Removable Appliance with Headgear

mylittlepony

Treatment:
Xray soon to see if wisdom teeth can be pushed back to make room (I hope, he want to aviod pulling them out, me too),removable appliance (must find brochure for proper name later) for 6-9months including headgear for night-time for pressure to get back wisdom teeth to move back.
Then braces top creamic and metal bottom.
Permanent retainer top and bottom with plastic retainer for at least a year.
Total treatment 2 years.

I have never use a retainer with headgear.
Will I be fine with this at night?
Anyone here have experience of this?

I know its not confirm if Im going to have this cos need xray first to confirm if there room for wisdom teeth to move.
But just to be prepare.

mylittlepony

Anyone use this before?
Would like feedback.

mylittlepony

Is this uncommon for adults.

I got the impression from reading online that its seem more ideal for children.

Any feedback welcome.
Please comment.
Thank you.

btkm8unsl0w5r4

Sometimes you can get little tiny implants put in temporarily instead of headgear, your orthodontist is the best person to advise on this.

vishal

there a nice joke orthos have about headgear:

"i use headgear but my patient's don't"

There called TADs are much more effective at moving teeth back then headgear. Headgear only works when you wear it, which is usually not that often, that is why you also wear the removable. It's called a nudger, i think.

here a animation of a TAD being used for the same purpose (instead of headgear and removable) as sounds like you need. It's placed between the roots of teeth. The orthodontist in the animation is using a sliding jig to place pressure indirectly using an elastic chain to the jig
http://www.youtube.com/watch?v=bPkh6lpb8-E

mylittlepony

Ick, thats a bit extreme for me. the implants.
I just got to have will power to wear it as often as possible.
That is if Im suitable when I get the xray first this week.
I do not want to lose healthy teeth to make room though if not.

day dreamer

The implants are painless but not use that much in this country. If you are an adult and have all your teeth then it is very unlikely that the headgear and removable brace or nudger will work very well even if you wear it as directed.

Extractions are used routinely in orthodontics but if you are dead set against having a tooth extracted then the implant or headgear are the only options to give the ideal outcome. You could of course accept a non-ideal or compromised result. If you are investing in orthodontic treatment, which by the way is a great idea, you might as well get the best out of it. I am sure your orthodotist will discuss the options thoroughly with you before starting treatment.

mylittlepony

UPDATE: got the functional appliance/twin block.
Only the top one for the first few weeks then the bottom will be added.
Im fine with them so far. Just a feeling of a full mouth and sucking excess saliva out of it but I have been told that its sound like I have a colf like sniffy nose.
Only problem is pronouncing 'S' and 'T' its so funny i laugh at myself lol
Im sure it will improve after a while.

Now the headgear is a bugger to wear, just need to make myself comfy to sleep on my back.
But no pain at all just tight sensation after taking everything out the next day. And it feel tender to chew but i only chew on back teeth now.
The headgear was a bit loose slip out when i move between back and side position.
So rang the clinic and said I can tighten strap up one hole (2nd last hole) but it should not be painful.
Much better fit no slipping off, it was fine and no pain just slight pressure so I thought why not go up last hole. still not much sore pressure or bad pain.

Only very small internal bruise on my cheeckbones/top jaw area closer to ears.
Im not sure if its skin tissue or bone sore from the strap box pressure, I only feel it when i touch it where the plastic box with strap thing sits at night.
Is this bruise trying to say that I have it too tight even though no pain on teeth?

Should I go back down to orginal number 10. last hole is number 12?

day dreamer

You should really go back to the orthodontist with all the appliances and have it checked

kkth0360

day dreamer wrote: »

You should really go back to the orthodontist with all the appliances and have it checked

+1 on this - I always advise my headgear patients to stop wearing the headgear immediately if they have any problems at all with the appliance, and in particular if the facebow becomes disengaged from the braces even once during the night. I ask them to phone for an appointment to have the headgear adjusted as soon as is convenient for them.

Loose or poorly-fitting headgears are potentially dangerous, and you can't take any chances.

mylittlepony

Thanks for the replies.
It is only the plastic box piece that contain the stretchy strap that is the main problem.
It sits on my cheek bones.
Hurt too much to be able to sleep properly i was constantly fiddly with it to make it more comfy moving it up or below the cheekbone to ease the pressure adjusting the padding even folding it.
Right now Im adjusting the strap lower the holes. It feel much better but Im sitting up so Im sure when sleeping it may be too loose and slip off in sleep, making it inefficent.
But I feel no tight pressure on my teeth on the appliance wearing the strap it feel just the same with or without the strap.
If I tug the strap higher i can feel the pressure.
Hope to get appointment asap this week to alter the headgear hopefully remove the box part. If not maybe an alternative heargear.
Im guessing if the headstrap soft material was shorter and the box piece place higher up on my head not sitting on my cheek area I think it be more comfortable.

Found a pic on the web of headgear that I have, it does'nt sit on her face at all and the white strap are away from her mouth, mine are sitting on my lips.
I think I must have a very small head or a very large headstrap. Unless the web picture is incorrect:
http://www.drsosbern.com/images/appliances/headgear1.jpg