The comments

Dr Sylvain Chamberland, Orthodontiste says:

Camouflage would mean dental compensation that camouflage the class II relationship. In some case we wnat to maintain the camouflage and it is why we can extract 2 upper premolars to finish class I Canine, class II molar.

Sometime we wnat to remove dental compensation, express the Class II relationship and correct the skeletal discrepancy by surgery.

Dr Sylvain Chamberland, Orthodontiste says:

If the surgeon asked a second opinion because the 1^st orthodontist wanted to extract the canine, I totally agree with him. The orthodontist should bring the tooth into the arch unless it is proove to be impossible to do it.

I would not extract a permanent canine in a 14 years old children to place an implant even if this patient have Tourette syndrome. I have treated some patient with this syndrome and they are not difficult to treat. I treat patient that have autism also.

I hope taht help.

Best regards

 

Dr Sylvain Chamberland, Orthodontiste says:

Face mask therapy is a non surgical approach to class III malocclusion in very young patients of 5 to 8 years old.

It is not effective in adult. I consider a 17-year old an adult because much of the growth is done. Best treatment for class III at taht age would likely be surgical.

Dr. Bhawani s POUDEL says:

Comment*how to correct class 3 case .a 13 years male patient

Amal ahmed says:

How can we identify class 2 camouflage?

Lisa Branson says:

Please help,my son is 13 years old soon to be 14 he has an impacted tooth covered by bone #11 ,he was all set for the surgery and the week before his surgery the surgeon calls and now wants a second opinion,I this a risky procedure and what can Happen if he doesn't get it done ,also my son has Tourette tics ,he is in no pain from this tooth however he does have braces and the orthodontist wants to put a prosthetic tooth in the #11 place ,what do I do

L says:

Hello doctor,

Is protraction face mask therapy non surgical? And at what point in time is it too late to have this? For example, could a 17-year-old be treated and see successful results? If it is possible, is it much more difficult to adjust than adolescents?

Thank you.

Dr Sylvain Chamberland, Orthodontiste says:

Root resorption of maxillary incisors

Bonjour,

I agree that you have significant root resorption of your incisors and short root of many other teeth, but all your teeth seems correctly aligned and the extraction spaces are closed.

Chances are that at this moment your braces are removed or will be removed very soon. I would use a bonded lingual wire to spint your front teeth together for the retention phase.

I would have done the same treatment plan, ie extraction of the impacted canines and two lower 1^st premolar.



I have done a similar case where I had no other choice than to extract the maxillary canines. Root of the central incisors were damaged at baseline and some resorption continue to occur during treatment but with the bonded lingual wire, mobility was reduce and the teeth can be viable for the lifetime.

I hope that help.

Best regards

 

 

Dr Sylvain Chamberland, Orthodontiste says:

It is difficult to make a recommendation from the description you did. TMJ: what type of temporomandibular disorder?
Type 2 open bite: do you mean class II openbite?
Invisalign braces which cause pain headache: Are you receiveng a treatment with invisalign to close an open bite?

In my opinion, if you have a class II open bite malocclusion and that you have TMJ pain, i would not recommend Invisalign and you need a comprehensive multidisciplinary orthodontic treatment plan.

Dr Sylvain Chamberland, Orthodontiste says:

Extraction of 4 premolars is a common treatment plan to resolve sevrer crowding like you describe. You should not worry because your daughter would not be unique to have 4 permanent teeth removed during her orthodontic treatment.

I assume that this recommendation is from a certified orthodontist and not from your general dentist. If not, I strongly recommend that you consult an orthodontist.

Chantal Denier says:

My 12 year old daughter's jaw is too small for a canine to grow. So it is growing on top of her permanent teeth visible in the gums. Our dentist recommended to extract 4 teeth (all permanent) to leave space and have symmetrie - 2 teeth to be extracted left top bottom and 2 teeth right left top bottom. I am really worried of removing 4 permanent teeth. Is there another solution? Thank you

MARTIN AMTMAN says:

My Dentist diagnosed TMJ (moderate to severe) he recommended invisionlign braces which caused pain headaches and other adverse reactions I also have a type 2 open bite malocclusion

Dr Sylvain Chamberland, Orthodontiste says:

Send your xray via my facebook account : facebook.com/drsylvainchamberland

Dr Sylvain Chamberland, Orthodontiste says:

Root movement is done after the canine if bring into the arch. It is done with full dimensional rectangluar wire and brackt. A torquing spring is often need.



However, in you question, you mention the lateral incisor. The same mechanics aplly.

Dr Sylvain Chamberland, Orthodontiste says:

Usually, I do the rapid palatal expansion first. Then I reassess the need of extraction of the primary canines. Keep in mind that it may occur that after expansion, the extraction may not be needed anymore. The reverse is also true, some cases need extraction of the primary canines after expansion.

I hope that help.

Jeongmin lee says:

I am 20 years old and I'm live in South Korea. I found impacted canine teeth 18 years old. But my dentist said it couldn't get right position so I extracted them.
In fact I didn't know that canine teeth is important.
Now I know canine teeth's importance, and my premolar teeth get position of canine teeth.
Is it okay if I live without canine teeth? If I live without canine teeth, is there any problem with my another teeth?
And the resorption of central incisors are serious. I can't send my X-ray but it is really serious. Is it necessary implant surgery of my central incisors? I'm so scary.

Jane Politi says:

Hello Dr. Chamberland,

My Son will be 8 years old in 2 days. He has seen the orthodontist who has decided to install an appliance to widen his narrow palate and correct his cross bite. Before doing this, the orthodontist would like to have the 2 baby canines extracted b/c he said the teeth are crowded and the roots look long and twisty and the permanent teeth will protrude in front of or behind the primary ones.
Any input would be greatly appreciated. Thank You (I can send his graphics)

Patricia says:

Hello.when you have a palatal lateral incisor and you start traction,how do you achieve bodily movement on order to prevent the root to be more palatal and the crown so proclined?or you only correct at the end of the traction with rectangular wire? Thank you

Dr Sylvain Chamberland, Orthodontiste says:

I am not a user of Jasper Jumpers device. Howerever, this appliance is similar to Forsus cl II corrector most of the fixed functional appliance devices.
The main effect is dentoalveolar in both arches. This include mx molar distallization, some upper incisors retroclination, some lower incisors proclination.
A class II div 1 with less than 5 mm OJ may seem a mild class II but if the molar are full cusp cl II, it is not a "mild" class II. I have an orthodontist friend form Italy who did a nice reseach with this device and he found it was effective to achieve class I molar relationship. He had no data on stability.

Ann Trowbridge says:

Do you recommend the use of Jasper Jumpers in adults with type II div 1 as a method with less than overjets of 5mm as a treatment plan. Are there any negative effects that JJ treatment may have as opposed to a surgical approach as far as the force applied and the possible effects on bone health post treatment due to the amount of force used in this technique?