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Author Topic: My Journey to Removable Braces  (Read 36486 times)

Offline foobar

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Re: My Journey to Removable Braces
« Reply #90 on: 11. September 2022, 19:39:51 PM »
Just looked at pictures of your braces again. They really are epic. How are you getting on with them?

The removable braces I had were all absolutely amazing and I enjoyed every last single bit with them. Unfortunately, I can't wear them anymore. Since I have the lower fixed retainer the bottom plate doesn't fit anymore. And I now have a button on my upper left first molar where the adams clasp of the upper removable plate is located, due to which it doesn't fit…


The ortho said that I could skip the last appointment if I still notice my bite actively settling. However, during the last week before the appointment I didn't notice any further major changes, so I went in.
After a short inspection and wax foil to check the bite, she decided that we should try out the next idea for fixing my bite: elastics. She placed a plastic button on my upper left first molar for elastics to my lower left first molar to close the vertical gap between those teeth of >1mm.
Standard procedure with cleaning, etching, cementing and curing. Etching hurt like hell as my teeth are very acid-sensitive. In fact that tooth is still sensitive to warmth and cold and I'll ask for fluoride varnish during my next appointment.
I was given a pack of 100 light elastics 3/16" (4.8mm) 2 OZ (60 g / cN) and told to wear them 18 hours per day between 26 and 36, switching them out daily.

All of which is to say: I'm now wearing elastics (well, technically just one elastic).

It feels weird. Whenever I put it back on, it feels weird all over again. First, it's as if my teeth are being forced together. After a few minutes, I feel my muscles starting to work against that force. A few more minutes later, I stop noticing the elastic as my muscles are fully compensating the additional force.

The first few days the elastic pinched my cheek and a blood blister developed. I started hanging the elastic twisting it 180°, making it cross in the middle. That helped and soon my check got used to it at which point I was able to put in the elastic normally again.
I didn't have much of a problem with the button. Its edges are a bit rough, but I only notice that when not wearing the elastic.
Especially during the first two weeks, I had an elastic snap pretty much daily on me. It's gotten better now, probably because my tongue plays less with them.
Due to the different force between my left and right muscles, and a slightly shifted lower jaw position, my TMJs are acting up again and are clicking every now and again.

The button and elastic are practically invisible, being so far back, even when I laugh. Though if the plan is to move forward with more elastics to close the gaps between all my premolars as well, the buttons on those will be quite visible even when just talking.

I've been wearing the elastic diligently. The ortho said that if I notice the gap being closed I can stop wearing the elastics. I took that as a good sign that things should be moving quickly. Of course, why would I be that lucky? In the last 5 weeks, the gap only got a little smaller, now being at around 0.9mm. However, I can't feel the teeth actually being extruded. Instead, I think they just tipped lingually which improved contact between them a little. I don't know if that was the plan or if it's just my luck again. Guess I'll find out during the next appointment in two days.
I also notice that my lower jaw is pulled a bit to the left, which affects my bite on the right slightly. Either that, or it's the way my left molars are lining up differently now. My left canines push into each other a bit now, which makes the upper one move out, opening up the gap between my upper canine and first premolar again. There's also more contact between my lower incisors and my upper left lateral incisor.

I can definitely say that the brackets, button and elastic don't have as much an effect on me as the removable braces. Here, it's more of a love-hate-relationship. It's still fun to experience quite a lot of different orthodontic appliances and measures, which most people won't all experience during a single treatment.

Last week was the 1.5 year mark since getting braces, which initially was the predicted latest point at which I should have finished treatment. Instead, we're still dabbling around trying to fix something which wasn't even a problem before beginning treatment. One friend suggested that the treatment might be considered malpractice. Although I don't think that's the case as the complications weren't due to anything the ortho directly or indirectly influenced, that statement started creating some small doubts for me. On the other hand it's not like I'm suffering. Quite contrary, I'm still enjoying every minute of the treatment and don't even want to think about the time where I'll be braces-free.

Offline foobar

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Re: My Journey to Removable Braces
« Reply #91 on: 04. October 2022, 00:52:14 AM »
My next appointment is tomorrow, so it's time to give an update an update about the last one.

Last appointment was uneventful. While I didn't notice much progress, the ortho was satisfied. The gap between my left first molars closed down significantly such that she couldn't see through them anymore. However, while the gap is closed distally, mesially it's still there. As I only tested the size of the gap using different gauge wires mesially, I didn't realize the progress distally.
She noted down all the complications I experienced and said that we'll tackle those later.
For now she wanted me to continue wearing the elastic to close the mesial space. If it closes before the next appointment, I can try not wearing the elastic for a few days to see if the result is stable.

Unfortunately, not much happened. The mesial gap was about 0.9mm and went down to about 0.8mm over 2.5 weeks. Three days ago I noticed that my bite was starting to become very off and I wasn't able to bite properly on the right side anymore. So I stopped wearing the elastic. The gap has now opened back up to 0.9mm. However, My jaw pain and clicking decreased significantly since I stopped wearing the elastic.

Let's see what tomorrow brings. I won't be surprised if a few more brackets are added.

Offline bracessd

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Re: My Journey to Removable Braces
« Reply #92 on: 04. October 2022, 17:19:41 PM »
Tanks for the update. Will you post post new pics?

Offline foobar

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Re: My Journey to Removable Braces
« Reply #93 on: 19. November 2022, 12:36:31 PM »
Last appointment the ortho checked my bite again with wax foil. She was happy, stating that my bite is improving. She said that where I'm testing the size of the gap, I'm testing a horizontal gap where two crowns meet, not any vertical gap. Folding the tape and testing my bite again, she concluded that there's less than 0.08mm of a gap left vertically.
She decided to let everything settle again for seven weeks and continue from there.

My left upper lateral incisor moved back and started to interfere with my bite. The ortho modified the upper plate to push it out. To reduce the effects on my bite from the no longer well fitting plate, she shortened it. Then she spent half an hour trying to adjust the clasps so that it only exerts pressure to the to-be-moved incisor. In the end it still didn't fit well. Wearing it, my bite still feels off afterwards. I shall wear it as little as possible, only as much as needed so that the incisor isn't blocking my bite. Which for me equated to one to two hours every few days.

Even without wearing any elastics or removable braces, my TMJ acted up again a few weeks ago. For a few days I couldn't even chewing properly because it hurt so much. Since then everything was fine and I didn't experience any further problems.

Next appointment will be on Thursday. I don't even know what to expect. I don't think my bite improved much, it definitely doesn't feel stable.


Will you post new pics?
There isn't really much new to show, apart from maybe the shortened upper plate.

https://dereferer.me/?https://cdn.discordapp.com/attachments/863502137362743399/1043457867858071642/1.jpg
https://dereferer.me/?https://cdn.discordapp.com/attachments/863502137362743399/1043457868352983040/2.jpg
https://dereferer.me/?https://cdn.discordapp.com/attachments/863502137362743399/1043457868785000488/3.jpg
https://dereferer.me/?https://cdn.discordapp.com/attachments/863502137362743399/1043457869263163402/4.jpg

Offline bracessd

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Re: My Journey to Removable Braces
« Reply #94 on: 21. November 2022, 18:05:53 PM »
@foobar Right on!

Offline foobar

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Re: My Journey to Removable Braces
« Reply #95 on: 23. January 2023, 01:40:06 AM »
Long time no update. Since the last update I had two appointments and the next one is to follow on Tuesday.

When we last left off, I spent 7 weeks doing nothing and letting my bite settle. I didn't notice much improvement. Neither did the ortho. There was still just barely contact between my left first molars. She asked me if I'd like to try elastics again, possibly making my tmj act up again. I accepted as I don't really know what other option there would be. Also the pain usually started after 5 weeks, so trying them again for 4 weeks might just be enough.
She gave me a wax marking paper to take home. She said that I can test myself if the bite improved. Once I'm satisfied, I should continue wearing the elastic for about a week for retention but could then stop.

I told the ortho about me wearing the upper plate a few hours every few days, trying to wear it as little as possible, which made my left upper lateral incisor move outwards and back again. She stated that it's not healthy for the tooth to move back and forth all the time.
She suggested that I could wear it during one night, come to her office in the morning and she'll bond a permanent retainer for my upper jaw. However, as I'm not satisfied with the upper incisors yet, especially since the gaps behind the canines opened up again, I rejected.



Over the next four weeks, I tested around with some wear times.
When I use the removable plate during the night, my bite feels off a bit in the morning, which gets better after breakfast.
Wearing the removable plate while actively thinking not to suck negative pressure I don't notice adverse effects.
However, if I didn't concentrate on not sucking, it gets worse again. For example when working from home, just 2 hours affect my bite more than the 8 hours of weartime during the night.

I also tested reducing the time using the elastic. In the end I settled on wearing the elastic 12-14 hours during the day but not during the night. During the night I put in the removable plate.
This seems to resolve the tmj issues, as I didn't notice any tmj pain or problems anymore since switching from full-time wear to just during the day.

My bite not feeling much better during the 7 weeks of settlement may be due to the incisor. Wearing the plate every night moved it further out of the way and my bite in general felt way better.
Unfortunately, after about 3 weeks, I noticed that my premolars started to lose contact. I checked with the wax foil the ortho gave me, which proved it. The contact of the first molars improved distally, but still lacked mesially towards the front.
There was one more complication though: the elastic between the two molars tilted them inward. It even reached a point where contact started to deteriorate.

Thus, I stopped using both the elastics and removable plate a week before the next appointment. Both the molars and premolars got better again, but the incisor moved back. Luckily it didn't affect my bite just yet during the appointment.



That next appointment was 4 weeks after the previous one. The ortho checked the bite and confirmed the same improvements I was seeing. Distally the molars touch well, but mesially it's still lacking just a bit. Also contact between the premolars did suffer a little.
To fix the molar contact mesially, she suggested removing the button on top and the bracket from the lower first molar and replacing them with elastic hooks mesially on the tooth. That ensures the elastic force is focused in the front and should also reduce inward tipping of the molars.
Removing the glue from my upper molar was pretty painful as that tooth is extremely sensitive. The rest was quick and uneventful. She used metal buttons with loops (https://dereferer.me/?https://www.gcorthonline.com/wp-content/uploads/2019/02/42-0030-0000.jpg). The upper one is pretty visible when I smile wide, though I don't expect most non-braces-affectionate people to notice.

My lower left wisdom tooth rotated back quite a bit since the wire through the three brackets was removed, which is something we need to tackle again. I'm not sure what she is planning in that regard. Maybe also using elastics as she suggested during one of the first consultations? I guess I'll see when we get there.

I asked the ortho what she thinks about a case study I found where the holding clasps of a retainer resulted in a degradation of bite, so they switched to a modified wraparound hawley (https://dereferer.me/?https://moroortodontia.com.br/leitura/wraparound.pdf). I asked her if she thinks something like that might work in my case.
She thought about it a bit before discussing that it could work and we might as well just try it. She said for me it would require the full palate to be covered in acrylic as otherwise I'd have the slightly painful impressions of the plate in my palate again. But before tackling the upper jaw again, she first wants to finish fixing my occlusion.
I mentioned that this might be one of the last possibility to spare me of a fixed upper retainer. She agreed that if we can get such an appliance to work without (or at least with controllable) side-effects, it could be used as retainer.

This means that I'll get another quite hefty removable upper brace some time in the future with some nice pictures :)



Since that appointment, I stuck with wearing the elastic during the day and the upper brace during nights. So far no major tmj issues, although my right jaw joint is starting to crack a little.

The contact between my left first molars feels pretty much perfect, so the new elastic hooks definitely helped. Apart from that, the incisor is still nagging, and due to wearing the upper brace the contact between the premolars is lacking slightly.

I'll wait and see what the ortho will do on Tuesday and how we're going to proceed.

Offline bracessd

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Re: My Journey to Removable Braces
« Reply #96 on: 23. January 2023, 18:13:38 PM »
Thanks for the update! Looking forward to seeing some progress pics...

Offline foobar

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Re: My Journey to Removable Braces
« Reply #97 on: 26. February 2023, 13:13:27 PM »
I'm practically living the dream. I currently have all at the same time
• 2 brackets with a wire
• 2 buttons for elastics
• elastics
• a removable upper brace
• a bonded fixed lower retainer

Previously I had
• upper and lower removable braces at the same time
• a lower removable brace with a thin posterior bite plane (2mm)
• a lower removable brace with a thick posterior bite plane (10mm)
• a thick upper anterior bite plate filling my whole palate

In the future I'll have (or at least will have the option of)
* a lower bruxism guard (also to be used as retainer instead of or in addition to the fixed retainer)
• a wraparound-style active upper plate filling my whole palate with buccal acrylic
* maybe a fixed retainer on the lower left to retain my wisdom tooth
• maybe an upper fixed retainer over 8 teeth including the first premolars
• technically I could ask for brackets to fix my upper incisors and canines which the ortho would probably like a lot (but I won't)


Last update I wrote that the contact between my molars feels very good now. During my last appointment, the ortho checked using wax foil and saw some improvement, but said that I should continue wearing the elastics.
She inserted a wire to the two brackets on my lower left second premolar and wisdom tooth to derotate the wisdom tooth again. She said that she'll use a round wire to not tilt my molar. However, when I got home, I noticed that instead I have a thin (height) but wide rectangular wire. She bent a step into the wire as my molar and wisdom tooth are at different heights.
She considered if we should start with the new wraparound upper plate or wait another appointment. In the end she decided to wait for now so any deteriorations in the bite of my left molars can be traced back to the new wire. Additionally, she hopes to remove the elastic buttons next appointment to make the design of the upper plate easier.
She said that she's a bit concerned about the next step as she expects complications all over the place again, just as we experienced so far.

In the first week after the appointment I felt my bracketed teeth moving and the bite worsening so I didn't wear elastics to better be able to notice any changes. After a week the bite felt better again and I started to wear the elastics during the day. During nights I wore the upper plate for 4-5 days a week with a 2-3 night break.

For my appointment in two days I see several different options. If the wisdom tooth is derotated, I may ask for a bonded retainer there (which she mentioned as option quite some time ago) to retain them until I get the lower bruxism guard (which will then be used as retainer), because the wire through the brackets is pretty sharp. If the elastics worked, I assume that at least the upper button will be removed and I'll get the new upper plate. If not, I wonder if I'll still get the upper plate designed around the button and will still need to wear elastics. I could also imagine that she'll want to let my bite settle again for a few weeks before starting with the next steps.
I'll have to wait and see.

Offline foobar

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Re: My Journey to Removable Braces
« Reply #98 on: 16. April 2023, 12:25:46 PM »
Last appointment was uneventful. My wisdom tooth wasn't fully derotated yet, so the ortho added another bend to the wire. The bite where I wore the elastics was fine, so I stopped wearing them. And with that, the appointment was already pretty much over.

I asked the ortho if it's possible to pull my wisdom teeth more together as I feel the vertical gap between them could be reduced. She was rather apprehensive about it as they do have contact when testing with the wax foil. She also sees an indentation in my cheeks between my wisdom teeth on both sides. Even if she were able to pull them more together, the pressure from my cheeks may open the space back up.

I'll ask her about it again during my next appointment on Tuesday. I haven't gone through a two year treatment already not to have at least tried to get a fully satisfactory result. And it's a way to increase the time in braces :)

Offline foobar

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Re: My Journey to Removable Braces
« Reply #99 on: 01. May 2023, 16:57:13 PM »
Before last appointment I used polymorph (plastic which is moldable when warm) to create a bite registration ish to test and see how my bite fits currently. To my untrained eyes it looks pretty good, all teeth have good contact. I showed it to my ortho during last appointment, who was amused to say the least. She said my bite looks very good. She wants to take impressions for an analysis model to confirm that we're done with my bite. If that's the case, she recommended that I schedule a visit to my dentist for a lower bruxism night guard. I reminded her that the gap behind one canine is opening back up slightly, and that I'd like for my upper and lower incisors to touch, i.e., if she can pull them back a bit. With these slight modifications still open, I asked if it makes sense to have the night guard made now as it's adjusted to the bite and contact positions of the upper teeth.
She concurred that she'll first make the upper wraparound style retainer. By applying pressure to the labial bow she'll push my incisors back and thus also the canine.

I had one upper and lower impression made for the analysis model and another upper one for the wraparound retainer. They bought new impression trays just for me as the other ones never really worked that well for me. But those trays didn't have a palatal section. The first upper impression had a large air bubble and was thus unusable for my retainer that should fill the full palate. The solution for the second and third attempts was to first fill my palate manually with the impression material and then use the spoon. Which meant that my mouth was overfull with the impression material and it oozed everywhere.
The next appointment was scheduled for in two weeks time (which is tomorrow).

During that appointment the ortho asked me if I'm still apprehensive regarding the fixed retainer. I have less problems with it than I expected, but I still don't like food getting stuck there. She said that her treatment plan always intended the fixed retainer to be used. But if I really want to get rid of it once I have the lower bruxism guard, she'll remove it against her recommendation.

And wouldn't you know, when flossing last Thursday, the retainer came loose from my right canine. I called and went in that same day. The excess glue was removed, everything cleaned, etched and the retainer glued back to the tooth. The glue blob is way larger than before, giving it an even more artificial feeling.
The wraparound plate was already finished, so the ortho test-fit it. If it were to need a larger adjustment with new impressions, those could be done until the scheduled appointment 5 days later.
To fit the plate, first the elastic hook on my upper left first molar needed to be removed. I find it interesting how strong the hook is held on the tooth, but how little force is required to pop it loose. As that tooth is extremely sensitive, the ortho was very careful when grinding away the glue and applied lots of fluoride varnish afterwards.
The plate fits well. Only few small adjustments were needed like bending the wire in one place and grinding away some acrylic. She checked that I don't bite into the acrylic and only my teeth touch, for which she needed to grind away a bit more in the front. I was told to try wearing it for 10-12 hours a day and see if I notice any adverse changes. The ortho will start activating the string and labial bow during the next visit tomorrow.

I didn't get to choose a color and expected blue to be used just like for all my other appliances to far. Unfortunately, instead, it's transparent, which from my experience with the previous bruxism guard will quickly turn yellow-brownish (which is why I went for blue).
The wire is very thick, thicker than any of my previous plates.
The acrylic starts at the tooth and covers all of my hard palate, exactly as I wanted. It goes back very far to behind my wisdom teeth. It's rather thin, especially towards the back.
I (unfortunately) don't have any kind of lisp when wearing it. I was exited for some kind of lisp. But there's nothing. Even when it was first inserted, I didn't have any trouble speaking. If you didn't see me wearing it, you wouldn't be able to tell.

It fits rather nicely. It was applying lots of pressure on the inside of my upper right first molar. I took the liberty to use a small file (intended for 3D print cleanup) to file away bit by bit day by day from the plate at that tooth until now it doesn't apply that much pressure anymore.
I also bent the labial acrylic down and to the left a bit because it wasn't touching my incisors but pressing significantly on my gums. The right U-loop was also pressing into my gums, so I bent it away a bit.
The back edge of the acrylic was very sharp and dug into my palate. I used some sandpaper to round it, but didn't get far as it's so thin. I think about asking if it could be made thicker to better round it. The sanding helped a bit, but could be better.
These were only very slight modifications and the plate does fit way better now. I don't know if I should tell the ortho tomorrow or if she will scold me for it.

To conclude, here are some images of the wraparound retainer:

https://dereferer.me/?https://cdn.discordapp.com/attachments/863502137362743399/1102593341696254013/1.jpg
https://dereferer.me/?https://cdn.discordapp.com/attachments/863502137362743399/1102593342170214410/2.jpg
https://dereferer.me/?https://cdn.discordapp.com/attachments/863502137362743399/1102593343080382534/3.jpg
https://dereferer.me/?https://cdn.discordapp.com/attachments/863502137362743399/1102593343654998157/4.jpg

Offline Embracer

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Re: My Journey to Removable Braces
« Reply #100 on: 02. May 2023, 10:02:42 AM »
My first hawley retainer was made of clear acrylic and did stain yellow/brown as you say. I ha ve a fixed retainer but was supposed also to wear the hawley 12/7 for the first 6 months. I could have done the 12 hours between dinner and breakfast but found I wasn't wearing the hawley during the evening and made up time the following morning and ended up drinking coffee with my hawley in. My subsequent two hawleys have both been transparent pink. I usually only ear them at night so risk of staining is minimal. But I did wear the second hawley 24/7 for 6 months after some relapse and was meticulous in taking it out when eating or drinking anything.

Your hawley has a huge plate and a very visible labial bow. I presume that is to your liking? Good luck with it!

Offline foobar

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Re: My Journey to Removable Braces
« Reply #101 on: 18. June 2023, 12:33:41 PM »
Last appointment started with the ortho asking me if I had any problems with the new hawley. I said that everything was fine. I admitted the few small modifications I made to relieve the pressure in a few spots and round the edges. She didn't scold me but said that I should tell her if I do something like that so at least she can check that I didn't break anything. She checked the fit and made a few slight modifications for it to sit better. I asked her if we could check the bite with the plate in as I was wearing it for 16 hours straight to see if it affects my bite while wearing (as all the other removable braces I had had done). Luckily the bite was fine.

She activated the labial bow to apply pressure to my incisors and also push back the canines where the gaps were starting to reopen slightly. She also activated the spring behind my left lateral incisor to push it out a bit.

After the adjustment, we looked at the initial models of my teeth before starting treatment and models of the current state made during the previous visit. It's crazy to see the direct comparison. The lower incisors looked really rotated compared to now. The visible gaps behind my upper canines are gone. The molars have good contact now, especially considering the intermediate state where I had a posterior open bite due to the posterior bite plane.
The wisdom tooth didn't have any contact previously and were tilted outward. They now have contact towards the front. However, as I already noticed and tried to explain previously to the ortho, they don't have contact toward the back. That was really noticeable on the models. I asked her, if that could be fixed. She said that if it bothers me, she can add a button to the top wisdom tooth and use triangle elastics to pull it further down. However, it'll interfere with the new hawley plate. As such, she'll wait and see if maybe the wires of the hawley that go around the wisdom teeth and hook above them may be able to push them down.
I got a date for the next appointment for 8 weeks later and was on my way.

During the days after I noticed that my right lateral incisor was being pushed inwards too much. I went back to the ortho where she adjusted it a bit. She also adjusted the spring on the other incisor. Afterwards, when biting down I was biting on the spring, so she bent it up. However, this bending up means that after wearing the brace for a few hours it becomes a bit looser and the spring pushes it downwards making the front be lower in my mouth. At the same time it digs into my gums at the back more, which creates a significant impression in my gums when I take it out. Previously I was able to round off the edge a bit to make it less. But with the added pressure the plastic is too thin to properly round off to not create that imprint. I guess when the brace will be modified next (e.g. when the incisor spring is removed), I'll ask the ortho to make the acrylic a bit thicker (of course the imprint isn't the only motivator for that, but a good excuse ;) ).

I usually only ear them at night so risk of staining is minimal. But I did wear the second hawley 24/7 for 6 months after some relapse and was meticulous in taking it out when eating or drinking anything.
I only drink water. And even with wearing my night guard only during the night, it started to turn yellow-brownish after about a year. I hope that it won't happen with the hawley, but either way I can't change it now.

Your hawley has a huge plate and a very visible labial bow. I presume that is to your liking? Good luck with it!
The huge palatal plate was my request as previous removable braces left impressions in my gums which hurt when taking them out. One of the previous appliances already had full palatal coverage, which alleviated it. The labial acrylic is quite something to get used to, and to be honest I expected buccal acrylic coverage of the wire. As the wire is digging into my cheeks a bit, maybe that's another request I can make in the future.

My next appointment is on Tuesday. Let's see what it'll have in store.

Offline foobar

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Re: My Journey to Removable Braces
« Reply #102 on: 19. July 2023, 18:19:27 PM »
On Sunday after writing the last post, three different things happened: First, while eating, a piece of the glue holding the fixed retainer broke off. When brushing after the meal, the wire through my two brackets broke in the middle and fell out. And when flossing, the floss went a bit behind the permanent retainer on a different tooth. Three completely different things occurred unrelated to each other within a few hours. Great.

Luckily my next scheduled appointment was only two days later. I called ahead to let them know. At the beginning of the appointment they fixed all of the above issues by adding glue to both teeth of the fixed retainer (without removing the previous glue as the retainer was not fully lose). A new wire was placed through the brackets without the previously bent step being added to the new wire. Due to that, there was quite some pressure on the wisdom tooth and second molar for a few days.
The removable brace was slightly modified. The ortho applied downwards pressure on my wisdom teeth to push them down and close the vertical gap on both sides.

And with that I scheduled a new appointment for two weeks from now. As something came up I needed to reschedule the appointment. However, the weeks after, they are on holiday and the weeks before they don't have any free slot. But they did just have a cancellation for tomorrow, so my appointment moved forwards by nearly two weeks.

Offline Michael19651968

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Re: My Journey to Removable Braces
« Reply #103 on: 13. August 2023, 14:03:53 PM »
It sounds like there are (not many) sensible orthodontists out there somewhere.  I had far more problems chewing, after my treatment (during the last 55 years post age 13) than before.

Offline foobar

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Re: My Journey to Removable Braces
« Reply #104 on: 12. September 2023, 00:29:30 AM »
Not much happened in the last appointment. A quick check that everything was still fine, a quick adjustment to the acrylic of the labial bow of the upper plate to reduce pressure on one incisor, and off I was again. I asked about the wisdom teeth, which she was still somewhat apprehensive about, that the contact is good enough mesially. No further modifications of the brace in that regard as there was still slight pressure downwards from the wire. Otherwise the wisdom teeth moved inwards a bit, but there is still no contact distally.

With the next appointment tomorrow I did a quick check of the progress today. The upper left lateral incisor moved back and is now providing perfect cutting ability again. However, now the central incisors are a bit forward compared to the lateral ones. I hope that they can be moved back a bit as there's currently only one contact point between the upper left central incisor and the lower left lateral incisor.
The previous gap between my left first molars seems to have opened up a bit again. Not that I can see it, but there isn't any mesial contact anymore.
On the bright side, the spaces that slightly opened back up behind my upper canines are completely gone again and floss requires pressure to go in there.

I wonder what the ortho's gonna do about the above imperfections. My assumption would be that she'll ignore the molars for now, get the upper incisors in place, install the fixed upper retainer (including the first premolars), then place more buttons and it's back to rubber bands.
I still really don't want a fixed retainer, keeping the bottom one clean and flossing around it is an absolute chore. If she really insists, I may ask her about a v-loop / wave retainer.

Do any of you have experiences with those? They seem to at least make flossing easier. Also are those used in Germany? I can't seem to find anything about them in German sources.