There are these moments ...

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Clo
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Joined: Thu Sep 02, 2004 5:05 am
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There are these moments ...

#1 Post by Clo »

... when one thinks why on earth does one keep going on.

Hi all,

at this very moment, my ortho is trying to close my open bite. This is how
my braces look like now :

Image

Since things are not going that well, I mailed to my ortho and asked some
questions. This week I got her letter. I could read what I was expecting but
hoped to not have to read. First, she said my bite will be very hard to close.
And even when she would be able to close it, it won't be stable and open up
later on. She thinks I have about 75 pct chance that she will be able to close
it. If I would consider surgery, then she gives me 79 pct. She says I'd better
accept the open bite and overjet and non existent bite and just go for some
correction of both arches, so that these look nice. When I read between the
lines, she says it must be my fault all this is happening. My bite is open due
to muscular imbalances and due to my tongue. So, the 2 orthos I had and
extruded my back teeth using a vast amount of elastics are not the culprit.
Even more, I had an open bite before I started this, she said, even though
my teeth all came together when I did bite down. And ... and ...

Now, I just do not know anymore what to do. It was getting obvious that to
correct my bite, orthodontics alone just wouldn't be enough. So, I gradually
began to accept that only jaw surgery would be the solution. Now, I see that
it will give me only 4 pct more chance of success. I can't accept to undergo
the risks of a surgery to only gain 4 pct. Unless I am missing something, I
just think they tell me to just give up and after some minor corrections then
leave.

This was just the news I wanted to hear at this moment.

muppet
Posts: 63
Joined: Fri Nov 09, 2007 10:27 am
Location: Norfolk, UK

#2 Post by muppet »

Hi,

Sorry to hear that you are having a toughh time.

I must admit that I would not consider surgery with only a 4% chance of success.

I understand the issuse is with your open bite but your teeth do look great.

Try to hang in there, you will get lots of support from this site.
Image

Image

dubnobass
Posts: 423
Joined: Sat May 28, 2005 1:34 am
Location: London, UK

#3 Post by dubnobass »

Clo, I know you have been through a lot of treatment and know a lot more about this than almost anyone (including your orthos!) - but I have read several accounts of people who were told that an anterior open bite could only really be fixed with surgery, and who have had them successfully fixed that way.

I don't know the history of why you have not gone down the surgical 'road', but I imagine that her 79% success rate for surgery is a guesstimate because even surgically-corrected open bites are prone to relapse. Do you believe her 75% success guesstimate for ortho treatment alone? I have got the impression from your posts that you are not confident that she knows what she's doing. She's certainly done a few things with a "let's give this a try" approach. I don't think I would find this re-assuring.

I've had bimax surgery, and as part of that, they hitched up my top jaw, and impacted it much more at the molars than the front (I had an overjet, and they tilted the whole plane of my upper jaw to correct it, which meant a lot of impaction at the back). I now have the opposite problem to you - a posterior open bite which has taken 6 months to close with elastics. Yes, there are risks with surgery, but I don't know if orthodontic treatment alone is ever going to get the results you want.
Braced May 2005
Bimaxillary surgery Aug 2007
Debraced Jun 2008

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spacesong
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Joined: Fri Mar 21, 2008 10:24 am
Location: Montreal, Quebec

#4 Post by spacesong »

I'm sorry you're having such a hard time. Have you seen many other orthodontists? Would it be possible for you to get a second or third opinion on the surgery thing with some other dentists? Good luck.

ohmyjaw
Posts: 657
Joined: Thu Jun 22, 2006 12:09 pm

#5 Post by ohmyjaw »

When I first read your story, I was hopeful that orthodontics could fix your problem, because orthodontics caused it in the first place. Now it looks like that may not be the case. I think that you have been very patient through this whole process - much more so than I would have been. None of your options right now look very good, but I think settling to live with the open bite is probably the last thing you want to do. I can only imagine it is difficult to eat, and your molars are probably going to wear down faster than normal, and I don't know if it is very good for your jaw joints.

I don't know if I would believe the ortho's estimate of 79% without consulting with an actual surgeon first. Your ortho is not a surgeon. It might be a good idea to meet with a surgeon - and you don't have to commit to anything - just get some more information on what surgery might be able to do for you.

The other thing you can do is keep trying to close the bite with your current ortho, and hope it works. One thing I do not understand - why would it relapse later? Even if you were to wear retainers for the rest of your life, would it still relapse?

The last option, I suppose, is to see another ortho. But I know you have seen so many already. Do you think it would be worth seeing another?

Clo
Posts: 969
Joined: Thu Sep 02, 2004 5:05 am
Location: Belgium
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#6 Post by Clo »

@ dubnobass : thanks for your reply. I think you understood what I feel. No,
I don't believe these numbers, not this 79 % success rate for surgery, nor the
75 % success guesstimate for ortho treatment alone. Knowing what could be
done, expressing my doubts in the most friendly and diplomatic way, all this I
did, but to no avail up to now. Well, I have yet another appointment coming
Wednesday. I'll see what news this brings ...

@ spacesong : this is my third ortho. Before I started there, an oral surgeon
saw me, and also a jaw specialist. Ortho 1 was just ... an ortho. She ruined
my bite. I decided to leave and go to a much better ortho. Who is more skilled
and specialized. He couldn't do it either. That is why I now see a third ortho,
who is head of the ortho department of a big university. Orthos study there.
I mean, I can't go any "higher" anymore. I think ...

@ ohmyjaw : thanks. You are all right about not accepting this open bite to
be the end result. Before I started, I did see the oral surgeon first. My ortho
knows very well what his opinion about my case is. Hence this 79 % number.
But I absolutely wouldn't know how they formed this number.
Very good question, about this relapse. I see it this way. I had no open bite.
Bad treatment gave me one. Fix it and it will be stable. Maybe expressed a
bit simply, but nevertheless true I think. There are more things I do not agree
at all with. But anyways, that is what she says. It will relapse, and when I get
a Hawley, it will relapse even more.
No, I can't see another ortho anymore. Costs are getting ridiculously high.
And some more weeks and I have braces for 4 years. No, this treatment will
be the last one.

Clo
Posts: 969
Joined: Thu Sep 02, 2004 5:05 am
Location: Belgium
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#7 Post by Clo »

I did send a pm to Meryaten.

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Thathrill
Posts: 368
Joined: Mon May 07, 2007 1:15 pm

#8 Post by Thathrill »

you know i was just thinking about this the other day. I haven't had a lot done to my teeth just yet but one of my friends just received rubber bands a week ago. She has to wear three. I will have oral jaw surgery on my lower jaw this summer. Sometimes I think to myself, is this all worth it? I keep telling myself that I will not only have the smile ive always wanted but also a proper bite. I have never been able to bite into foods properly. Just difficult to stay focussed at times.
Brace date: 5/2/2007
Debanding date: 1/14/2009
Ceramic Braces: 20 months
Currently in clear Essix retainers at night

Image


My Blog: http://jjfan1.blogspot.com

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jennielee81
Posts: 2144
Joined: Tue Mar 22, 2005 2:31 pm
Location: The Old Line State

#9 Post by jennielee81 »

OH NO! Clo, this is unbelievable!!

I don't know what to say other than you are the most patient person I have ever "met". You have been through the wringer and you still have some optomism.

I continue to wish you the best and I am sending positive energy to your teeth!!

Jenn
"Life is an occasion; RISE TO IT!" --Mr. Magorium
I wore Damon 3's and Opals for 20 months at age 42. Braces off January 2007
http://www.archwired.com/phpbb2/viewtopic.php?t=3535 a little more about me here: http://www.businessweek.com/magazine/co ... 961130.htm

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badbite
Posts: 450
Joined: Fri Oct 12, 2007 10:11 am
Location: Pennsylvania

#10 Post by badbite »

Listen to Meryaten!

Though 75% chance is in your favor, why don't you go back the the OS or to another OS for an up to date consult? From what I have learned, closing an open bite just is not stable with orthodontia alone. If you have at least a 79% chance with surgery, but it will be much more stable, maybe that is something you should consider. That would like 8 out of ten people in the same situation would be fixed. There is a good chance that medical insurance will pay for it.
Image

Image

RPE in on Jan 7, 2008
SARPE on Jan 11, 2008 expanded 7 mm
RPE out on May 14, 2008

smile2006
Posts: 565
Joined: Mon Jul 17, 2006 12:59 am
Location: SC

#11 Post by smile2006 »

Clo- I would have to say my guess would be that you would have a good chance of fixing your bite with surgery. I thought my own bite was hopeless, just something that would always be an annoying open bite. However, with a good surgeon I truly think a good result is highly possible. My bite is totally closed and is thankfully remaining closed with straight teeth (even being a "no retainer" child as I've described before). Your bite and what mine was are nearly identical. Surgery should be a good option for you..........since everything else has failed the bite you are living with is most likely a foundational/skeletal issue. I would encourage you to go that route assuming you can find a good surgeon. I enjoy chewing and biting in ways I never thought possible. I love to smile now as well. Fixing my bite was one of the best things I have ever done for myself and I want so much the same for you. Don't settle for a compromise.

smile2006
Posts: 565
Joined: Mon Jul 17, 2006 12:59 am
Location: SC

#12 Post by smile2006 »

Clo- I would have to say my guess would be that you would have a good chance of fixing your bite with surgery. I thought my own bite was hopeless, just something that would always be an annoying open bite. However, with a good surgeon I truly think a good result is highly possible. My bite is totally closed and is thankfully remaining closed with straight teeth (even being a "no retainer" child as I've described before). Your bite and what mine was are nearly identical. Surgery should be a good option for you..........since everything else has failed the bite you are living with is most likely a foundational/skeletal issue. I would encourage you to go that route assuming you can find a good surgeon. I enjoy chewing and biting in ways I never thought possible. I love to smile now as well. Fixing my bite was one of the best things I have ever done for myself and I want so much the same for you. Don't settle for a compromise.

Chris
Posts: 2326
Joined: Sun Aug 29, 2004 9:18 pm
Location: Southern California

#13 Post by Chris »

You know what REALLY gets me mad? Its that these orthos all TAKE these cases saying they can help you and then peddling backwards when things don't go right. Its as if they just "experiment" and don't have a clue. I thought all those "model studies" are suppose to at least give a high degree of what the outcome will be before they start on the road to treatment. Yes, I realize, nothing is certain, but .... oh....arrrrhhh!

Clo, I'm ready to punch someone out at this moment and its not even MY TEETH!!!! Man oh man!!!!! Your patience makes you a SAINT!

:-(* :-(* :-(* :-(*
Top Braces June 2004
Bottom Braces November 2004
Debanded January 2007

suetemi
Posts: 234
Joined: Sun Jul 23, 2006 10:06 am
Location: Chicago

#14 Post by suetemi »

That looks exactly like my open bite. The only teeth that touch are the very back molars. Mine is skeletal and my ortho said there was no way to correct it without surgery.

Clo
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#15 Post by Clo »

I just wanted to thank everyone who replied.
I really appreciated that !

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