Orthodontic Adjustments: When to Seek Further Treatment

Q: Orthodontic Adjustments: When to Seek Further Treatment

Hello, Miss Mi： During the orthodontic process, the brackets placed on the teeth facilitate the application of the archwire to move the teeth. <br>After the treatment is completed and the brackets are removed, bleeding gums may occur, which could be due to inadequate oral hygiene

Orthodontics

Hello, Doctor.
I underwent orthodontic treatment because my front teeth were overlapping.
A few days ago, the doctor said the treatment was complete and that I should prepare for retainers.
However, my front teeth still don’t look very straight; they seem misaligned, and the tips are not at the same level.
I expressed my concerns to the doctor, but he insisted there was no issue (my friends also said they look crooked).
After several discussions, the doctor finally agreed to make adjustments, but he mentioned a caveat: if he adjusts them further, there will be a triangular gap at the tips of my teeth.
Should I accept this, or should the treatment focus on aligning my front teeth properly before tightening them? Additionally, due to the orthodontic treatment, the last time the doctor bonded something to my teeth to facilitate movement, I experienced bleeding for a day after it was removed, and now my teeth are very sensitive; even rinsing my mouth feels painful.
Is this normal? Thank you for your response, Doctor.

Mi, 30~39 year old female. Ask Date: 2020/04/20

Dr. Zeng Guanghui reply Dentistry

Hello, Miss Mi: During the orthodontic process, the brackets placed on the teeth facilitate the application of the archwire to move the teeth.
After the treatment is completed and the brackets are removed, bleeding gums may occur, which could be due to inadequate oral hygiene during the orthodontic period, leading to gingival inflammation and increased bleeding.
It is recommended to maintain good oral hygiene to improve gingival inflammation and reduce bleeding.
If the alignment of the teeth remains crooked after treatment, it is advisable to consult an orthodontist for further evaluation.
Dr.
Tseng Guang-Hui, Nantou Hospital.

Reply Date: 2020/04/20

More Info

Understanding orthodontic adjustments and when to seek further treatment is crucial for achieving the desired results from orthodontic care. In your case, it appears that you have undergone orthodontic treatment to correct the alignment of your front teeth, but you are still experiencing concerns about their positioning. It’s important to address these concerns with your orthodontist, as effective communication is key to ensuring that your treatment meets your expectations.

When you mentioned that your front teeth are not aligned properly and that they appear to be at different levels, it’s understandable to feel dissatisfied, especially after undergoing treatment. Orthodontic treatment aims to achieve a functional and aesthetic alignment of the teeth, and if you feel that this has not been accomplished, it is within your rights as a patient to seek further adjustments.
Your orthodontist's initial response may have been based on their clinical assessment, but if you and your friends perceive a misalignment, it is essential to continue the dialogue. The fact that your orthodontist has agreed to make further adjustments is a positive step. However, the mention of a potential triangular gap between your teeth as a result of these adjustments raises some concerns.
In orthodontics, the goal is to achieve a well-aligned dental arch without compromising the aesthetics or function of your bite. If the proposed adjustment could lead to a significant gap, it is worth discussing the implications of this outcome. You should ask your orthodontist for a detailed explanation of why this gap might occur and how it would affect the overall alignment and function of your teeth. It’s also important to inquire about alternative methods that could achieve the desired alignment without creating a gap.

Regarding the sensitivity and bleeding you experienced after the removal of the orthodontic appliances, some sensitivity is normal after orthodontic adjustments. The teeth and surrounding tissues can react to the changes in pressure and movement, leading to temporary discomfort. However, if the sensitivity is severe or if the bleeding persists, it’s advisable to follow up with your orthodontist or a dental professional. They can assess whether the sensitivity is within the normal range or if there is an underlying issue that needs to be addressed.

In summary, it is essential to advocate for your dental health and ensure that your concerns are taken seriously. If you feel that the treatment is not progressing as expected, do not hesitate to seek a second opinion from another orthodontist. They can provide you with additional insights and treatment options. Remember, the goal of orthodontic treatment is not only to achieve straight teeth but also to ensure that your bite is functional and comfortable. Communication with your orthodontist is key, and you should feel empowered to express your concerns and preferences throughout the treatment process.

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