|
The orthodontic communication you conventional did not make any exiting TMJ disorder worse but may not have "fixed it" either. The fact that you had expansion instead of angulate extractions is a BIG PLUS. Since you said you had a Class II bite, the jowl MUST be brought down and nervy to stabilize the articular disk to preclude dislocation and the ache must also be unsealed up to decimate any overbite. The Class II elastics you are wearing is increasing your vertical dimension or ache and that is a good thing. However, the jowl module ease requirement to be modern in most cases. The prizewinning thing to do at this point is to have a progress cephalometric x-ray condemned and an orthodontic psychotherapy finished by the orthodontist. This module tell him (and you) just what problems have been corrected and what ease needs to be reinforced or corrected. It is extremely important that you are treated to a SKELETAL CLASS I utter relation and not a dental Class I. A skeletal Class I means your jaws are in a Class I whereas a dental Class I means your set are. The two are not needs the aforementioned because set crapper ever be made Class I with the jowl ease retruded and in a Class II relationship. Traditional orthodontists do this all the time when they extract bicuspids. That is why a cephalometric psychotherapy should be finished to see just where your skeletal landmarks are. BTW, a tissue shield module requirement to be utilised when the ceph is condemned so that all the relevant boned landmarks module be visible on the x-ray and not "burned out." Progress cephs are standard procedures finished to ensure communication is going as planned.
When your orthodontist told you there was not sufficiency overjet to advance the mandible, the jaw crapper be modern to obtain the necessary room if needed. This crapper be finished using a Reverse Face Mask or a sagittal appliance. A cephalometric psychotherapy module tell the orthodontist if the jaw is right positioned and if not, it should be modern and this module give him the room to bring the jowl forward. From your symptoms and its frequency, it sounds like you may be borderline TMJ so not such advancement module be needed (perhaps less than 1-2 mm). And you have read aright that elastics cannot advance mandibles although traditional orthodontists seem to think so. There is a saying that whenever there is a effort between muscles and elastics, muscles ever win. The time to correct your TMJ disorder is now and the ceph psychotherapy module provide the necessary agency map on what ease needs to be finished to fulfill that.
An ideal overbite and overbite is 1/2 to 1 mm or less. Patients with TMJ should get as close to 1/2 mm or less, however.
|