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Doctor insights on: Mandibular Anterior Repositioning Appliance

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A patient with 4 maxillary anterior teeth missing and anterior crossbite wants an RPD. Opinions?

A patient with 4 maxillary anterior teeth missing and anterior crossbite wants an RPD. Opinions?

Lots of variables: This sounds like a complex case with a number of possible answers. I recommend you sit down and discuss alternatives with your dentist. If you're not happy with the answer(s), he or she should be happy to send you on for another opinion. Don't be hasty; do get enough information before making the decision about how to proceed as it can make a big difference in your oral & systemic health. ...Read more

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Can TMJ specialists dislocate the jaws?

Can TMJ specialists dislocate the jaws?

Caution: It is possible that dislocation could happen. It is unlikely that someone who treats this disorder would cause the event through therapy. ...Read more

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Protruding jaw bone, plastic surgery?

Protruding jaw bone, plastic surgery?

Yes: A prominent jaw or chin can be treated with plastic surgery. Depending on the condition, there are a few different surgical techniques all of which involve cutting the jaw bone and resetting it back a variable distance. ...Read more

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Dr. Paul Grin Dr. Grin
2 doctors agreed:
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Could clenching hard 3 months post op double jaw surgery shift the jaws/ bite?

Dr. Paul Grin Dr. Grin
2 doctors agreed:
Could clenching hard 3 months post op double jaw surgery shift the jaws/ bite?

Not possible: Oftentimes, you may find yourself clenching and grinding your teeth in the middle of the night; this is not unusual. However, braces are preventing your teeth and bite from shifting. ...Read more

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Could braces fix-overbite, crossbite, and crowding?

Could braces fix-overbite, crossbite, and crowding?

See orthodontist: They can evaluate you and recommend the best course of therapy for your situation. ...Read more

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Protruding jaw bone, perhaps?

Protruding jaw bone, perhaps?

Consultation: You should have a detailed clinical examination with the appropriate studies to determine if your protruding jaw is strictly a cosmetic problem and/or a functional problem. Many patients with a protruding jaw also have a malocclusion (bite) problem and cannot chew correctly. If a malocclusion is present, a combination of orthodontics and orthognathic (jaw) surgery may be indicated for correction. ...Read more

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How is TMJ (temporal mandibular joint dysfunction) corrected without surgery?

How is TMJ (temporal mandibular joint dysfunction) corrected without surgery?

Improves symptoms: The anatomy of the problem is usually unchanged. Treatment helps symptoms while your bodies healing can take over. ...Read more

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What functional orthodontics can address an overjet (and overbite) caused by a protruded upper jaw?

What functional orthodontics can address an overjet (and overbite) caused by a protruded upper jaw?

Unusual: Most of the time it's lower jaw too far back, rather than upper jaw too far forward. If upper jaw is determined by skull x-ray and measurements to be too far forward, for an adult braces + jaw surgery may be required. Functional appliances are only modestly effective for growing children and are totally ineffective for non-growing adults. See an orthodontic specialist for evaluation and rx. ...Read more

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Can crowded canine teeth be fixed with a palatal expander?

Can crowded canine teeth be fixed with a palatal expander?

That Depends: Palatal expanders are used when the upper jaw is small compared to the lower jaw. By encouraging growth of the upper jaw they can correct this discrepancy and create more room for the canines. If the two jaws already match in size but the canines are still crowded, then no, a palatal expander will not help. Your orthodontist should be able to guide you further. ...Read more

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Is jaw alignment surgery effective?

Yes: Orthognathic surgery is a very effective way to correct skeletal bite problems, as well as improve esthetics for many patients. ...Read more

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Wear a 2 unit nesbit. Will abutted teeth move out of position when near future involves gum grafting of an abutted tooth (cannot wear nesbit)?

Wear a 2 unit nesbit. Will abutted teeth  move out of position when near future involves gum grafting of an abutted tooth (cannot wear nesbit)?

Nesbit: It is certainly possible for your teeth to shift when you do not wear this device. Will you be doing an implant to replace your missing tooth? Replacing your tooth would be better than wearing a nesbit. ...Read more

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Can adult (age 20) correct overbite by functional appliances? For instance, herbst appliance

Can adult (age 20) correct overbite by functional appliances? For instance, herbst appliance

Yes: Yes appliance therapy can be used effectively in adults. All cases are different and need proper records for a comprehensive diagnosis and treatment plan. Other treatment may be needed depending on your situation including other appliances and braces. ...Read more

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How do functional orthodontics address an overjet (and overbite) caused by a protruded upper jaw?

In small ways: Functional appliances have limited effects. Research has indicated that it restrains the growth of the upper jaw, much like the effect of a headgear, and can manipulate the dentoalveolar bone (bone that houses the teeth) to a degree. A wire connected to the appliance can further retract upper teeth, reducing overjet. It does not effect basal bone(foundational bone), as does not grow lower jaws. ...Read more

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Would jaw alignment surgery help my TMJ disorder?

Would jaw alignment surgery help my TMJ disorder?

Depends: Surgery should be considered the last resort for TMJ disorders. Sometimes there is no other choice, but i would seek out more than one opinion before having it done. ...Read more

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Can anterior teeth intrude into the gums with modified retainers (cutting off molar parts) the same way molars intrude with Invisalign retainers?

Can anterior teeth intrude into the gums with modified retainers (cutting off molar parts) the same way molars intrude with Invisalign retainers?

Retainers: Retainers retain. They are not active treatment appliances. Cutting off the molar coverage will cause molars to extrude, not intrusion of anterior teeth. Know 1. Invisalign and braces are not equivalent, braces work much better, and 2. Orthodontists are more proficient than Generalists at Orthodontic Care. Take your appliances and go see an Orthodontic Specialist for guidance. ...Read more

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Is neuromuscular dentistry effective for TMJ? MRI shows bone spurs, disc fragments and flattening of the Condyle

Is neuromuscular dentistry effective for TMJ?  MRI shows bone spurs, disc fragments and flattening of the Condyle

Recommendation: Suggest you get referral to Oral Surgeon, as your description raises concerns about extensive degeneration of the joint, and you may require a repair procedure. You may even want two opinions on how to manage. ...Read more

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Most effective braces triangle elastic formation to close stubborn lateral incisor/canine space?

Most effective braces triangle elastic formation to close stubborn lateral incisor/canine space?

Ask: Ask your treating Dentist or specialist Orthodontist. Elastic provide reciprocal force. Intensity, duration, and configuration must be determined by the professional providing your treatment, the person most familiar with your malocclusion. Don't try to second guess his/her instructions. ...Read more

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I need 2 have 6 teeth pulled plus bone graph maxillary and mandibular dentall arches. Oral surgeon who can maxillary and mandibular. Augmentation or bone grafting from the hip coordinated with a ortho surgeon. Removal of 6 remaining teeth. 4 to 6 endosseo

I need 2 have 6 teeth pulled plus bone graph maxillary and mandibular dentall arches. Oral surgeon who can maxillary and mandibular. Augmentation or bone grafting from the hip coordinated with a ortho surgeon. Removal of 6 remaining teeth. 4 to 6 endosseo

I'm : I'm not sure what your question is.. Are you looking for someone from the avvo panel who can help you with these procedures? If so, I am sure that the specialists from california will be able to refer you to a trusted colleague that they know in your area if they cannot help you. I have also edited your post to the oral surgery section. ...Read more

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