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16er Stahlbögen habe ich auch. Die sind schon von anderer Kraft als die superelastischen Ni-Ti-Bögen. Aber man gewöhnt sich schnell dran. Hoffe, du kommst gut damit zurecht. Und lächeln, keine Frage, macht auch mit Spange Spaß. So Long
Flaneur
 
Hallo Bio48,
das hört sich doch vielversprechend an für dich.
Wenn ich fragen darf, wie alt bist du denn ungefähr?

Ist ja schön, dass du den KFO deines Vertrauens gefunden hast, welcher dein Problem mit einer losen Spange behandelt. Persönlich bin ja eher für eine feste Spange.

LG
Snakebites
 

Louis03M

Silver Member
I ordered the retainer with headgear tubes on the shop website requesting the following changes. What do you think ?

1) Color the retainer blue and orange.

2) Modify the retainer, adding, at the bottom, the protruding element that can be seen in the stiff activator.

3) The retainer plate must be much thicker and must cover the entire palate, down to the last tooth

4) In the front part of the retainer add the pelottes.

5) The retainer plate in the lower part must have the bite plane.

6) Add the design of a soccer ball to the plate.

7) Color The plastic-coated labial bow with orange color.

8 ) Add the wire for the lower arch to the retainer. In this way the retainer has both the wire for the upper and the lower arch having only one retainer plate.

9) Add the pelottes for the lower arch to the retainer.
 

Bio48

Newbie
Guten Tag in die Runde,

nun bin auch ich im fortgeschrittenen Alter (wieder) dabei.
Schon länger plagt mich ein Tinnitus und nachdem der HNO nichts feststellen konnte, brachte mich mein Zahnarzt darauf, dass es vielleicht am falschen Zusammenbiss liegen könnte. Die Röntgenbilder zeigten auch schon eine einseitige Belastung der Kiefergelenke und einen leicht hinten liegenden Unterkiefer.
Einer festen Spange wäre ich zumindest skeptisch gegenüber gewesen, so war ich froh, einen vertrauenswürdigen KFO zu finden, der meinte, es auch mit einer losen Spange (Bionator) behandeln zu können.
Ich ließ mich also über die Details aufklären und dann ging alles ziemlich schnell. Neuer Termin, Abdrücke gemacht und eine Woche später war meine Zahnspange fertig.
Nachdem ich ja eigentlich dachte, dass ein Bionator lose im Mund (Unterkiefer) liegen soll, war ich überrascht, dass er bei mir Oberkiefer eingesetzt wurde. Ist aber eigentlich recht angenehm zu tragen, auch mit dem Bogen an den Frontzähnen.
Nur die Menge an Plastik stört halt gewaltig. Sprechen ist jedenfalls eine Katastrophe und ich kann mir auch nicht vorstellen, wie das besser werden soll.
Meine Freundin ist darüber leider auch wenig begeistert. Kann ich irgendwie auch verstehen, aber ich soll die Spange halt so viel möglich tragen, mindestens abends/nachts und vier Stunden tagsüber. Hat hier jemand Erfahrungen mit der „Alltagstauglichkeit“ mit dem Gerät? Und sind danach eigentlich „normale“ (Hawley-) Retainer nötig oder sinnvoll wenn UK/OK dann hoffentlich gut zusammenpassen?
Tja, mal schauen, wie es weitergeht. Ich warte mal den ersten Kontrolltermin ab und dann berichte ich weiter.
 
I had my first adjustment a few days ago. Already before the adjustment, one of my canines moved back quite a lot, pretty much already eliminating the space between it and the premolars (which is the main issue I wanted to get fixed with the braces, or rather, which is the main thing I used as reason of why I wanted braces to the ortho :) ).

During the appointment, the ortho tightened the holding clasps of both appliances quite a lot, to provide better anchorage for the active elements to do their work. She adjusted the springs of my lower incisors and activated my upper lateral incisors to start pushing them out. The springs moving in my wisdom teeth were activated a lot (which really hurt!). When inserting the plate, those springs now get caught on the surfaces of my wisdom teeth, so I need to push them out with my fingers. She also activated the move-canines-back springs, but I think one of them is blocked by another wire and doesn't actually touch my canine.
I asked her about the expansion screws and when / how / if they'll be activated. She said she doesn't need to gain much space. If and when needed she'll just turn them during my normal adjustment appointments.
Given this, I don't think I can answer your question regarding the effectiveness of expanders in young adults as I won't really need much expansion / it'll only be so slight that it doesn't matter.
I mentioned the sores in my lips and cheeks I talked about in my previous post to the ortho and she adjusted a few things here and there to hopefully reduce them. Three days later I can say that it didn't really help and with the new activations other parts of my tongue now also get pinched and start to hurt. I also mentioned the impressions of the upper plate in my hard palate tissue due to my subconscious sucking in the night (which don't really bother me). She smoothed the edges a little bit (although I know that won't help as my dentist also tried everything over the five years of me wearing the bruxism guard without any success). I used that as argument for why I wanted my top brace to cover my full palate which unfortunately they didn't do. I'll continue mentioning it, in the hopes that I'll get that wish fulfilled at least for my retainer :) (which user retained made me even more envious about)

With the tightened clasps, my upper plate hangs now even lower in my palate, reducing the space for my tongue even more. The plastic now goes below my lateral incisors and is even visible from the outside (which I guess doesn't really make much difference as the plastic from the lower bite plane is already very visible). It also strongly affects my speech again. I was finally at a point where I could talk pretty well, and now, again, I sound like I have just gotten the braces…

The pain was about as I expected. When I got the upper plate six weeks ago and my lower plate was adjusted slightly, I already realized that the strongest pain occurs roughly in the timespan 4-12 hours after putting in the braces after the adjustment. An advantage of removable appliances is that this time I was able to time wearing them in such a way that the strong-pain-time was while I slept. With fixed braces I imagine you can't time your adjustments that well and might have meals with that strong ache, which explains quite a lot of tips surrounding soft food after adjustments. In my case, I was able to continue eating normally, though some things like crunchy fries weren't too much of a joy to eat ;) I guess another difference is that only some of teeth were activated, while after a wire change with brackets all teeth are activated in some way or another.
Three days later, I still feel constant pressure and some slight ache, both of which I really enjoy though!

Regarding the missing labial bow and the two missing clasps from the invoice, I asked the ortho. Those elements are really missing. The bottom appliance was supposed to have a labial bow and it's also missing two clasps. She said that she'll definitely need the labial bow to properly align the incisors, which we all were already wondering about and expecting. The technician forgot to / didn't work them into the appliance. I need to bring the bottom brace to the ortho next Tuesday evening. On Wednesday the technician will be there and add the missing elements. Thursday morning I have another appointment where I'll be fitted the lower plate again, and possibly have a few more adjustments.
Additionally, on the bottom brace one spring broke. I think that happened during the adjustment when the ortho was bending it with the pliers, as it was already broken when I was back home and looking at the braces the first time since the adjustment. Either way I'll mention it when handing over the bottom plate next week to make sure that it can be repaired if needed.

retained said:
Interesting to hear that speech is slightly difficult for a time when you take them out. I certainly found that after wearing my simple retainer / bite plate absolutely full time for a few year.

Your anecdotes about that were exactly what I was immediately thinking about when I realized that phenomenon. It's crazy how quickly the body can get used to or even dependent on something like that.
 

Danraney3

Newbie
Hi all,

I have a question regarding some IPR I had done. In January 2020, I went to an orthodontist for an Invisalign consultation regarding a 4 mm overjet of my two front teeth and minor spacing between them and the teeth next to them, among other issues I was not as concerned with. The orthodontist looked at my teeth for a few minutes, did some measurements, then said I'd need aligners on both arches. He then looked again and said he thought he could get it done with just an aligner on the top arch, coming to this conclusion without any scan of the teeth. This past October, I went to another orthodontist who said I'd probably need IPR on some bottom teeth so I could fix the overjet. He was surprised the other orthodontist thought he could do this with only a single arch treatment. After scanning my teeth, I did indeed need IPR, so I went with that. I understand a double arch treatment is generally recommended so bite issues won’t occur, but I wish I got a third opinion, so I'm asking here after the fact.

Here is my ClearCorrect plan from my teeth scan so you can how they looked before: https://dr.clearcorrect.com/treatme...9FEF222E/8DD8E0BF-F006-4E85-B9A4-36DE086768A7. The second orthodontist said the plan would "align both arches and relieve any crowding while correcting the rotations and angulation of the teeth. The general shapes of both arches are improved and your lower mid-line will be slightly shifted back towards the center. We will need to perform IPR (tooth shaving) in the lower arch to improve the overjet and overbite."

I completely understand if no one can have an informed opinion considering you only have the scan to go off of.

Thanks!
 
Hallo Leute,

ich hatte heute meinen 2. Kontrolltermin. Diesmal hat mich der Herr Doktor betreut, die Frau Doktor dürfte wohl in Karenz sein. Was heute passiert ist: Unten wurde der Bogen gewechselt, ich glaube, es ist jetzt ein 16er Stahl. Weiters hat sich Zahnstein gebildet, der entfernt wurde. Hatte das eigentlich gar nicht für möglich gehalten, weil ich mindestens 2 Mal pro Tag mit der elektrischen Bürste jeweils 8 Minuten lang putze, ist aber dennoch passiert. Ansonsten sind die oberen 1er noch etwas empfindlich, weshalb wohl nur der untere Bogen gewechselt wurde. Von meinem kaputten Zahn spüre ich auch seit dem Wochenende die Wurzel, hab auch den Doc gefragt, wann der raus muss. Er hat gemeint, so spät wie möglich, weil sich der Knochen sonst zurückbildet. Also bleibt er mir auf jeden Fall noch 2 Monate bis zum nächsten Termin erhalten.

Macht es gut und vergesst nicht mit eurer Spange zu lächeln, auch wenn es noch so schwer fällt.
Joe
 
I had two triangle elastics from top 2 to bottom 2-3 which I had to wear fulltime for a while and then at night only
 
Nicht viel neues zu den letzten, aber habe ein paar geposted.

Demnächst kommt sie raus. Bekomme dann auf jeden Fall feste retainer, und es werden Abdrücke für die losen gemacht. Mal sehen was es wird. Es gibt in der Praxis wohl Hawleys und essix, je nach Fall
 
Thanks for the detailed update. All sounds good and its interesting that there have been quite a few noticeable changes even before activation.
Interesting to hear that speech is slightly difficult for a time when you take them out.
I certainly found that after wearing my simple retainer / bite plate absolutely full time for a few years (purely by choice). A couple of times I had to quickly disappear from a situation and put it back in because it was embarrassingly difficult to speak without it. I did like that though !

Will be good to get the next instalment..
 
Quick update after 4 weeks of having both appliances with 11 days to go until my first adjustment.

foobar said:
Already two days after the spring activation, they were in their new position and stay there since
Yeah that was a wrong statement. That tooth is still wandering forward bit by bit. In fact, even though nothing else has been activated, several of my teeth are moving around. For example the spring for an upper lateral incisor is touching my central incisor, inducing some forward tipping. I guess that's what the getting-used-to-the-braces-phase is for, to let the removable appliance settle, allowing incremental changes afterwards. For fun I tried inserting my old bruxism night guard. Two weeks ago it still fit with a little pressure, now I can barely insert it. There's definitely more movement happening without any activations yet than I expected.

At this point I'm pretty used to the braces and have them in most of the time (~20+ hours on most days). There are still some rough edges, and my subconscious suction while sleeping makes parts of my cheek and tongue get pinched between the plates and teeth, resulting in several sore spots (and a bruise in my cheek). Nothing that requires an urgent appointment, but I'll ask my ortho about that at the next appointment how that can be improved.
There are times when I completely forget that I have the plates in and it just feels natural, and then there are the times where I'm hyper-aware of the braces, feeling them fill large parts of my mouth, prodding and poking my tongue, cheeks and lips. I still wish I'd have gotten an upper plate filling the whole palate. But what I have is very very close to my dreams, so I can't complain.
My grinding and clenching has already left quite some marks in the bite plane. My TMJ isn't used to the more open position due the bite plane yet and aches and cracks every now and again.

Talking is improving week by week. It still sounds different than without the braces in, and I don't expect that to change, but at least I can make distinct "s", "z" and "sh" sounds now :) I'll most likely always sound different while wearing the braces. Previously, with my ~1mm thick night guard, I was able to talk without a noticeable difference after some time, but that one is way less intrusive and I've had it for 6 years instead of the expected 1-1.5 years I'll have these braces.
On some days when I wear the braces all the time except for eating, I start to have trouble speaking without them when taking them out before meals. I takes some minutes for my mouth to adapt back to not having the braces in anymore. Unfortunately the reverse is also true and after putting the appliance back in it sometimes takes 30min until I get used to having them back in. It's intriguing to see how quickly the body can adapt to these things.

I've also received the first invoice from the ortho. For the appliances I've found some weird discrepancies. The numbers that are correct in the invoice are 16 active springs (6 each for upper and lower frontal 6 teeth, 2 in the upper appliance for moving back my canines, and 2 in the upper appliance for my wisdom teeth = 16) and 2 two-arm clasps (the two adam's clasps in the upper plate). However, additionally it lists a labial bow and a modified labial bow. The latter probably means the one on upper brace, but my lower brace doesn't have a labial bow, so I don't know why there are two in the invoice. There are also 10 triangular clasps in the invoice, but I count only 8 (6 bottom, 2 top). I'm not sure if I'm missing something or if the invoice might be wrong.
Either way, my private health insurance covers all of the cost (and already payed for the invoice), but I'll still ask my ortho about it out of personal interest.

All in all I'm not regretting my decision to get these braces in the slightest so for and am very satisfied with them. It's just such a joy to have and wear them, such a fulfilling feeling after all these years dreaming about such a treatment!

AlexwithBraces said:
How is the bottom expander? I would love to get one, but never really clear on effectiveness in young adults

I can't comment on expansion yet, as my ortho hasn't talked about that topic with me so far. I expect my appointment in two weeks for my first adjustments to touch upon that topic. My guess is that it'll mainly be used for tipping the teeth a bit, but I don't know. I hope I can tell you more in two weeks.
 
Wow that sounds like such a great treatment so far! I’m quite envious! I’m looking forwards to more updates to see how it is going.
 
Viel spannendes gab es seit dem nicht - die normalen Termine mit Gummis wechseln und ab und zu neue Bögen. Zwischendurch mal zwei elastics, mit denen bin ich aber seit Anfang des Jahres fertig. Im UK kam letztens ein angepasster Bogen zum Zähne nach innen kippen rein der dann auch spürbar mehr Druck gemacht hat.

Insgesamt sieht mittlerweile alles sehr gerade aus und ich denke es geht langsam auf die Zielgerade.
 
Hallo wieder mal,

diesmal gibts wenig Neuigkeiten. Seit dem letzten Reparaturtermin hält diesmal alles. Ich hoffe mal, dass es so bleibt. Es ist jetzt einen Monat her, dass ich meinen ersten Kontrolltermin hatte und einen neuen Draht oben und unten bekam. Dennoch spürte ich in den letzten Tagen erst größere Druckempfindlichkeiten auf den 1ern. Das deutet für mich darauf hin, dass die Drähte wirklich eine gute Qualität aufweisen und durch die selbstligierenden Brackets das 8-Wochen-Intervall ausreichend ist.

Des weiteren hab ich mir das Foto vom 1. Tag angesehen und mit heute verglichen. Auch in den letzten 2 Wochen hat sich sichtbar etwas getan. Am auffälligsten ist es immer noch im UK wo die Stufen waren. Hier gleicht sich alles auf ein Niveau an. Was mir jedoch dabei aufgefallen ist, dass ich nachts relativ stark zusammenbeiße. Vielleicht gibt sich das mit der Zeit oder mein Körper wehrt sich dagegen, dass der UK einen falschen Schließwinkel bekommt. Ich werde das auf jeden Fall beobachten.

Weitere Kleinigkeiten, die mir aufgefallen sind: Im UK habe ich an manchen Stellen weiße Flecken bemerkt, die sich nicht mit Zahnseide oder einer Interdentalbürste entfernen lassen. Ich vermute, es handelt sich um Kleber bzw. an einer anderen Stelle um eine Füllung, die jetzt erst sichtbar wurde und deswegen der Kunststoff eine andere Farbe aufweist.

Und zu guter Letzt habe ich gelernt, dass ich in Zukunft 2 Speisen meiden werde: Ruccolasalat und Spaghetti. Beides verfängt sich leicht und bildet größere Klumpen, die sogar schon während des Essens stören. Die Spaghetti sind insofern unangenehm, wenn man sie nicht zerkauen kann und sie hinunterschlucken will, aber noch das andere Ende an einem Bracket hängenbleibt. Also meine Empfehlung hierbei: Entweder auf andere Nudeln umsteigen oder die Spaghetti mit einem Messer zerschneiden, auch wenn man dafür schräg angeschaut wird.

Das wars wieder einmal. Ich wünsche euch alles Liebe und habt Mut zum Lächeln mit Spange.
Joe
 
In den 80er Jahren waren HGs öfter zu sehen,  wer sich damit auf die Straße traute (oder wer der Mutter gehorchte,  die anderen haben ihn im Treppenhaus wieder abgemacht).
Heute gibt es ja zum Glück Alternativen, die nicht angenehmer,  aber unsichtbarer sind.
 
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