Doctor insights on:
Splint Orthodontic Myofunctional Appliance
Adjunct: A headgear is an adjunct to orthodontic treatment used to modify skeletal growth and/or to affect tooth position. Headgear can be used in addition to any fixed appliance (braces) system. Don't get hung up on gadgets. Focus on finding the best qualified orthodontic specialist in your area to treat your family. Let him pick the best appliance for the individual's needs. ...Read more
An orthodontist is a dentist who has had additional years of schooling in the discipline of facial and oral structures. They use braces and appliances to align the jaws and teeth for proper form and function. Straighter teeth not only look good, but also allow better oral hygiene, less periodontal ...Read more
Pendex: It is an appliance that consists of two movements, expansion (widening) and distalization (moving back teeth further back). It is generally an appliance that is custom made to your mouth and glued onto your back/side teeth. It generally remains in the mouth for a period of about 6 months. It helps widen the upper jaw both skeletally and dentally. ...Read more
Coincidence?: Appliance placement and headache may be coincidental, or it may be that your appliance requires adjustment. Ortho appliances will cause tooth, jaw, muscle soreness as they are activated, but rarely headache. Get back to your orthodontist to have your appliances checked. Before you go, take the time to write down all of your symptoms. That will help the orthodontist help you. ...Read more
Depends: Anabolic or cortico steroids, and why are they being taken, if for inflammatory disease, the usual precautions are in effect, however I have never observed any differences clinically in all of my years of practice. Osteoblastic/clastic activity may be mitigated, bone density changes may occur, and of course patient would be more prone to infection. But again, never have seen these as a problem. ...Read more
You can...: However, these are not universally accepted, as functional orthodontic appliances do not always work. Ask your orthodontist for more information. ...Read more
Positively yes: Most modern orthodontic practices have 20 to 30 percent of their patients being adults. There is no age to old to acquire and enjoy a great smile. ...Read more
A full third: A full third of all orthodontic specialty practices today are adult patients. There are so many wonderful things that can be done for adults including aligning smiles, balancing faces, improving function, reducing jaw joint symptoms, providing a better platform on which to do restorative treatment, and improve gum/bone healt, just to mention a few. See a pro, a qualified orthodontic specialist. ...Read more
Problem?: What is your perceived problem? Some problems are best solved orthodontically, some with restorative dentistry, some with a combination of both. You can at any time call an orthodontic specialist for an initial examination (usually free or low cost) to see if you would benefit from orthodontic treatment. ...Read more
More Specific: I must assume your mean a removable orthodontic appliance. The more you wear it, the more your mouth gets used to it in your mouth. It is normal for the mouth to produce saliva when something new like a retainer is placed in the mouth. If discomfort is involved, go back to your orthodontist to have it adjusted. Without knowing what type of orthodontic appliance your have, the answer is difficult. ...Read more
TMJ from Ortho, Yes!: I would love to say that TMJ from orthodontics is rare but it isn't. With an average orthodontist little pre or post operative analysis is done relative to potential TMJ issues. I have found a distinct difference in orthodontic practices.: ones that focused on getting teeth straight looking and ones that get them straight looking and in proper function. Ask a prosthodontist for a referral. ...Read more
Growth not age based: When you are no longer growing, functional appliances are not going to be part of your treatment plan-- at least if done by a reputable orthodontist. ...Read more
Many: Bionators, frankels, mara's, headgear, pendulum, pendex, tad anchored appliances, forsus springs, twin blocks... The list goes on and on. Headgears in my opinion are passe', functional appliances work, but in a different way than most people think. The best treatment is one that understands facial growth, its limits and whether or not conventional orthodontics or surgery will be used. ...Read more
Dizziness: If you are feeling dizzy, see your primary care physician for an evaluation. There are many causes, some serious, some not and unlikely related to any Orthodontic treatment. ...Read more
Time: There is not much you can do the tongue is very curious and will play with anything in the mouth eventually it gets used to it. ...Read more
Do you think I should get anesthesia while I get my orthodontic appliance and top wire for my braces?
Should I start to do an orthodontic appliance to my 9 years old girl. She has proclined anterior central incisor after removing two suppernumeraries?
Individual consult: It is important that your daughter be evaluated by an orthodontist. It could be that not much will be gained by early or interceptive treatment. I tend to do less early intervention than when I was younger, as I have found the best criteria for treatment is: is there something you can do now which you cannot do later, or with much less invasiveness. Invisalign is totally inappropriate (root tq). ...Read more
Are there differences in orthodontic/orthopedic outcome that can be expected using MARA appliance & braces vs. Braces & elastics to correct an overjet?
Gold standard: Gold standard is braces. More important than the hardware, however, is the operating system. A fully qualified Orthodontic Specialist would know, for example, that you can't do Orthopedic Treatment on a non-growing individual. Please don't try to self-diagnose and treatment plan. See an expert, an Orthodontic Specialist, who will be able to properly guide you. ...Read more
If the joint disc is recaptured successfully using splint TMJ treatment, does the issue ever become cured? Is there any point where an oral appliance doesn't need to be worn anymore and the joint is fully healed/normal?
What are the possilbe long term effects of a herbst appliance used in orthodontics? My stepdaugher had the herbst appliance and it seemed very invasive. Her mom had the braces put on her. Her dad and I were going with another treatment plan that was not a
Answer: the herbst appliance is one type of orthopedic (as opposed to orthodontic) treatment appliance. These type of appliances are used in situations where the upper teeth are biting too far "forward" relative to the lower teeth. About 80% of the time that this type of bite problem exists it is the result of the lower jaw not growing far enough forward to allow the lower teeth to occlude (bite) in the proper position relative to the upper teeth. The purpose of an orthopedic appliance, like the herbst appliance, is to create change in the upper and lower jaw bone relationships, typically by helping the lower jaw bone grow to a more forward position relative to the upper jaw bone. As the lower jaw bone comes forward the teeth are carried with it and the biting discrepancy is resolved. The herbst appliance is one type of many orthopedic appliances which are used to encourage improvements in jaw bone growth and relationship. These appliances can be fixed/cemented, like the herbst or removable like a bionator appliance. There are many other specific appliances which are variations on both of these themes. The use of a headgear appliance in conjunction with braces is an attempt to accomplish the same goals as the herbst appliance (correcting the bite), however the orthopedic appliances tend to be a little more proactive in their ability to potentate forward lower jaw re-positioning through growth than the headgear. Usually the forward re-positioning of the lower jaw also has the advantage of improving the overall facial profile (giving the individual a "stronger" looking chin).
The advantage to the herbst appliance is that it is cemented in place, so compliance in appliance wear is less a problem. The trade-off is that the herbst appliance is cemented in and the hygiene demands on the patient are significantly more than presented by a removable appliance such as the bionator. An additional problem with the herbst appliance is that it is fairly bulky and will intrude on the soft tissue inside the check - comfort can be a problem. Removable appliances such as the bionator are extremely comfortable to wear and, with a little effort learning to talk with it in, can be quite easy to acclimate to. With the bionator there is nothing cemented on the teeth so there are really no hygiene problems to deal with. An additional advantage to a removable appliance is that it can be removed for sports and other activities. However the bionator is removable and requires significant wear time, typically 20 hours per day, and thus requires excellent patient cooperation in it's use.
For any orthopedic appliances, fixed or removable, the patient must be growing. If the patient has completed their growth time orthopedic appliances will not be effective. The only way to resolve jaw position/relationship problems in the non-growing individual is through jaw surgical procedures, usually referred to as orthognathic surgery. ...Read more
Depends: Any appliance inserted can be painful because it pushes on teeth and starts to stretch ligaments that holds them to jaw bone. Right at the time of insertion there might not be pain ...Read more
Many Uses: There are many dental appliances with different uses depending on your dental need. I will give you some examples. Night Guards and Day Guards are used to help with bruxing or tooth grinding, retainers are used to maintain tooth position after orthodontics and Oral Sleep Appliances are used to treat sleep apnea and snoring. ...Read more
Fixing the bite: It is formed from an upper and lower acrylic piece that looks like a mouth guard. It can be taken in and out of the mouth. It works to hold the lower jaw in a forward position to correct a bad bite or malocclusion, and to allow the lower jaw to grow. Most patients wear the appliance for 9months to a year. ...Read more
Individuality: There is no one "best" dental appliance for sleep grinding. I make different types of mouthpieces based upon my history and examination. Some patients just need a soft, thin mouthguard to wear at night, while others may need a hard acrylic one that they wear 24/7. Some come into my office with a handful of old appliances. Need to figure out what works and what did not. ...Read more
CPAP most effective: But compliance rate is poor, about 40 percent. According to 2006 american academy of sleep medicine practice parameters, oral appliances are indicated for use in patients with mild or moderate obstructive sleep apnea who prefer them over CPAP and should be completed by a dentist with advanced training in sleep medicine. ...Read more
Being over 25y do I have any other option except than 4X extraction for my protruded jaws like dna appliance? Will it be good?
Be careful: Upper jaw expansion in non-growing adults requires surgical assistance. DNA appliances, or any other non-surgical jaw widening appliance in adults will cause significant harm. Please see a fully qualified Orthodontic Specialist not a generalist who also does orthodontics, for the most qualified opinion. ...Read more
I want high strength minimal metal framework for my removable denture appliance. Is nobelium, as a metal, the name of one of them?
Nobillium: Nobillium is a chrome cobalt metal used in frameworks. The lightest would be titanium. ...Read more
What's the difference between devices like the Homeoblock or DNA appliance and regular palate expanders? Is one preferred in adults over another?
Surgery: You CANNOT widen upper jaw in an adult who's sutures have fused without doing surgery. You can push teeth outward, but often at the detriment to the tooth-supporting bone. PLEASE seek consultation with qualified Orthodontic Specialist. Avoid quick-fixes and snake oil. Remember, of it sounds too good to be true... ...Read more
I burned my finger on a heating appliance 2days ago, the sin is off on both sides and it's still burning and hurting a lot, what to put to heal it?
Is a tongue thrust appliance really necessary? The ones with little things hanging down can be seen by people. This would really embarrass my 9yrold.
11wks preg. My Mum was cooking & burnt the motor of a kitchen appliance. Smelled of burning for a while. Harm my baby? Ventilated area as much as possible
Unlikely.: If you weren't sickened by the exposure, it is unlikely to affect the baby. ...Read more
How long do oral appliances for apnea usually last? It looks like I'm going to be getting one of these to help with my snoring and sleeping, and would like to know how long I can expect it to last. Will it have to be replaced often? .
As with any dental appliance, maintenance is key.
Acrylic (plastic), of which most dental appliances are made is designed tip last about five years. However, as the other doctors started, the biggest variable in the life spam is the patient.
Get the appliance if you need one. Use it properly, and have it cleaned and maintained by your dentist.
I require all my patients to bring their appliances with them for every cleaning appointment. We inspect and clean them as part of the cleaning appointment. I don't even charge for it.
Best of luck,
dr. Zev kaufman. ...Read more
My son is 8 and had expander put in a week ago. He can't can't the food to stop sticking to the appliance. Like all the food that he chews goes on it like a magnet. We are having him take drinks, swishing drink around, anything we can think of. But always
Use a toothbrush: Expander and also braces can trap food debris easily. Mechanical cleansing with a toothbrush is the best way to removed the food debris. Sometimes a water pick can help. It is best to get him to brush the expander and teeth after every meal and to avoid snacking in between meals. It is a good habit to get into especially if he will be getting braces later. ...Read more
See an orthodontist: First see an orthodontist for complementary evaluation. No matter what age you are, how complicated is your situation. They complete at least two extra years of schooling to practice their skills. The 2mm overbite correction could be a serious problem if not managed properly. Even, if a minimal correction is needed, the orthodontist is always first. Congratulation on your new smile. ...Read more
Many: Depending on the cause (dental, skeletal, or both) of the vertical overbite and/or horizontal overjet, treatment alternatives for a 50 year old non-growing adult may require both fixed appliance/elastics and surgery. For a growing child/tween/teen there are many options including Herbst, Carrier, Forsus, springs in association with braces & elastics. Removable appliances are less effective. ...Read more
Stabilization splint: Is also called stabilization appliance, night guard, bite guard or Michigan splint. A full coverage stabilization appliance fabricated in hard acrylic resin is most commonly used. Clinical trials suggest that the stabilization appliance may be particularly effective for patients who wake up with masticatory myalgia due to nocturnal bruxism. Ask your dentist for more information. ...Read more