After receiving everyone's consultation, I saw that many small partners have been corrected for the second time. Why are so many friends corrected for the second time? Next, let's read a few stories and listen to people's experiences, so as to avoid secondary correction as much as possible.
Case 1:
I did it in my hometown when I was at school. At that time, there was no current technology. My parents said that the tooth extraction was not good and they wouldn't let me do it, which led to the problem of protruding mouth. So after a few years, I started the second revision.
Case 2,
I was unlucky to meet an unprofessional orthodontist. The feeling is that from severe buck teeth to ordinary neat buck teeth, there is no tooth extraction. Qi is true, but I have never experienced the most stable occlusal relationship with staggered teeth. Without a stable occlusal relationship (this concept was later known), it is difficult to eat, and even after wearing the retainer for several years, it will rebound. Correct occlusal relationship directly affects the stability of posterior teeth and dental arch.
These two friends are worried about tooth extraction, which will lead to the problem of protruding mouth.
Regarding tooth extraction, whether in the West or the East, we all believe that every tooth given by God is useful, so there is no tooth extraction in the original concept of orthodontics, which is also the earliest concept of Edward H. Angle, the originator of orthodontics.
Later, Tweed(Tweed pioneer of Tweed edgewise appliance technology) found that after treating a large number of patients, the consequences of barely arranging crowded teeth in order were on the one hand the protrusion of the mouth and on the other hand the stability.
The alveolar bone is too big to be discharged. After reluctantly leaving the hospital, it is easy to form crowding obstacle again when taking out the appliance, which is what we often call recurrence. This is not for nothing?
Therefore, after Tweed's clinical observation and thinking, I began to try tooth extraction correction, and recalled those patients who should have had their teeth extracted but didn't, and started the second correction. The theory of "tweed triangle", "upright lower incisor", "anchorage preparation" and three "sequential bending" of orthodontic arch wire was established.
Up to today, tooth extraction is still the main method to solve tooth overcrowding and protrusion in orthodontic treatment.
Tooth extraction correction is not a random behavior, but a scheme based on the data measurement of patients' teeth and alveolar bone. In the case of overcrowded and protruding teeth, tooth extraction can obtain the space needed for tooth rearrangement, and the gap between tooth extraction will be closed after correction. Scientific tooth extraction correction scheme will not have sequelae, but the situation of tooth extraction will be unstable and easy to relapse.
In addition, besides tooth extraction, there are plans to strive for space for tooth rearrangement, such as pushing back molars or slicing, expanding arches and so on. , depending on the patient's mouth and face.
Case 3,
I corrected it once when I was a child, but I found that my teeth were squeezed out again after I grew wisdom teeth.
Case 4:
I wore a retainer for a few days after correcting my teeth, but I didn't insist on wearing it. I didn't expect it to really rebound without wearing a retainer.
What practical suggestions do you have for students who need secondary correction?
1, mentality problem
How do you hear that some doctors don't like to take us for a second correction?
In addition to those objective factors, such as periodontal problems and root resorption, we should also pay attention to the following points.
Recommend enthusiasm
I'm doing irregular correction and I haven't taken off my braces yet. If something goes wrong, such as a new malocclusion or a change of city due to work and life, I need to be referred. Tell the doctor, "Give me more strength." Professional doctors know at a glance that this is what non-professional orthodontists are doing. Who dares to clean up this mess? Be sure to screen doctors before starting orthodontics, otherwise it will be too late to regret something wrong.
Questioning too much
It is also understandable to correct the unconscious distrust of doctors for the second time. After all, I have been injured once, and I have done my homework this time. I will talk about my views on the correction plan in front of the doctor.
Can I keep my braces at about 20 pairs? ...
I think my molars can be pushed back. ...
I can make this center line more even and pull it a few tenths of a millimeter to the left. ...
The cognition of correction difficulty is different. What you think is a small problem may be a big project with high risk factor in the eyes of doctors. For example, you want to pursue the alignment of the center line, but there is something wrong with the occlusion. You only see the center line and ignore more important issues.
Mr. Lu Xun said that we should be modest and leave the profession to professional doctors.
2. Choose the right way.
Orthodontics does not mean that you can choose the kind of braces you want, but you still need to listen to the advice of a professional doctor.
But at present, most patients are suitable for various correction methods. As long as you choose an orthodontist, some problems that seem to be solved only by steel braces can also be corrected by invisible braces.
Finally, let's talk about the issues that everyone cares about. Can adult secondary correction lead to gingival atrophy?
Not to mention the second time, it may appear the first time, and it may appear without braces. This has nothing to do with the number of corrections, but is related to factors such as tooth movement, periodontal health, gingival thickness and doctor's operation. There is no guarantee that you will appear, but it is certain that regular orthodontic treatment can reduce the occurrence of such problems.
Friends who need secondary correction need not be discouraged. At present, many of Hesheng's friends have started secondary correction, and they have also gained happy smiles.
There will be a revised discount at the end of the year. Let's come to Hesheng Dentistry to welcome a new smile in the New Year.
Time: from now on ~ 12.438+0 days
Welfare 1:
Invisalign or Angel of the Times invisibly corrects and enjoys the arrival of goods in 7 yuan? 7000 yuan? Special offer
Welfare 2:
The top 20 friends who have confirmed brackets or invisible orthodontics can also give AODO orthodontic acceleration (worth 5,800 yuan).
Relieve orthodontic discomfort and shorten correction time.
The above offers are applicable to all orthodontists and are not shared with other offers. Please refer to the poster.