Why would an orthodontic treatment worsen overbite conditions during the initial stages of the treatment?

Doctor's Answers 1

Thank you for your question. The term "overbite" is a bit of a misnomer, most laypeople refer to "overbite" as the upper teeth protrusion or the upper teeth being more in front of the lower teeth. Sometimes the upper teeth do become slightly more slanted forwards during the initial stages of treatment as the teeth were previously crooked and your dentist may be correcting the alignment first in the intial stages.

When teeth are aligned and insufficient space is provided in the initial stages, the teeth are pushed forwards into a wider circumference. This will give the appearance that the teeth are more protruding. However if there are spaces created later on either with expansion, extraction, distalisation or interproximal reduction, the teeth inclination can be improved at a later stage in the treatment. Do always communicate your concerns with your dentist so that he/she will be better able to address them.

Hope this helps and all the very best,

Dr Priscilla Lu

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How do dentists determine when teeth need to be extracted for orthodontic treatment?

When deciding on whether a patient needs extractions as part of orthodontic treatment, I consider the following factors: 1) Space requirements This refers to the amount of space needed to straighten the teeth. If the amount of crowding is severe, this means that more space will be needed. If sufficient space cannot be created by other methods (slimming down the teeth by interproximal reduction or IPR, arch expansion and incisor proclination) then extractions may need to be considered.

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How fast does teeth start to shift after completing orthodontic treatment?

In general your teeth should not be shifting that quickly. The speed of teeth shifting / relapsing back into old position depends largely on the angulation of the tooth roots and the final bite position of your teeth. Taking an xray helps to check this out. In short, it is unusual for teeth to shift in a week so dont worry too much about it unless you personally see significant shifting occuring. A suggestion would be to call your dental clinic to ask if you can get the retainer earlier though at times there may be an express service fee charge for expedited cases. Hope this helps!

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