It's hard to imagine that something simple such as straightening teeth can affect the entire body. This 45 year old patient has had two upper premolar teeth removed in preparation for braces in her teens. The removal of the teeth created space and then the orthodontist pulled back her upper teeth to bite with her lower teeth. This "trapped" the jaw into a retruded position and decreased her airway. The decreased airway has led to obstructive sleep apnea and TMD symptoms which have gotten progressively worse. The proper treatment should have been not to extract any teeth and instead allow the jaw to come forward to meet the upper teeth. Braces would then be applied to make sure the bite is correct once the jaw is comfortable at this position.
Tuesday, September 18, 2018
Saturday, September 8, 2018
An under bite is difficult to treat with braces or even surgery. However, Dr. Do can correct this problem without the need for invasive treatment. This is usually viewed as a cosmetic problem, and most cosmetic dentists are not trained for this protocol. Dentists that can use braces are usually trained to remove teeth from the lower jaw to fix this problem, but that can lead to another set of complications with your TMJ. We are fortunate at Manoa Dental that Dr. Do is trained in all three disciplines of orthodontic, TMJ, and cosmetic dentistry at one location.