Consult Doctors. FREE.
Real Doctors, Expert Answers
Connect with Facebook Connect with Google For Doctors
By creating an account, you are indicating that you have read and accepted the DoctorXDentist Terms of Use.
Consult Doctors. FREE.
Real Doctors, Expert Answers
By creating an account, you are indicating that you have read and accepted the DoctorXDentist Terms of Use.
Registration Progress
Step 1: Indicate Topics of Interests
Step 2: Follow Relevant Doctors
Complete!
What are your interests?
Please select at least 3 interests.
NEXT
NEXT
Registration Progress
Step 1: Indicate Topics of doctors
Step 2: Follow Relevant Doctors
Complete!
Follow your favourite doctors
We found some doctors you may like. Click continue to follow them.
CONTINUE
CONTINUE
Consult Doctors. FREE.
Real Doctors, Expert Answers
Continue with Facebook Continue with Google

or

OOPS!

SOMETHING WENT WRONG.

PLEASE TRY AGAIN.

OOPS! SOMETHING

WENT WRONG.

PLEASE TRY AGAIN.

YOUR QUESTION HAS BEEN

SUCCESSFULLY SUBMITTED.

OUR DOCTORS WILL GET BACK TO YOU SHORTLY!

Disclaimer: Any answers provided are for general informational purposes only and is not a substitute for professional medical advice. If you think you may have a medical emergency, call your doctor immediately. Always seek the advice of your doctor before starting or changing treatment.

YOUR QUESTION

HAS BEEN

SUCCESSFULLY

SUBMITTED.

OUR DOCTORS WILL GET

BACK TO YOU SHORTLY!

Disclaimer: Any answers provided are for general informational purposes only and is not a substitute for professional medical advice. If you think you may have a medical emergency, call your doctor immediately. Always seek the advice of your doctor before starting or changing treatment.

YOUR QUESTION HAS BEEN

SUCCESSFULLY SUBMITTED.

YOUR QUESTION

HAS BEEN

SUCCESSFULLY

SUBMITTED.

YOUR ANSWER HAS BEEN

SUCCESSFULLY SUBMITTED.

YOUR ANSWER

HAS BEEN

SUCCESSFULLY

SUBMITTED.

YOUR QUOTE REQUEST HAS BEEN

SUCCESSFULLY SUBMITTED.

OUR DOCTORS WILL GET BACK TO YOU SHORTLY!

YOUR QUOTE REQUEST

HAS BEEN

SUCCESSFULLY

SUBMITTED.

OUR DOCTORS WILL GET

BACK TO YOU SHORTLY!

YOUR THREAD HAS BEEN

SUCCESSFULLY CREATED.

HEAD OVER TO FORUM PAGE NOW

TO JOIN THE DISCUSSION

YOUR THREAD

HAS BEEN

SUCCESSFULLY

CREATED.

HEAD OVER TO THE FORUM PAGE NOW

TO JOIN THE DISCUSSION!

YOUR REVIEW HAS BEEN

SUCCESSFULLY SUBMITTED.

THANK YOU.

YOUR REVIEW

HAS BEEN

SUCCESSFULLY

SUBMITTED.

THANK YOU.

OOPS!

THERE IS SOMETHING

WRONG WITH YOUR EMAIL.

PLEASE TRY AGAIN.

OOPS! THERE IS

SOMETHING WRONG

WITH YOUR EMAIL.

PLEASE TRY AGAIN.

YOUR EMAIL HAS BEEN

SUCCESSFULLY SUBSCRIBED.

THANK YOU.

YOUR EMAIL

HAS BEEN

SUCCESSFULLY

SUBSCRIBED.

THANK YOU.

YOUR CONSULTATION HAS BEEN

SUCCESSFULLY SUBMITTED.

OUR DOCTORS WILL

GET BACK TO YOU SHORTLY.

YOUR CONSULTATION

HAS BEEN

SUCCESSFULLY

SUBMITTED.

OUR DOCTORS

WILL GET

TO YOU

SHORTLY.

MESSAGES TO

Orthodontic Treatment

A DxD Session with Dr Geraldine Lee


Ended on Fri Dec 14 2018
Ended
Have a question to ask?

Get Dr Geraldine Lee's opinions on your questions! Only approved questions are displayed.

Top Answers


Dear Queenie,

Thank you for your enquiry.

Unfortunately I would have to agree with Drs Lim and Toh, it would be best to treat both upper and lower jaws for overbite correction. A increased overbite, which is what you present with, is an increased overlap of the upper and lower teeth. The ideal overbite should be about 1-2mm. The reason for this increased overbite is due to both the upper and lower teeth, and not only the lower, hence in order to correct the overbite we would need to level and align both the upper and lower teeth to reduce the overbite. If you look from your side profile photo, your upper front teeth are coming downwards in the front, contributing to the overbite.

Furthermore, your bite is pretty tight, so straightening your crooked lower teeth without treating the upper teeth would require some filing in between the teeth to create space to decrowd the teeth.

Controlled shaving or filing the teeth can help to make teeth look less sharp, and if done properly (not excessively), the teeth do not become sensitive. However, I would advise for you to have any filing done after you have straightened your teeth, as the positions of the teeth may change and the sharp teeth may not look as sharp. Minimizing any filing would be ideal.

Braces or invisalign treatment for both upper and lower teeth would be ideal to straighten your teeth and improve your overbite. However we do understand that some patients only want to treat the area of concern, as long as they understand the limitations of such treatment. Share your concerns with your dentist or orthodontist and I'm sure they will be able to customize a treatment plan that will suit your needs.

With regards to pricing, kindly fill in the form below to obtain a quotation for your treatment.

Thank you and all the best.

18 Mar 2018
Dear Connorp,
 
Based on your photos, I am unable to assess the extent of your overbite. I do notice you have a lower jaw deviation to the left of your face.
 
Braces or orthodontic treatment can definitely correct the alignment of the teeth and improve your overbite issue. It will not be able to change your facial profile or the crooked jaw, as this is a skeletal(bone) issue. Only Jaw surgery will be able to correct the jaw deviation.
 
Many people have slanted jaws which are not very noticeable. It really depends on how much it bothers you and how much you want to fix it. It would be best for you to seek a consultation with an orthodontist you can assess you clinically and advise you better.  
 
Thank you and all the best.
 
Warm regards,
Dr Geraldine Lee, Orthodontist
15 Jun 2018

Dear Emory,

Braces and Invisalign are all tools an orthodontist uses to treat patients. There are many factors which may lead to the decision of selecting one system over the other, such as cost, complexity of case, preference of the dentist for one system over the other (based on experience), etc.

To be honest, the majority of my Asian patients are treated with extractions due to our facial profile and lip prominence. Rest assured, a case requiring extractions does not necessarily mean the case is complex. Invisalign is able to treat extraction cases successfully in the hands of someone who has experience with using Invisalign for extraction cases.

Personally to me, both braces and invisalign can work for you. You may wish to refer to an article I wrote on DxD.

Many of my patients have found this a useful read in helping them make the decision on which system to choose.

Most importantly is the treatment plan and the treatment outcome you wish to have. In your other query you were concerned about extractions and if there were other alternatives. I mentioned that option of pushing back your back teeth to create some space. Invisalign does that very well. However, looking at the recession of the upper right first premolar and your lip profile, extractions may be the way to go.

I would suggest for you to discuss all your options with your orthodontist and I'm sure you'll be able to make your decision soon.

All the best.

Warm regards,

Dr Geraldine Lee

5 Sep 2018
Dear Emory,
 
Treatment planning of every patient requires detailed assessment of the facial profile and features, together with the intra-oral features, such as the amount of crowding present, and if the front teeth are flared forward, etc. Together with analysis of your X-rays, your orthodontist will advise you what they feel is the treatment plan that will give you the most ideal result.
 
Overlapping of the teeth (crowding) and flaring of the teeth forward means that there is a lack of space, which is why extractions of teeth to provide space have been proposed. The spaces from the extractions of teeth would also be used to upright the teeth and bring them inwards to improve the protrusive lip profile.
 
What is important is also what your concerns are - if you would like to improve your protrusive mouth profile, extractions would be advised as space is required to move the teeth inwards and allow the lips to move back. If you are willing to accept your current lip profile, there are ways to distalize (move back) the back teeth create some space to align the teeth and correct the crowding. However, this treatment plan would be best carried out with all wisdom teeth removed, and there is a limit to how much space can be created with this method.
 
I have also noticed that your lower right lateral incisor and canine are fused together. This does not create much issue, the upper and lower teeth may not fit perfectly as there will be a space imbalance however, this is rarely visible as it is at the sides and your teeth can still bite well together. Your orthodontist can advise you better on this.
 
With regards to loss of gums, braces treatment with extractions does not routinely result in loss of gums during treatment, however if there are receeded gums prior to treatment (such as the recession present on your crooked upper right first premolar), this will maintain. Overlapping teeth may sometimes result in black triangles. When teeth are straight, there is a triangular shaped gum tissue (papilla) present between the teeth. Overlapping teeth do not have space for this papilla and aligning these teeth will show a black triangle of the papilla that wasn't there to begin with.
 
Do share your concerns with your orthodontist so that he or she can explain to you his or her reasons for their treatment plan. Different clinicians can have different treatment plans and yet all achieve a good result for the patient, there are many ways to treat a case.
 
Hope this helps!
 
Warm regards,
Dr Geraldine Lee
3 Sep 2018
Dear Lunaru,
 
The decision to extract, or not to extract, for any case depends on several factors, such as the facial and lip profile (e.g. are the lips protruding?) the amount of overlap or crowding of the teeth, how much the teeth are flared forward with respect to the bone, etc. Patients with a substantial overjet would more often have lips that unable to close due to the teeth which are sticking out.
 
In situations like this, extractions will result in a more aesthetic or pleasing outcome. With Invisalign treatment, there is a possibility to move the back teeth backwards as well to give space to bring the front teeth inwards more. (called distalization)
 
Your orthodontist will need to examine your teeth and bite together with your facial features, and detailed examination of your X-rays as well in order to decide on the best treatment plan for you.
 
The advantage of Invisalign treatment is that you can view the simulation and discuss together with your clinician, on the treatment plan you are most comfortable with.
 
Hope this helps. All the best!
 
Warm regards,
Dr Geraldine Lee
Orthodontist
30 Nov 2018
Hi Lunaru,
 
Of course you can always modify your treatment plan midway through Invisalign treatment. Good communication between your orthodontist/dentist is essential to successful treatment. There must be a reason for your clinician deciding on the final result of the clincheck. Overbite reduction is almost always an important goal of orthodontic treatment, and would usually not result an ageing profile. 
 
However if you feel you would like a different treatment outcome, depending on your Invisalign package and how long you have been on treatment, you may be entitled to additional aligners at any point of your treatment. This means that you can stop the treatment at any time, and take new impressions or new scans to send for new aligners with a different treatment outcome and a different clincheck.
 
Do check with with your orthodontist/dentist and discuss your concerns with him/her so that they can address your concerns.
 
Thank you.
 
Warm regards,
Dr Geraldine Lee
Orthodontist
11 Nov 2018

Top Questions


Hello Doctors! I’m a female in her 20s undergoing Invisalign treatment. In order to create space to fix my overbite, I was informed that I had to remove the first premolars (next to my canines), as my other premolars are needed to support the molars beside them. However, other dentists have informed me that it is in fact alright to remove the second, instead of the first premolars. I would like to find out what are the implications of extracting my premolars, especially with regard to the implications of extracting the first versus the second premolars? Thank you in advance!

The end results from my Invisalign ClinCheck shows me that I may have ‘black triangle’ spaces at the end of my course. I was wondering how the black triangles could be fixed? For example, could I propose to get IPR done mid-way? Thank you so much for reading and I look forward to your expert opinions! :-)

I'm a 23 years old female. I had my braces removed a few months ago. However, even after completing braces treatment, I felt that my teeth were still crooked and there were still gaps. (I did not want to return to seek further treatment as I was uncomfortable at the clinic). What are my ...
I have been in metal braces for about 18 months now. My orthodontist thinks that they are ready to come off. However, I noticed that my lower 1st molars on both sides have been rotated out of alignment. Because of the misaligned lower 1st molars, the top and bottom 1st molars do not fit ...

I’m a 24 year old female. My jaw and side profile have always bothered me growing up, and I hated taking pictures as a result. An X-ray revealed Class 3 malocclusion, with my jaw slanted to the left by about 1cm. I also had a crossbite. I was told that I had only 2 options - the ‘compensation method’ using metal braces which would take about 1.5 - 2 years, or jaw surgery and braces before and after, which would take almost 3 years. What are possible treatment options for a Class III Malocclusion? Can braces alone fix my problem? My main considerations are treatments that are cost-efficient, require a shorter treatment time, and produce good results (I want a nice facial profile and a nice smile).