Experience Former Clinical Instructor of Comprehensive Dentistry, and Prosthodontic Department New York University School of Dentistry. Also former instructor of Preventive Dentistry Columbia University School of Dentistry.
Education/Credentials 1980 DDS New York University College of Dentistry
1981 GPR Manhattan VA Hospital
Awards and Honors OKU 1980 Honor Society
1980 Long Island Academy of Odontology award for highest combined Academic and Clinical Achievement.
In 1997 he was elected to Fellowship into the International Academy for Dental Facial Esthetics
Question Dr. Spindel, i just got an Essix appliance for provisional tooth replacement for my upper central and lateral ncisors. After wearing it 10 minutes or longer and then removing i get pain in my right incisor when biting down. Pain lasts less than a minute and then goes away. When i put it back on, either later or immediately i get pain in the first right molar for a few minutes. I would like to know if such strain on the teeth can cause damage to ligaments or improperly realign teeth? I have to wear it for 4 months.
Thank you.
Answer Dear patient,
It is likely that the appliance is putting slight pressure on the the lateral incisors and the first molar. If you wear this retainer for a significant amount of time it will shift the teeth very slightly into the position dictated by the retainer. All orthodontic movement causes 'temporary damage to periodontal ligaments that goes away after the teeth have moved into the new position.
It is not uncommon for retainers to put slight unintended pressure on certain teeth. Usually the resulting tooth movement is not noticeable to the eye. Most likely if you continue to wear the retainer the pain will go away within a couple of days. If you are concerned speak to your dentist about this issue.
I hope this information is helpful and please feel free to contact me again with any dental questions.
