The last appointment went exactly as expected. The bottom incisors were pretty much perfect. The right central incisor is slightly tipped inwards, but less than 1/10th of a mm. The ortho said that she'll be able to push that teeth forward while the retainer is bonded to fix this (which didn't work that well, but I'm satisfied with the result and honestly think that these slight imperfections make it look more natural).
The bend that was added to the wire through the brackets didn't upright the 36 as hoped, at least not during one week. As the holding clasps of the removable brace had created a little space between my 35 and 36, the ortho removed the wire from the three brackets and wants to let my bite settle on its own again. Until the next appointment two weeks later I shall not wear my removable braces (well, the lower one won't fit anyway with the permanent retainer).
I had impressions made and the ortho started bending the retainer wire. About 20 minutes later they started bonding the permanent retainer from canine to canine. After instructions on how to brush and floss I was on my way.
I have to admit that the permanent retainer isn't nearly as bad as I expected. While on the first day my tongue chafed the wire, already on day three I started to forget it was there. I expected it to be way more present and even interfere with speech a little. I didn't observe any of that. I can definitely see how so many people prefer it over a removable retainer which you need to always remember to wear.
However, lots of food seems to get stuck between the wire and teeth. On several occasions something got stuck in a way that I was only able to remove it once I was home with floss. Considering that the primary goal of the treatment was to close the two gaps behind my upper canines where food got stuck every meal, instead, now I have five new places where food cat get stuck.
For now I'll be able to tolerate the bonded retainer for a year or so until the end of the treatment as it will make fixing my bite easier than trying to work around removable plates which are responsible for my molars' intrusion in the first place. When active treatment is over I still think I'd prefer to have the fixed retainer removed and rather use a removable appliance.
When the retainer was bonded, there was about a millimeter of horizontal space between the upper and lower incisors. When I asked the ortho about it she said that the incisors don't necessarily need to touch when I bite together. If it's something that bothers me we can tackle it later.
Luckily, only a few days later the problem fixed itself as my upper incisors have moved inwards on their own and are now perfectly touching the lower ones again.
Without wearing any removable plates, the first three days all of my molars were quite sensitive as the bite started settling. The gap between 35 and 36 is closed again and the 36 was able to extrude a bit. But there's still a vertical gap of ~1mm. The vertical space between the left premolars didn't change and is still about half a millimeter. Let's see what the next appointment brings.
Embracer said:
If your bite permits, you might also get a bonded retainer on your top 6 front teeth.
The initial plan of the ortho was to do retention with both a lower and upper fixed retainer. The top one might even include the first premolars to keep the gap behind my canines closed.
Embracer said:
Perhaps you could ask for a bottom hawley as well in order to keep the whole bottom arch aligned? [...] Again, a hawley in addition would help maintain the whole upper arch and the hawleys in combination should maintain your bite.
I'll need some form of bruxism guard anyway again after the active treatment phase. Already after half a year without grinding protection (since the bite planes were removed from my removable braces) my dentist noticed that the bruxism marks on my teeth got worse. This was also how I plan(ned) on convincing the ortho to just use removable retainers. If I need to wear a bruxism guard diligently every night for the foreseeable future anyway, why not use it as retainer and add a second plate for the other jaw as well.