Sudden changes in bite alignment?
Hello, Doctor.
While waiting for the implant to integrate with the bone, I was wearing a temporary denture (fitted in a clear retainer, which only covers 3/4 of my teeth, leaving three molars on one side uncovered).
Recently, after removing the retainer, I suddenly felt discomfort in the three molars on the right side, similar to the sensation of them hitting first compared to the left side.
I conducted an occlusion test, and the biting force on both sides seems similar, but I still feel uncomfortable these past few days (sometimes biting into things causes slight pain, but it's bearable).
I would like to ask the doctor:
1.
Is occlusion related to habits and subjective feelings? Since the retainer has a slight thickness (the three molars without the retainer do not make contact), I am used to having something touching the left side, but not the right side.
This might cause me to feel the occlusion on the right side more prominently after removing the retainer, even though the actual occlusion is balanced.
2.
If this is not an illusion, could my occlusion be affected by the slight thickness of the retainer, causing the occlusion without the retainer to feel lower or have a greater biting force? If this is the case, will there be a chance for recovery if I do not wear the denture retainer again?
3.
After the implant, if the opposing teeth need to be adjusted upwards over a period of about 2-3 months, I would like to know if there is a possibility that my face and mouth could become asymmetrical within those 2-3 months if the occlusion is indeed uneven.
I am really anxious about this, so I appreciate the doctor's response in advance.
Thank you!
A Ge, 30~39 year old female. Ask Date: 2023/10/26
Dr. Lin Jiayong reply Dentistry
Hello: I'm not quite clear on your question, but I recommend discussing any overly detailed concerns with your implant and orthodontic specialists.
However, I can provide some information: the vertical height of the posterior teeth must differ by at least 4mm between the upper and lower jaws to noticeably change the facial appearance (so that others can clearly perceive a change in your face).
The size of just 1 or 2 crowns will primarily affect the fullness of the cheeks (weight appearance) and is unlikely to significantly impact the vertical height (long or short face).
Additionally, when creating complete dentures, the occlusal plane is typically referenced using the line connecting the pupils and the philtrum/nasal wings, among other landmarks.
If you already have an orthodontist, trust their expertise and don't overly worry about the occlusion not being on the same plane on both sides.
Reply Date: 2023/10/26
More Info
Hello! Thank you for your detailed inquiry regarding the discomfort you're experiencing after the removal of your temporary dentures. It's understandable to feel anxious about changes in your bite, especially during the transitional phase of dental treatment. Let’s break down your questions and concerns.
1. Bite Discomfort and Subjective Perception: Yes, bite discomfort can indeed be influenced by both habitual factors and subjective feelings. When you wear a temporary denture or a dental appliance like a retainer, it alters the way your teeth come together. The thickness of the appliance can create a sense of pressure or contact that your teeth become accustomed to. When you remove the appliance, the absence of that contact on one side (in your case, the right side) can lead to a feeling of imbalance or discomfort. This is particularly true if your left side has been used to having that contact and your right side has not. Over time, your brain and body may adjust to the new bite, but it can take some time for your perception of discomfort to normalize.
2. Impact of Appliance Thickness on Bite: The thickness of the temporary denture can indeed affect how your bite feels. When the appliance is in place, it can create a slight elevation in the bite, which may lead to a feeling of increased pressure on the teeth that are covered. Once the appliance is removed, the uncovered teeth may feel lower or less engaged, leading to discomfort. If you continue to experience discomfort after removing the appliance, it’s advisable to consult your dentist. They can assess whether your bite is truly uneven or if the discomfort is a result of the adjustment period. In many cases, the bite can return to a more comfortable state as your mouth adjusts to the absence of the appliance.
3. Concerns About Bite Imbalance and Facial Symmetry: Regarding your concern about potential facial asymmetry due to uneven bite pressure, it’s important to note that while temporary imbalances can occur, significant changes in facial structure typically require prolonged periods of uneven bite pressure or misalignment. If you are undergoing orthodontic treatment or dental implants, your dentist will monitor your bite closely. Adjustments can be made as necessary to ensure that your bite aligns properly. If you notice persistent discomfort or if your bite feels significantly off, it’s crucial to communicate this with your dental care provider. They can provide adjustments or recommend further treatment to help alleviate discomfort and prevent any long-term issues.
In summary, while it’s normal to experience some discomfort after changes in dental appliances, it’s essential to keep an open line of communication with your dentist. They can help you navigate these changes and ensure that your bite is functioning optimally. If discomfort persists, don’t hesitate to seek further evaluation. Your dental health is paramount, and addressing these concerns early can help prevent more significant issues down the line. Thank you for reaching out, and I hope this information helps ease your concerns!
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