Bone Protrusion and Deep Bite: Orthodontic Solutions Explored

Bone fracture correction issues?

Hello, I recently consulted about orthodontic issues, and the doctor mentioned that I have a skeletal open bite and deep bite problem.
I have consulted with three orthodontic specialists.
One doctor insisted that due to my skeletal open bite, I should undergo surgery at a hospital, while the other two doctors said that this can be resolved with orthodontics, although it may not achieve the ideal perfect state.
I am about to undergo a dental mold assessment, but I have a few questions.
Although I have a skeletal open bite, the incisal surfaces of my front teeth do not protrude significantly (approximately at a 90-degree angle).
I asked the doctor if there is a tendency for my teeth to become recessed after orthodontic treatment, and the doctor said that this is caused by rushing the treatment.
However, in my case, it seems that the bone needs to be pushed inward rather than just the teeth.

My questions are:
1.
Can my skeletal open bite and deep bite be effectively treated with orthodontics alone without surgery?
2.
Should I be concerned about the issue of my teeth becoming recessed after treatment? I have friends who had protruding teeth and ended up with recessed teeth after orthodontics.
3.
Currently, the doctor assessed that I only need to extract 1-2 teeth (as I already have missing teeth), and that my protruding teeth can be resolved by pushing them back.
The estimated cost for orthodontics is between 140,000 to 160,000 NTD, using the Damon system.
Is this cost considered expensive?
4.
Could you provide some suggestions for me to discuss with the orthodontist? Thank you.

Ada, 20~29 year old female. Ask Date: 2015/09/04

Dr. Huang Zhicheng reply Dentistry

Dear Ada,
Hello.
Generally, orthodontists will perform X-ray imaging to analyze the positional relationship of the craniofacial structures in order to determine whether orthognathic surgery is necessary.
You may ask your doctor to analyze the predicted outcomes of surgery versus non-surgery based on the X-ray images.
Some computer software can predict changes in hard tissues, while changes in soft tissues are more difficult to forecast.
Ultimately, the decision will be yours to make.

Orthodontic fees vary by practitioner, and government health agencies have established standards, which you can easily find online.

Wishing you safety and health.
Sincerely,
Dr.
Huang Chih-Cheng
Director of Dentistry, Taoyuan Hospital, Ministry of Health and Welfare

Reply Date: 2015/09/04

More Info

When considering orthodontic treatment for issues like bone protrusion (often referred to as "bone explosion") and deep bite, it's essential to understand the complexities involved in your specific case. Here’s a detailed exploration of your questions and concerns.

1. Can Bone Protrusion and Deep Bite Be Corrected with Orthodontics Alone?
The treatment for bone protrusion and deep bite can vary significantly based on the severity of the conditions and the individual’s dental anatomy. In some cases, orthodontic treatment alone may suffice, especially if the bone protrusion is not severe and the teeth can be repositioned effectively. However, if the bone structure is significantly misaligned, surgical intervention may be necessary to achieve optimal results.
Orthodontists often use diagnostic tools such as X-rays and 3D imaging to assess the relationship between the teeth and the underlying bone. If your orthodontist believes that your condition can be managed with braces, they may recommend a treatment plan that includes tooth extraction to create space and allow for proper alignment. However, if the underlying skeletal issues are too pronounced, surgery might be the more effective option to achieve a functional and aesthetic bite.

2. Should You Worry About Teeth Becoming Retracted After Orthodontics?
Concerns about teeth becoming retracted or "inward" after orthodontic treatment are valid, especially if the treatment is rushed. The goal of orthodontics is to create a balanced bite and a pleasing smile without compromising the natural position of the teeth. If the treatment is not carefully planned, it can lead to undesirable outcomes such as teeth appearing too far back in the mouth.

To mitigate this risk, it’s crucial to have a thorough discussion with your orthodontist about the treatment plan. They should explain how they intend to manage the movement of your teeth and the underlying bone. If your case requires significant bone movement, your orthodontist should have a strategy in place to ensure that the teeth are not just pushed back but that the overall alignment is improved.

3. Is the Estimated Cost of $14,000 to $16,000 for Orthodontic Treatment Reasonable?
The cost of orthodontic treatment can vary widely based on several factors, including the complexity of the case, the type of braces used (in your case, Damon braces), and the geographic location of the practice. Damon braces are known for their efficiency and comfort, which can justify a higher price point.
It’s advisable to compare prices from different orthodontic practices and inquire about what is included in the quoted fee. Some practices may offer payment plans or financing options, which can make the treatment more manageable financially.

4. Recommendations for Discussing with Your Orthodontist
When you meet with your orthodontist, consider discussing the following points:
- Clarification of Treatment Goals: Ask about the specific goals of your treatment and what the expected outcomes are. Ensure that you understand how they plan to address both the bone protrusion and deep bite.

- Potential for Surgery: Inquire about the circumstances under which surgery might be necessary and how they would determine that need. Understanding this can help you make an informed decision.

- Monitoring Progress: Discuss how they will monitor your progress throughout the treatment and what adjustments might be made if you start to notice any undesirable changes, such as retraction of the teeth.

- Long-term Maintenance: Ask about post-treatment care, including retainers and follow-up visits, to maintain the results achieved through orthodontics.

In conclusion, while orthodontic treatment can effectively address bone protrusion and deep bite, the decision between orthodontics alone or combined with surgery should be made based on a thorough evaluation by your orthodontist. Open communication about your concerns and treatment expectations will be key to achieving a successful outcome.

Similar Q&A

Will Orthodontic Treatment for Deep Bite Make My Chin More Protruded?

I am currently undergoing orthodontic treatment for deep bite. My doctor’s treatment plan involves placing four bone screws near the upper and lower wisdom teeth to pull the upper teeth back while simultaneously pulling the lower teeth forward. I would like to know if this will c...

Dr. Huang Zhicheng reply Dentistry
Hello, the patient's deep bite condition is caused by the protrusion of the maxilla and the retrusion of the mandible. Therefore, what we observe externally (the protrusion of the chin you mentioned) is due to the cartilage tissue, while the bone itself does not protrude. So...

Understanding Jawbone Issues: Can Orthodontics Help with Misalignment?

Hello, doctor. I would like to ask... um... actually, I'm not sure what that area is called, but from the side view, the distance from my chin to my neck seems shorter than others. Since everyone can move their mandible forward to create an overbite, I noticed that when I pu...

Dr. Huang Zhicheng reply Dentistry
Dear Xiao Yu, Based on your description, you have a Class II malocclusion, characterized by a smaller and retruded mandible with deep overbite. During puberty (around high school age), it may have been possible to use an activator to promote forward growth of the mandible. Howev...

Addressing Bite Issues During Orthodontic Treatment: Expert Insights

Hello, doctor. I am currently in the later stages of orthodontic treatment. Initially, I was diagnosed with a slight deep bite, so only two upper teeth were extracted, and no teeth were removed from the lower arch. Recently, I noticed that my upper and lower incisors are parallel...

Dr. Zhu Guanyu reply Dentistry
Mr. Luo: Hello, the back of the tongue naturally has glands and taste receptors, which can cause one or two protrusions. However, whether these are due to abnormal swelling that leads to discomfort and pain can only be diagnosed through a clinical examination by a physician, who ...

Understanding Jaw Pain: Causes and Solutions for Teeth Grinding Issues

Hello Doctor, I have a problem with nighttime bruxism, so I started wearing an occlusal splint about a year ago. After wearing it for about six to seven months, I began to experience a clicking sensation in one of my temporomandibular joints (TMJ). Initially, I would have diffi...

Dr. Huang Tingfang reply Dentistry
Dear Ms. Aye, Hello! As mentioned, although you are very young, you are experiencing severe teeth grinding, and the vertical dimension of your occlusion is too low, resulting in increased bite force. You will need occlusal reconstruction, and the occlusal splint for treatment ne...