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MSE installation, had to grind down molar

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JustAnotherGuy
(@justanotherguy)
Posts: 4
Topic starter
 

Hello I just got my MSE installed abroad 2 days ago. I would just like to hear if others have had the same procedure done to fit the MSE.

My orthodontist said he had to grind down some of the tooth within the gap around the molar, although he used some orthodontic rubber bands the day before to separate them somewhat. Is this a normal part of the procedure.

It made me kind of uncomfortable, but he said it would be a 10th of a millimeter. Anyways no split yet as i am only 3 turns in(using slow method with corticopuncture). Still a lot of pain of cause, however nearly none while the procedure was being done.

 
Posted : 13/05/2021 9:46 am
Apollo
(@apollo)
Posts: 1681
 

I had spacers/separators placed around my molars for 7-10 days before MSE installation to ensure there was adequate space around them to accommodate the molar bands. I’m not sure why your provider only put them in one day before the procedure. Maybe because you were traveling and they wanted to expedite the time you needed to be in the area, but they found there wasn’t enough room to get the molar bands on by the installation appointment so they filed down some of the molar to get it on rather than waiting several more days for the teeth to shift. They could have requested that your local dentist place separators ahead of time before your travel to their location, since this is a routine procedure. This kind of “enameloplasty” or “interproximal reduction” is common and shouldn’t risk the tooth vitality, but isn’t ideal in this situation since it takes away some of the tooth size and your arch will be bigger after the expansion, requiring slight mesialization to avoid gaps that collect food when they go to complete realignment. Do you still have your wisdom teeth? Let us know how your expansion goes!

 
Posted : 13/05/2021 11:49 am
JustAnotherGuy
(@justanotherguy)
Posts: 4
Topic starter
 

@apollo thanks for the reply and your input.

You are probably correct regarding the practitioner trying to expedite the process as I have traveled to another country(though relatively close), although I would have preferred your alternative. Regarding my treatment I don’t know if I am just a little unlucky but one rubber ring as well as dental glue have fallen off one of TAD. I am only on my third day but I don’t know if it’s safe to expand without it. I also still have some pain around my molars and don’t know if it’s digging into my gum line but I feel some pain on the inner-side ie. where the arms are. Is that normal?

Below I have attached 4 photos. One of each molar, one with the middel turning mechanism showing the removed glue and one showing the rubber ring.

TAD
right molar
left molar
rubber ring

 

 
Posted : 13/05/2021 3:53 pm
JustAnotherGuy
(@justanotherguy)
Posts: 4
Topic starter
 

@apollo fortunately I still have my wisdom teeth.

 
Posted : 13/05/2021 3:55 pm
Apollo
(@apollo)
Posts: 1681
 
Posted by: @justanotherguy

@apollo thanks for the reply and your input.

You are probably correct regarding the practitioner trying to expedite the process as I have traveled to another country(though relatively close), although I would have preferred your alternative. Regarding my treatment I don’t know if I am just a little unlucky but one rubber ring as well as dental glue have fallen off one of TAD. I am only on my third day but I don’t know if it’s safe to expand without it. I also still have some pain around my molars and don’t know if it’s digging into my gum line but I feel some pain on the inner-side ie. where the arms are. Is that normal?

Below I have attached 4 photos. One of each molar, one with the middel turning mechanism showing the removed glue and one showing the rubber ring.

TAD
right molar
left molar
rubber ring

 

I guess your orthodontist decided to coat the heads of the TADs with a composite resin to reduce the irritation to your tongue. I didn’t have this and just applied orthodontic wax over the TADs to protect my tongue. Maybe those O-rings are supposed to help the resin bond to the TADs. It shouldn’t matter to the expansion that it broke off and you could cover the exposed one with wax if it bothers your tongue. I would still report this to your orthodontist for their confirmation. You could also ask them about the irritation to your gums around your molar bands. Try to keep the area clean and hopefully it will heal from the trauma of installing the appliance soon.

 
Posted : 15/05/2021 12:39 pm
JustAnotherGuy
(@justanotherguy)
Posts: 4
Topic starter
 

Thanks @apollo

Regarding pain around the molars and the O-ring there aren’t any problems now. The O-ring was just for protecting the tongue and general pain is mostly gone. I haven’t had a split yet, however I am 13 turns into it, however I would just like to know you how much force uoi used for the facemask(BOW) ie. number of dental elastics when the split occurred? I believe I saw one thread where you talked about using it. Also if you have some generel threads that are worth reading regarding MSE, and you have the time for it, please let me know.

The thread below seems really interesting as I’m in the same age rage and also need some forward growth if possible.

https://the-great-work.org/community/main-forum/mse-asymmetry-and-protraction/#post-38474

 

 

 
Posted : 18/05/2021 11:09 am
Apollo
(@apollo)
Posts: 1681
 
Posted by: @justanotherguy

Thanks @apollo

Regarding pain around the molars and the O-ring there aren’t any problems now. The O-ring was just for protecting the tongue and general pain is mostly gone. I haven’t had a split yet, however I am 13 turns into it, however I would just like to know you how much force uoi used for the facemask(BOW) ie. number of dental elastics when the split occurred? I believe I saw one thread where you talked about using it. Also if you have some generel threads that are worth reading regarding MSE, and you have the time for it, please let me know.

The thread below seems really interesting as I’m in the same age rage and also need some forward growth if possible.

https://the-great-work.org/community/main-forum/mse-asymmetry-and-protraction/#post-38474

I’ve been meaning to get a newton spring scale to measure the force, but haven’t gotten around to it. I just use as much tension as I can tolerate. I use a combination of elastics of different sizes, so the number doesn’t mean much. I’ve gotten more accustomed to it and use more force now than I did when I started. Some experts advise to start the traction after the suture splits, but I started a few days after the MSE was installed on the guidance of my orthodontist. There are a couple old threads about the MSE that might be worth going back to find. A member called @Varbrah shared some good information. More recently, the thread about the number of turns per day, the thread about why MSE+FM fails to give significant forward change in adults, and my thread about asymmetry and protraction might be helpful. I think I’ve gotten at least a couple millimeters of advancement, maybe more, but there’s not a dramatic difference. Hopefully I’ll make a little more progress in the coming months before my MSE is removed.

 
Posted : 18/05/2021 9:23 pm

THE GREAT WORK