This channel is for general and pediatric dentists. Not for consumers. It's for general informational purposes only. It does not constitute the practice of dentistry and does not constitute the practice of oral medicine or orthodontics or any health care services INCLUDING the giving of dental or medical advice. Dr Wilson IS an orthodontist but not YOUR orthodontist. No doctor/patient relationship has been established. The use of this channel is at the user's own risk. The content is not meant to be a substitute for medical advice, dental advice, diagnosis or treatment. Users should seek their own advice from their own licensed dental or medical provider.
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I have a question, at about 7 minutes in you say that the set of 4 viveras should last a lifetime. But elsewhere I’m sure I’ve heard you say that some people need 8,9 retainers in their life. How long would you say the Viveras really last?
well first of all it depends on your age and a lot of other variables- here's some other videos I made on this subject- ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-OLIR73HynCU.html , ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-LR_tglwXK2E.html
Remember not to defend a line technology or anything but the doctors only have to take a 3-hour course in order to use the product and not everyone who certified in it knows what the heck they're doing. Doctors who do it right don't have these issues so don't blame the company blame the dentist
I think you're a little confused. It's not Align Technologys fault if this happens. It is the dentist fault. Invisalign is a tool the dentist need to learn to use it properly. That does not happen in my hands for sure
Doctor I lost my first molar and my age is 18 in both of my upperjaw so my doubt is can we move second molar in first molars place so there will be space for my wisdom tooth to grow as well as no need of implant too
We have plenty of videos on this- just go to the Straightwire playlist- ru-vid.com/group/PLjH1ebZYKKM28ls56tmMOLqam2U4w7FMy&si=5YnXQqfvlC1v2YYz or Straightwire course- www.straightsmilesolutions.com/classes/digital-straightwire-class/
i have a question. I got my retainer today and it’s clear but very very bumpy. I do t know what kind of plastic my ortho used but it is very bumpy and thick
ask them if they can NOT make you an "In house one" - if they say the "outsourced it" from a lab, ask for a BRANDED one which has a warranty for this like Vivara
@@Straightsmilesolutions update! i got a new one but its a more softer plastic almost like silicone. How does the softer retainer differ from the more hard one in terms of holding the position of my teeth?
Maaaaan…I’m almost done with my braces and I dislike them so much. I didn’t want IPR bc I don’t want to shave my enamel down and was thinking of getting a composite to fill it in a little but now!!! 😩
I have tried to see every orthodontist in my area for a second opinion (around 15 total) and NONE of them will see me because I am currently under the care of another orthodontist. Even my general dentist called around, trying to refer me (because he could see the issues) and no orthodontist would accept his referral either. I have never seen a branch of medicine operate this way. The patients are left with no options. Even if a patient complains to the dental board and the board finds the provider negligent, the patient doesn't receive any compensation and is still in the same situation as before. I'm 38 and I've been in braces for 4.5 years with no end in sight. My teeth look worse now than they did before braces (all I had was a gap in my front teeth), my 1.5 treatment plan has turned into 4.5 years and counting, my jaw is significantly misaligned, I've almost lost one tooth due to root resorbtion. I'm desperate but I have no options.
That's pretty absurd, do you mind me asking what city/state or country you live in? That's actually illegal. If you are in the USA I'd write to the state dental board at this point. Sounds like patient abandonment to me. Yes, ortho in parts of the US is a "good 'ol boys" network. I've seen this.
also if you used insurance contact your insurance company to help advocate- if you paid with credit card you can contact your credit card company to help you advocate
@@Straightsmilesolutions Thank you for responding! I'm in Ridgeland, Mississippi and a "good old boy network" is exactly what's going on around here. I actually talked to the investigator at the dental board regarding the issue of no providers being willing to see him and he basically said they are private practices so its their decision on if they take a patient or not. The investigator did say that if I filed a complaint, perhaps it would make my orthodontist address my concerns more seriously. I personally don't think it will help because it seems as though if my orthodontist could fix my teeth properly, he would have done so (4 years is plenty of time). I document my teeth by taking multiple photos after every appointment. My teeth,, bite and jaw alignment have not changed in 15 months. Even though we are 1.5 years past the initial estimated treatment duration, my orthodontist will no longer give me an anticipated treatment completion date and cannot tell me why treatment has not progressed according to plan.
BAHAHA my family is from Northern MS, I get it! Geez- yup, they all golf together. I'd find a general dentist who does ortho then who isn't part of the G.O.B. network. ! Or- gotta go outta state. It's not THAT far of a drive!
DM and retention is quite a cool way to track retention as it detects slight and more significant relapse as well as OH - some patients love this detail
Yep I have a lot of content on DM and virtual accountability loops but most doctors don't like to spend money during the retention period but I think it's a Value-Add to a successful aftercare program! Agree
Keep in mind that DM has (or at least I am told) a ridiculous onboarding fee that's cost-prohibitive for GP's doing "some" ortho- we mostly support IN-Hand-Dental accountability loop for retainer check in because it's a fraction of the price and a lot more user friendly for lower volume providers and it doesn't require the purchase of auxiliary scan boxes or equipment. It''s been about 7 years since I attended a DM summit, say "hi" to Phillipe for me! If ya'll have lowered your costs and/or made things more user friendly for GPs you can LMK
Jeez, as a fellow ortho I'm pretty surprised to hear you voice such extreme opinions like "you should never be doing extractions" and "you should never be placing TADs" as you know the human individual has great variation and different treatment mechanics exist to treat individual treatment needs which at times absolutely appropriately warrant extractions and/or TADs
If you follow my channel it's for GENERAL DENTISTS! And I preach that harder cases should be referred to ortho- that's why I say that. You took it out of context. You aren't the intended audience! :) Of course SOMETIMES extractions are needed, but I am teaching primary care dentists how to screen / do Phase 1/ Mitigate airway issues/ Treat simple cases- refer the rest out!
But you know as well as me, that there would be almost no extraction cases or jaw surgery cases if things were done properly and addressed as kids. Of course, you're going to have generic issues and syndromes and pathology but the percentage would be significantly less. That's the legacy I am trying to leave with my channel.
wow how'd they let you do that? They barely allowed it on a 14 y.o. patient we worked on! Your doctor must have fudged your DOB! But I am intrigued! BE sure you ask for an xray to prove the expansion worked!- ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-SjBBIt3IkdE.html
I need an answer please. I have completed about 3 months of wearing Damon class 3 braces and I wear elastics, but suddenly I have gaps in the front 4 teeth and a curl in the left canine, but I am also afraid of the tooth roots being eroded. Is everything normal or what?
This is a question for both your orthodontist and general dentist. Be sure you ask for an updated xray- gaps are normal though during the level and align phase in the first few months.
What if the case is class 2 (full step on right side ) and end on molar on the left side? With moderate overjet and no manidular crowding ? What type of extraction pattern would you recommend and what biomechanics to correct it ? Should we use tads or reciprocal space closure or elastics ? Thank you
It's really hard to stay just based on that feedback- so much is taken into account (soft tissue, skeletal position, airway size, sleep..etc)- I rarely take out premolars now that you can do sequential distalization with aligners. Rarely necessary anymore ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-wgFo1agycA0.html
Very helpful. Exactly what I needed to know and exactly what I thought. My ortho pulled my teeth beyind the midline in both directions, overcorrecting FOUR TIMES in the last few months of my treatment until I lost faith that they could actually be centered with wire braces. Invisilign is what I need because once they are centered I can just use that tray as my retainer instead if waiting for the orthodontist to have an opening 3 weeks down the road.
My daughter is 6yrs old. We just seen her dentist and he recommended a removable palate expander and or clear aligners first (spark) for her with no expander. She has a high palate, narrow palate, cross-bite. When I asked him what he would do if it was his child he said the clear aligners. However, everything that I have researched says that clear aligners do not expand the palate. Would you recommend the removable palate expander first? I just really want to make sure we are doing the right thing from the beginning. Any advice would be greatly appreciated.
Invisalign DOES have a clear aligner expander - it's new- available in the USA and Canada and Australia- I think you should EITHER consult with an OMT or ENT to check airway or consider this expander- (IPE) www.youtube.com/@Straightsmilesolutions/search?query=IPE
Difficult to imagine how to use the claw in lingual position. Can we expect a video demonstration made the next time you have one to remove (claw method and/or carbure method) ? Should be *very* informative. P.S : does the black light (U.V) can damage the patient retina with direct exposure ?
yes I am very aware of the old school literature, but it's very minor- I go over that in the videos and in my straightwire course- I've never noticed a clinical difference- have you? ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-N1lrMCoDk4g.html, ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-LGE4M_ErrC0.html
Hello doc. Are we not supposed to do space closure in ss wire for better torque control and rigidity? Rectangular niti would not stiff enough and may result in dumping ? Kindly address your point 5 here
HI just went over this on your other question you posted- this is covered in our Straightwire course too- www.straightsmilesolutions.com/classes/digital-straightwire-class/
I completely agree with you, in cases with thin periodontal disease round tripping is a disaster! But how can you do this correctly if the surfaces are not correctly aligned?
I have a tongue thrust. I never had a tongue thrust until I had premolar extractions. I had no anterior open bite ever until 2 years after I took the braces off. Neither was ever charted. My bite started opening in grade 10 and was noticeable by grade 12. I already finished puberty around grade 10 and had no previous tongue thrust nor anterior open bite before I started treatment. I’ve done tonnes of myofunctional therapy however my tongue feels like it’s encroaching on my retropalatal airway when I try to practice good tongue posture. It doesn’t feel right ever. I could facilitate good tongue posture before I had extractions. I feel like my tongue just wants space. Is a tongue thrust possible to onset iatrogenically? Thanks
You'd want to consult with an OMT- here's two I recommend sorry to hear this- ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-JGuObAGtuDI.html, ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-it6sdG8F1vI.html
My Horrible orthodontist messed up my smile using this technique. Left me with severe short roots and a Canted smile. Fully regretted getting braces it's not worth it. I wonder if not wearing my Hawley retainer will reverse some of it. not even sure. Barbaric experience.
Hi! I was just wondering what would be the sequence of treatment for a mild skeletal class III with underbite and posterior crossbite at 9yo. In terms of maxillary expander (eg. quad helix), reverse pull headgear (to advance the maxilla) and underbite correction (eg. 2x4 appliance). Or what other treatment should be provided? Thanks a lot in advance!
Are you a dentist or a consumer? Sorry, can't give you a Tx plan either way without seeing the records (ceph, pano, clinical exam...etc)- if you're a dentist, please schedule an a-la-carte session here- www.straightsmilesolutions.com/services/#a-la-carte if you're a consumer please go and get a few consults- they will tell you! ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-7pVWP8x8ztQ.html
sorry did my best- best to ask your question to your doctor directly- You need a RETAINER after to hold the canted occlusal plane= otherwise YES it will relapse of course- it's not growth
that's not a thing- that's called "jaw surgery"- if you have relapse after elastics, it wasn't held long enough and it was just tipping. You always want to hold your elastics cases to make sure there's no relapse before you remove braces or Invisalign
im getting braces soon and the doctor said to close the spaces cuz i have the missing laterals at the top and i dont want that because my mouth is small as it is and i wanted to ask if i could get like fake teeth in the place where they are supposed to be but he wouldnt let me talk and sent me away and my bottom teeth i have no space so there are 2 teeth that are rotated to the side would that mean that i would have to take out teeth? also i heard it causes problems and i dont want my mouth to get any smaller anyways i want a bigger smile not the opposite please give me advice also please tell me if there is option for fake teeth that is not implants cuz im too young for them and im scared of these anyways something without drilling and shaving teeth off
When I got my braces off in April of 2023 my orthodontist casually said “ I have a canted smile” and I had no idea what he was talking about until literally a year later and now everytime I look at photos my midline is so off point and it is really bothering me, wouldn’t my orthodontist atleast offer some options for me instead of being so non chalant about having a canted smile…
