Profile change - too protrusive?

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classII
Posts: 210
Joined: Wed Jan 21, 2009 9:01 am

#16 Post by classII »

It is interesting. I'm guessing the solution is simple but it requires an expert in the field to point it out. Maybe one of the docs here can weigh in.

But as an interesting exercise for us lets keep at it.

1. In your pic. are you biting down and its that side that is an open bite which is still to be fixed?

2. If the ortho says the flairing is required to support the tops, I'm thinking its to camouflage the overjet. The extractions would reduce the overjet and allow for the bottoms to be straight. Not clear to me why or where its flaired because there isn't room or extractions would be required because of over crowding when the reason given by the ortho is its to support the upper teeth. The arch is now nicely rounded, the bottom teeth had to move forward to is current flaired position from originally being tipped back. So I'm not seeing where they are now restricted in being pushed back again to a vertical position

I'd ask about the overjet aspect of the flairing and support of the top teeth. Is that the sole reason for the flairing and its not because there is no room for them to be vertical (which doesn't make sense).

3. Looks to me like the ortho has flaired them to create a 0 overjet. Again I would ask if that is the sole reason for the flairing. No overjet.

As mentioned 0-4mm (+/-) is acceptable. If the tops need to remain at that specific angle / flair to support the upper lip, reducing the flair of the bottoms would create some overjet (as below). Keep the top angle and have no overjet, which would stll require the bottoms to be flaired like right now, intrude the top and bottom so that complete protrusion is reduced.

It's all about the angles. :lol:

I'm most interested if it is indeed being done solely for the overjet (to support the upper teeth). There is a picture on the forum of a young guy with the exact same flairing of the bottoms for this purpose. It's not an unusual solution to camouflageing an overjet. The picture shows quite a flaired bottom row from the side, I can't find it right now, not sure if its in this forum or the brace story forum or from last year or the year before.

When is your next appointment? Of course take up everything with the ortho and find out what is what and what can be done, if it's still a month or so away, to clear your mind, maybe request consult appointment in the office where you can go over the diagrams and graphs etc. versus simple discussion in the chair?

Image

msbee
Posts: 105
Joined: Fri May 07, 2010 4:52 am

#17 Post by msbee »

1. I am biting down in the pic. I think the open bite will be fixed once she gets my teeth to the right "level".

2. Yes indeed, I think I'd like to ask her if it's possible to have the lower row to be more vertical. I am happy to have a bit of an overjet and overbite, I'm kind of used to how my teeth overlapped previously =).
Thanks for showing the diagrams to me, it makes it so much clearer now.

I'm gonna see my ortho again in 2 weeks time, I'm definitely gonna ask her if we can adjust the lower row, I hope she doesn't think I'm trying to be difficult. The clinic doesn't have a separate consultation room, so I'll have to talk to her before I lie on the couch! =)

Thanks again ClassII for taking time to reply, much appreciated!
My teeth were sentenced on 7th May 2010 to be imprisoned for 2 years.
What they did behind bars: My braces story
Finishing wire on since 4th October
Debraced June 2011!!

offwhite
Posts: 4
Joined: Mon Oct 11, 2010 11:12 pm

#18 Post by offwhite »

I think if you consider your forehead and whole profile, the second picture looks better. Sure your bottom lip is a little poutier than before, but here i would link a picture of angelina jolie's profile to support my case (if I knew how to)
:lol: :lol:

msbee
Posts: 105
Joined: Fri May 07, 2010 4:52 am

#19 Post by msbee »

lol Thanks for the reassurance. I wish I had Angelina's body to go along with the pouty lips. =)
My teeth were sentenced on 7th May 2010 to be imprisoned for 2 years.
What they did behind bars: My braces story
Finishing wire on since 4th October
Debraced June 2011!!

msbee
Posts: 105
Joined: Fri May 07, 2010 4:52 am

#20 Post by msbee »

Ok I just went for my appointment. I spoke to my ortho briefly about my lower lip sticking out a bit much, and she decided to do IPR for my lower incisors.
The IPR blade looked scary but wasn't painful at all!
She also did say the brackets are also part of the reason why the lower lip sticks out...

Well, sure hope the profile improves, will update as I go along!
My teeth were sentenced on 7th May 2010 to be imprisoned for 2 years.
What they did behind bars: My braces story
Finishing wire on since 4th October
Debraced June 2011!!

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