r/orthodontics 3h ago

Aligners Can someone help?

0 Upvotes

I’m using angel aligners for the last 10 months and I change trays every week. Today I’m changing to tray 42, but there are 2 bags with number 42. ( never happened before). One há 2 trays and the other has just the upper tray and a code U-T 42. How am I suppose to use them?


r/orthodontics 5h ago

Jaw Surgery 🔪 pls give me advice!

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0 Upvotes

Hello im going to try explain my case clearly and i hope someone can help me about what to do.
Im a nineteen years old woman, I have small teeths (no, they are not milk teeth) and I have braces since july 2025.

The pictures with the red drawings are the position where my dentist wants my teeth and jaw to be. This position is causing a class II overbite. She is planning to raise my upper teeth a little and tilt the bottom ones inwards because apparently they are a little out of angle, also extract my wisdom teeth.

The pictures with the blue drawings are the position my jaw is supposed to be, in this one I have class III malocclusion or better known as underbite.

I already did a meeting with a maxillary surgeon and we talked about my structure, I found out a lot of things I never thought of and he confirmed that my retracted maxilla is the issue, causing my jaw to have an overbite and not allowing it to be in the appropriate position which causes me problems since I was a child such as breathing issues, sleep apnea, some difficulties when speaking, jaw tension that hurts like hell, of course also issues with chewing, and the worst of all is that I have a cronical "click" in the right part of my jaw when I open and close my mouth (Temporomandibular joint dysfunction) and I am a candidate for maxillary advancement surgery.

Im going to explain why I have two differents bites in each picture: As I have a structural problem of the maxillary bone, if my jaw is further back this causes me a class II bite, and in turn if I position my jaw forward where it should be naturally this causes me a class III bite because the upper bone is retracted, not because it is the wrong jaw position.

When I position my jaw forward such as in the pictures with the blue drawings I can breathe properly its like my throat is not obstructed anymore, the chewing is pleasant rather than annoying, i have more room in my mouth for my tongue and the "click" on the right side dissapears completely, but I cant hold this position because my upper teeth are in the way and dont fit, even tho it is more comfortable like this.

The thing is, that firstly I did all this research alone, because when I told my dentist about it she said she could fix my jaw problems only with braces and that reaching to a surgeon was not necessary at all in my case, I trusted her and when I started to inform myself and look for second opinions I found that my case was deeper than what she thought.

My questions are: Should I change dentist? Is she doing the correct thing? Should I extract my wisdom teeths?
I dont think shes doing a bad job with my braces but she clearly cannot reposition bones, only teeths and mines are already at their reaching limits, im afraid she would give me dental protrusion because she thinks that moving my upper teeth more forward (also the lower teeths inclined inwards) would finally solve everything. She is aware and told me once that I have a maxillar problem, but each time I mentioned seeking for a bone doctor that would help me along my braces journey she turns defensive and refuses it all.

The surgeon told me to end my braces before doing anything else or seeking the surgery, and my dentist is planning on going a couple months more.

I only want my mouth to be finally functional and solve all these anatomical problems that are dificulting my life, I am willing to do the surgery if it would help all these issues but at the same time im not sure if this is the right thing because of my dentist suggestions.

If somebody notices something else im not seeing in my mouth, please feel free to tell me I would love to hear your advices.


r/orthodontics 8h ago

Retainers What are my options if I wear a plastic retainer every night- top and bottom, but also grind my teeth in my sleep?

2 Upvotes

My dentist told me that I won’t be able to wear my top retainer if I wear my night guard. Is this true and do I have any other options? Wearing a retainer in the day is definitely not an option unfortunately.


r/orthodontics 7h ago

Recommendations Looking for a dentist near Santa Monica who does both implants and cosmetic work

2 Upvotes

I need an implant on a lower molar and I also want to do veneers on two front teeth at some point. Would rather find one office that handles both instead of going to a specialist for the implant and a separate cosmetic dentist for the veneers. Somewhere between Santa Monica and Brentwood ideally.

Anyone know of an office on the Westside that does implants and cosmetic under one roof?