fbpx
Notifications
Clear all

NOTICE:

DO NOT ATTEMPT TREATMENT WITHOUT LICENCED MEDICAL CONSULTATION AND SUPERVISION

This is a public discussion forum. The owners, staff, and users of this website are not engaged in rendering professional services to the individual reader. Do not use the content of this website as an alternative to personal examination and advice from licenced healthcare providers. Do not begin, delay, or discontinue treatments and/or exercises without licenced medical supervision.

Analyze my case? with photos

Rockyp33
(@rockyp33)
500+ Forum Posts

https://imgur.com/a/YPjCmpk i have an overbite and a decently wide palate 35- 40mm  with retro clined incisors. I also have baby incisors idk why and i have an impacted molar on my right side that was covered by a baby tooth until recently. ive been mewing for about a year and i switched to closed bite mewing and i think that might've stalled my progress although i think it increased my tongue strength, so back to slightly open mewing which im hopeful about. But any ways what do you think i should do to fix my problem? i have a functional ortho with a current plan but i havent started yet im going back in for a reavaluation.

Quote
Topic starter Posted : 01/08/2018 1:35 pm
Rockyp33
(@rockyp33)
500+ Forum Posts

@SUGR1

ReplyQuote
Topic starter Posted : 02/08/2018 7:57 am
Rockyp33
(@rockyp33)
500+ Forum Posts

@SUGR1

ReplyQuote
Topic starter Posted : 02/08/2018 7:57 am
SUGR1
(@sugr1)
10+ Forum Posts

Based off what you have provided and photos let's go through observations, causes and some possible treatment scenarios. 

 

Observations 

FRONTAL rest

- Slight asymmetry with chin point to your Rhs.

-horizontal planes in general not bad, adequate facial thirds

- good width to mid face, good alar development

FRONTAL Smile

- deep bite, tucked in teeth inclines.

- relatively coincident midline (1-2mm lower midline shift to Rhs to be precise) 

- narrow front smile arch, wide buccal corridors

- Slight upper anterior spacing 

- peg lateral incisors (upper) 

- retained primary canines (it appears) 

-recently lost lower right second primary molar. The permanent premolars that follows it is currently not visible. 

 

PROFILE REST (Not ideal as head is turned, better if true side shot)

- flat mid face, obtuse nasal labial angle.

- retrognsthic mandible

Profile smile 

- very excessive mew indicator line, guestimate approaching 50mm. Nose to chin point also shows high retrusion of teeth in relation to this line. 

- class 2/2 bite meaning front incisors very retroclined

- lower jaw even more retruded when smiling.

If you do not understand the above happy to draw for you if needed.

Causes 

Cause is always hard due to the variables and unless you have chronological photos from birth to now, it is hard to tell you for sure. 

- congenitally missing teeth, or small teeth. This means you did not have well maintained arch shapes and lengths.  Lack of permanent canines causing upper front spacing due to teeth width to arch kength discrepancy. Missing lower right premolars causing slight dental midline shift on lower to Rhs.

- class 2/2 has a genetic/family connection often. Be interesting to compare to your parents/family.

- retrocline incisors often due to poor swallow pattern causing suction to teeth, infer also poor resting tongue posture through childhood. This also responsible for more V like anterior shape as opposed to U like shape of maxilla. Inward incline of posterior teeth due to poor posture and buccinstor muscle pressure. 

- possibly tongue tie? Please check? Childhood feeding history from Brest feeding to other habits.

Treatment 

What do you not like and what symptoms do you have? Just because you have a malocclusion it doesn't always need treatment if you are comfortable and healthy.

Treatment can be minimal to full blown many year therapy by dentists, myofunctionsl specialists and surgery. 

But as a guide if I was to guide your treatment to a nicer dental arch form and a better skeletal relationship for long term health benefits it would be something like this.

1. Expand the upper arch and develop the maxilla forward and fix the tip in the front incisors

2. This frees up the lower jaw and brings it forward. 

3. Orthodontic realignment of teeth. Build up  the smaller teeth to give them better size and proportions. Look at guiding eruption of impacted teeth. 

ReplyQuote
Posted : 02/08/2018 9:29 am
Rockyp33 and Apollo liked
Rockyp33
(@rockyp33)
500+ Forum Posts

@SUGR1 thanks so much and I wasn’t breast fed and I was a mouth breather and avid gamer and I have a tongue tie bad combo.. could’ve turned out worse but still it’s set me back a bit. I have baby incisors where my canines are supposed to be. My main goal is to get the lower jaw forward that’s my big insecurity and I’m have a functional ortho do that soon. My tongue tie restricts me a bit I believe I’m trying to find a surgeon that takes my insurance pain the [Rude Language will not be tolerated]. Would u reccomend mewing with bite closed or slightly open? I think I like slightly open more. What’s RHS?

ReplyQuote
Topic starter Posted : 02/08/2018 2:20 pm
Rockyp33
(@rockyp33)
500+ Forum Posts

My new indicator like was 45-to 50 mm what’s ideal

ReplyQuote
Topic starter Posted : 02/08/2018 2:29 pm
SUGR1
(@sugr1)
10+ Forum Posts

For your size id think 38 to 42.  

I think they are baby canines where your canines are. They look similar to incisors. 

You can use a functional orthodontic appliance to bring your lower jaw forward but without other treatment your bite will not be aligned and you will have contact in the incisors but none in the molars... The treatment does not neccesarily have to by orthodontics if you do not mind not having straight teeth. You could consider even buildup your teeth so they are longer. This will fix your deep bite, level out your curve of spee and give you good function. It may be a lot of work or little depending on your bite which I can not tell from photos alone. 

You like the feeling of the mew with bite open due to your tongue tie and lower resting posture. It means you have poor extension but good wide base. When you have it slightly open you then allow your tongue to flatten up over the teeth... this is actually not very good. You really should have it closed that way you can create some expansion. You also have more force when your teeth touch during mewing.

Right hand side RHS / left hand side LHS 

My thoughts are you need to make sure your postures are all correct. You may think they are but it best to get it assessed. I am referring to everything from swallow pattern, to tongue position at rest and even possible speech. If those things are not quite perfect your problem will persist and even relapse after functional orthodontics. 

 

ReplyQuote
Posted : 02/08/2018 3:09 pm
Rockyp33
(@rockyp33)
500+ Forum Posts

His first step was to expand the upper front arch then expand the lower arch. With a slightly slightly open bite my tongue is still against my palate it looks identical to when I’m mewing with a closed bite just some different levels of pressure in different area. Mike mew even said slightly open when swallowing lips sealed of course. @sugr1

ReplyQuote
Topic starter Posted : 02/08/2018 3:15 pm
Rockyp33
(@rockyp33)
500+ Forum Posts

His first step was to expand the upper front arch then expand the lower arch. With a slightly slightly open bite my tongue is still against my palate it looks identical to when I’m mewing with a closed bite just some different levels of pressure in different area. Mike mew even said slightly open when swallowing lips sealed of course. @sugr1

ReplyQuote
Topic starter Posted : 02/08/2018 3:15 pm
Rockyp33
(@rockyp33)
500+ Forum Posts

@SUGR1 I’ve added more pictures by the way if appreciate it if u could look.

ReplyQuote
Topic starter Posted : 03/08/2018 4:16 am
SUGR1
(@sugr1)
10+ Forum Posts

Yes not full intercuspation is fine, but we are talking about 1 to 2mm at most. 

A further observation is I would say your lower front teeth are quite retro lined (tilted back). The position of the lower teeth to your chin shows how compensated  your lower alveolar process has adapted to the entrapment. 

Your upper arch as expected is narrow in the photo and any broadening of the upper arch is essential to bring the lower jaw forward. 

Functional orthodontics has many different meanings. It would be good to know what you are having done. Some call it orthopaedics. 

Examples (just common)would be using plates in upper and lower arch in the form of 

upper arch 

1. 3D schwarz

2. Rn saggital 

3. DNA 

4. Alf 

lower arch

1. Williams 

2. Schwarz 

3. Alf 

bring lower jaw forward 

1. Rick a nator 

2. Mara 

3. Herbs

4. Elastics 

ReplyQuote
Posted : 03/08/2018 6:12 am
SUGR1
(@sugr1)
10+ Forum Posts

If you like record a video of you doing the following. These dynamic motion helps assess posture better and better understand your causes. I would be happy to assess it. 

1. Say Words with N, S and TH repeated 5 times. 

Eg Nigeria, Mississippi, thought 

2. Swallow 3 times  

3. Swallow with a smile showing teeth 3 times 

4. Swallow a small amount of water While smiling showing teeth . Does the water drip out of your mouth?

5. Chewing gum for 30 seconds moving the gum from left to right. 

ReplyQuote
Posted : 03/08/2018 6:18 am
Rockyp33
(@rockyp33)
500+ Forum Posts

@SUGR1 first step is to expand upper arch with device then expand lower arch as well ill have the details in a few weeks. Any advice on what I should focus on the help my problem you think chewing will help? My tomb has been cured since mewing and chewing normally does not hurt

ReplyQuote
Topic starter Posted : 03/08/2018 6:20 am
Rockyp33
(@rockyp33)
500+ Forum Posts

@sugr1  https://imgur.com/a/QxSGXF4

ReplyQuote
Topic starter Posted : 04/08/2018 7:26 am
Rockyp33
(@rockyp33)
500+ Forum Posts

@SUGR1 check your messages please

ReplyQuote
Topic starter Posted : 07/08/2018 2:04 am
Rockyp33
(@rockyp33)
500+ Forum Posts

I want to sen the videos through email 

ReplyQuote
Topic starter Posted : 07/08/2018 2:14 pm
Rockyp33
(@rockyp33)
500+ Forum Posts

I want to sen the videos through email 

ReplyQuote
Topic starter Posted : 07/08/2018 2:14 pm

THE GREAT WORK

Warning:
Your Cranial Sutures Need To Be open for CranioSacral / Jaw Development!