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Hallo wieder einmal!
Vorgestern war es wieder so weit. Ich hatte einen Kontrolltermin beim KFO. Die Dauer diesmal: ca. 20 Minuten, davon die Hälfte Wartezeit. Diesmal war das Wartezimmer recht gut gefüllt.
Diesmal wurde der Bogen im OK entnommen und gereinigt, sowie die Kette von 7 auf 7 erneuert. Weiters wurden die überstehenden Drähte oben gekürzt.
Derzeit kommt mir vor, es tut sich gar nichts, der länger werdende Draht hingegen sagt etwas anderes.
Der nächste Termin ist in 3 Wochen.

Tschüss und bis zum nächsten Mal

bracesboy36 said:

I'm getting braces next month ))

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Have you now your braces?

Ach cool, vielleicht magst du dann ja auch berichten wie die Spange so ist, wenn sie bei dir ankommt?  @spängchen

Habe mir die Spange nun auch bestellt.
Abdrücke sind gemacht und verschickt.
Bin gespannt…

The problem with having your teeth "straightened" is that for many people, that "straight" position isn't a stable position for the teeth (by which I mean that your teeth don't properly 'interlock').... so, without a retainer to regularly / constantly push the teeth back into their non-stable position, then the teeth will try and move into a more stable position (ie where the teeth interlock better).

Some people are lucky in that their new teeth positions ARE 'stable', so their teeth won't move (or won't move as much). (and I'm thinking that this will include people whose teeth get moved a long way, eg fixing a massive under / over-bite, where the jaws are moved such that the teeth 'take a step' forwards or backwards)

I chickened out asking for a new retainer. The one I have is ok it is doing the job and although slightly uncomfortable I can live with it. I figured as long as it is working and not adversely affecting my teeth/jaw then it’s ok. I wish I hadn’t chickened out though as there was no harm in asking for a new one. It’s for another 12 months so I would have been ok to ask. Anyway I haven’t bitten my nails and that is the first time in many years so I am happy with that. I would recommend it to anyone who has the same habit as me who has tried all the other things and it’s not worked. It’s not an ideal thing to do because it’s obviously embarrassing to wear a retainer like this but it has worked and is the only thing that has done so each to their own but it does work so if you do have the habit it is worth a try.

bdave said:

Just so you know, I have top and bottom permanent retainers and they're really cool!!!

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Not to derail foobar's thread, but out of curiosity why do you think that permanent retainers are cool? I've never been really thrilled about mine, though part of that might be that I was told I'd get it removed and replaced with a removable retainer after a handful of years but that never happened.

One one hand, I'm glad the six teeth it's attached to haven't moved, but on the other hand it did nothing to stop the teeth behind those (bicuspids and molars) from shifting some. If I were to ever get braces again, I'm not sure if I'd want permanent retainers or not.

Just so you know, I have top and bottom permanent retainers and they're really cool!!!

After just 4 weeks of brackets, I'm already on a rectangular wire.

During my last appointment three weeks ago my round wire was replaced with a rectangular one. The ortho said that it's way easier to insert than two weeks earlier where she struggled a bit. She was satisfied with how my molars are moving even though I still don't have better contact as the bite seems to be closing little by little.

When checking the rest of my mouth, she said that she wants to strip away a bit more from my bottom incisors. I said that a space has started to open up behind my lower left canine as my lower incisors are starting to crowd again. She looked at it and I had the feeling that she isn't fully convinced if that's enough space, but decided not to perform IPR at that time. Since then, a small space also started to open up behind my lower right canine. I guess with the plan of first fixing the bite, then the bottom incisors, then the top incisors, we can pretty much start back at square one with my bottom incisors.

We had a discussion about my top left lateral incisor which is blocking the bite for which I'd been wearing the upper brace partially again. I had been wearing it 6 hours per day before going to bed. While sleeping my bite settled again. However, my incisor also went back rather quickly touching the bottom canine again. Wearing it through the night moves the incisor to be out of the way for most of the day but it takes my bite three hours to settle. She explained that this is all due to my suction which might be a variation on a tongue sucking habit. She's never seen it that strongly in any other patient. She presented several options:
First, she suggested that I could wear the plate during the night and come back the day after at which time she can place a permanent retainer in the top jaw. The teeth are sitting well and could be finished up that way. But I'm not satisfied yet. The spaces between the canines have started to open back up very slightly. I'm also a bit worried that when my bottom incisors are moved back again the contact in the front could be a bit off. Additionally, if possible I'd like the upper left canine to be moved lingually a bit more. This also sparked another discussion surrounding permanent retainers which I'm not too keen on.
The second option is that she could cut away the back part of the upper brace starting from the second premolar. That way the holding clasps wouldn't affect the molars anymore with my suction, only the premolars.
I asked if there was a third option of somehow breaking the tongue sucking habit. She said that usually when she notices such behaviour it's in way younger patients. In these cases she usually suggests trying to become aware of and trying to avoid it in addition to doing some muscle relaxation exercises. But she doesn't have much faith in me succeeding as the habit is very pronounced in my case. I still wanted to try this option. She said that I should try to wear it more during the day, closer to 12 hours or as much as I need for the incisor not to block my canine.

I've tried being more aware of it for two weeks but ultimately failed. Whenever I take out the upper plate after wearing it, my bite feels off. Even after just one hour. I wasn't able to bite properly during any meal as I wore the brace a lot during the day. In the end I decided to wear it during the night again. That way the incisor is under control and my bite settles until lunch such that I can at least properly bite during the rest of the meals.
If the habit results in problems later on (which I wasn't aware of before starting treatment; heck I wasn't even aware that I was doing anything unusual), I'd really like to get rid of it, but I'm not sure how.

The wire turning during every meal solved itself as that's just not possible anymore with the square wire. Funnily enough the wire now started to move forwards a few millimeters while I'm eating. At least that's easily fixed by just pushing it back with a finger instead of requiring tweezers and a mirror.

Tomorrow is my next adjustment and I have no idea what to expect. I'll definitely bring up the retainer topic again to finally reach a solution. I'll state my case that I don't see a need for permanent retainers as I'll wear my removable retainers diligently every single night due to needing a bite-plate anyway. But if she still insists on permanent retainers, I'll give in and at least try them for half a year or so.

Maybe a Frankel

https://www.bracesshop.com/en/functional-appliances/27/fraenkel-2?c=60
https://www.bracesshop.com/en/functional-appliances/21/bass-application?c=60

They were higher. They were oval, about half covering my teeth and the other half covering the gums. I had very pronounced canine teeth also. If that helps

Did the pads line up with your teeth (ie just like a lip bumper does) or was it higher, on the gum?

So I'm trying to find the name of my appliance I had back when I was a teenager.  For reference I was a class III with a narrow upper palate and crowding.  I started off with a fixed hyrax with a tongue crib and hooks to attach to my facemask. 

After some time the orthodontist removed my hyrax and replaced it with a removable expander.  But it has these two plastic pads that acted like lip bumpers.  It had some weird name but I can't remember it. Haven't seen one in a long time. 

If anyone can help me out, I'd appreciate it.  And let me know if I didn't describe it well

I would give you a tongue  crib With upper and lower fix expanders

Viel Erfolg weiter und großen Respekt!
Ich hatte für ein gutes Jahr mal nen Bionator den ich 20h am Tag tragen musste. Da war auf jeden Fall auch kein Zähne schlecken, aber irgendwie hat man es ausgehalten. Sprechen war schon recht schwer, aber ich habe mich durch die 20h "recht schnell" dran gewöhnt. Bis zum Ende der Behandlung mit diesem Gerät konnte ich allerdings nicht gut sprechen.

Hallo Force!
Schon lange nichts mehr neues mehr von dir über deine Behandlung.
Bist noch fest verdrahtet, oder was gibt’s neues?
LG Surfreak

Respekt! Und viel Erfolg bei der Behandlung!

Respekt auch schon deswegen, weil ich weiß wie es ist, wenn man einen riesigen Bionator 16 Stunden am Tag tragen muss, damit er wirklich in der vorgesehenen Zeit hilft. Ich war aber dann heilfroh, als der Rest des Überbisses dann mit einer Doppelvorschubplatte korrigiert wurde. Da waren dann zwar zwei Stäbe, die den Unterkiefer vorgeschoben haben, wenn man die passende Unterkieferspange eingesetzt hat, war aber im Gegensatz zum Bionator angenehm zu tragen auch mehr als 16 Stunden, vielleicht bekommst du so etwas auch noch...

Dark blue opaque.  Much as I love ortho I'm not much a fan of retainers in general.  I prefer fixed appliances and a sort of "finality" of getting them removed with nothing to come in their place. 

Das denke ich auch eher, allerdings müsste man die Spange anfangs doch auch merken. Man kann ja schließlich nicht von Anfang an perfekt mit ner Lingual-Spange reden.

Aktitime said:

Ich wurde schon mit gefühlt allem behandelt. Ich hatte aber auch mehr oder weniger 2,5 Behandlungen.
Eine Behandlung war irgendwie zwischen meinem 8 und 12 Lebensjahr, und die andere zwischen dem 14 und jetzt.
Die ,5 hinter der 2 kommt zu stande, da bei der 2. Behandlung der alte KFO in Rente ging, und sein Nachfolger übernahm. Dieser hatte natürlich ganz andere Pläne, und hatte so in meinem Leben schon tüchtig was im Mund. 

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Eine ausführlichere Übersicht über meine Behandlungen wird noch kommen.