September 2017, 16:57:00 PM »
I would love to be an orthodontist. My office would offer services to those wanting custom treatments for those like us. I wouldn’t offer normal braces, that is found everywhere. Here would be safe to request and experiment with various appliances that are fully functional and used for treatment of crooked or crowded teeth. Experimenting with every appliance I could would be a dream come true.
Complex or extended treatment encouraged. Fullbands and headgear always used after a time with several appliances that are fixed in or removable. Frankel or activators would begin the process before moving into fixed expanders and habit cribs used on most patients. Herbst and twin block appliances always used to ensure compliance for later stage banding with lots of extras and hooks to add tension and pressure to the entire mouth. The more the better. I want clients to ask for complex treatment and want to be FULLY BRACED. The patients could feel safe and not judged for their love of orthodontics. Upper and lower twin face bow headgear or reverse pull face mask added if chosen as well. I want patients to wear as much as possible as many different types of appliances as an alternate to traditional braces. Thick acrylic and complicated appliances would be my signature style. End result would be the same, just taking a fun route to get there. I would always wear the same appliances myself that I suggest to patients so I get a good understanding of the treatment I use for them
WHAT WOULD YOU WANT IF I WAS YOUR ORTHO,
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Offline pepetheskunk

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Re: dream orthodontic treatment
« Reply #55 on: 29. September 2017, 19:02:20 PM »
now thats an orthodontist I would go to

you could count me in as one of your patients ;)

Offline jonjon

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Re: dream orthodontic treatment
« Reply #56 on: 01. October 2017, 18:14:49 PM »
Me too that would be my dream practice to visit I would definitely be asking for head gear and facemask to me they are the best

Offline OtherNotion

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Re: dream orthodontic treatment
« Reply #57 on: 01. October 2017, 21:36:45 PM »
I would totally travel to visit your practice. I'd love the option to skip using elastics and go straight for a forsus or herbst appliance. Pair that with some headgear and and upper and lower expanders at that's pretty close to the dream.

Offline carking

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Re: dream orthodontic treatment
« Reply #58 on: 02. October 2017, 17:57:35 PM »
That would be awesome. I'd be a patient. Treatment with activator, expander, herbst and full metal braces with headgear!

Offline Fraenkelstein

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Re: dream orthodontic treatment
« Reply #59 on: 30. October 2017, 13:12:37 PM »
Pre-treatment:

I'd go online and find the orthodontists with the absolute worst patient reviews (old-fashioned, doesn't listen, takes forever, etc). Then I'd consult with them and find the one that wants to try to fix my bite with a functional appliance, in this case a bionator. There would be an understanding that fixed braces would follow, but the details would be purposely vague.

Treatment:

I'd wear the bionator religiously for about two years with very little in the way of improvement. Though the adjustment period was tough, I've learned to cope with it really well: my friends don't bat an eye when I excuse myself to take it out for dinner, and put it back in afterwards, I smile broadly with it, and I have only the slightest lisp left. My orthodontist praises my dedication, and says that it is time to try something different. He puts a palatal expander on, which is somewhat invisible and causes people to think I'm done with the treatment, before producing such a big gap that other people I meet tell me I should consider getting braces  ???. After a couple of months he removes the expander and informs me that I should make a long appointment and be prepared to have an empty schedule for the days after that. He also puts a bunch of spacers in my mouth.

The day comes and I get into the chair. He places big brackets on all my teeth, bands on my back molars and on my canines. to these, he attaches a tongue crib and a tpa. He also puts bite blocks on my back molars. Next, he pulls out a facebow and starts fitting it right then and there, telling me that if I am as motivated in wearing it as I was the bionator, we might just have the desired results. I wear it whenever I'm at home, but not outside and not when I have company. Next appointment I ask him to tie it in for a week so I can get over the embarrassment of wearing such a thing as an adult (I'd plan a bunch of public events just so I wouldn't be tempted just to hide at home). A couple of months later, he switches me from a cervical headgear to a combination headgear.

Elastics come and go, peaking at six at one time, and I'm informed I only have to wear the headgear twelve hours a day. By that time, I'm so used to it that rather than sleeping with it, I wear it during the daytime instead. After about four years of the fixed braces, it is time for retention. For two years, I'd wear a bionator at night and Hawley retainers by day,