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Orthodontics/Big midline discrepancies

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Question
I had ortho treatment completed about a year and a half ago. The doctor had a lot of work to deal with and I had 5 or 6 teeth extracted in the process. My problem is my midline. I have one front tooth not two and one frobt bottom tooth. The esthetics is a big deal on its own but what I really can't stand is my occlusion. My gums have begun receding due to the occlusion and its extremly uncomfortable having my mouth closed with my teeth touching. My question is how can this be fixed. Is there a way. Its too late to get new retainers. My mandibular retainers broke and my mandibular hav their own story. What are my options to fixing my midline? Are there any? I'm also having speech problems my teeth move

Answer
I recommend you go back to your orthodontist for a consultation (I'm not an orthodontist but I provide resource information on the field). Proper occlusion is definitely important for many reasons, but each case is different. I've heard of cases where the best compromise, given various problems, was to allow a less-than-perfect midline solution. However, you certainly have the right to ask about what the thought process was, and what the orthodontist thinks now. I'm not sure why you think it's too late for new retainers; they're very helpful and not bad to wear when you get to the point of just wearing them at night (I plan to wear mine forever, after having had adult braces three years ago). You can always get a second opinion from another orthodontist, too, and a third possibility is going to students in the orthodontic program of a local university's dental school. I's worth pursuing for your future oral health, especially because of the gums. Good luck with it all.

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Pamela Waterman

Expertise

I can supply tips, hints, recipes and resources about a braces-friendly lifestyle, for parents of children and teens in braces as well as for adults in braces. Although I am not a medical/dental professional, I have colleagues in the field and will do my best to point you to additional resources.

Experience

I am the author of two specialty award-winning cookbooks of soft-food recipes and tips targeted to all ages of braces-wearers (including adults) and give workshops to dental hygienists to help them help their patients with this type of information. I have worn braces both as a teen and as an adult, and am from a family of three generations of braces patients. I regularly contribute information to the public website of the American Association of Orthodontists and Orthotown magazine.

Organizations
Women in Orthodontics, American Academy for Oral Systemic Health, Independent Book Publishers Association, Society of Women Engineers, Society of Manufacturing Engineers

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Orthotown, Cricket, Family Fun, Highlights, Better Homes and Gardens Kids' Rooms, Chicago Tribune, East Valley Tribune (Phoenix AZ), Healthy Alternatives, Organic & Natural, Desktop Engineering, Machine Design

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BS Astrophysics, MS Radio Astronomy/Electrical Engineering

Awards and Honors
Good Parenting Award from ParentalWisdom.com Glyph Award - Best Cookbook, Arizona Book Publishing Association Finalist Glyph Award - Best Cookbook, Arizona Book Publishing Association Finalist - Next Generation Indie Books, Independent Book Publishing Professionals Group

Past/Present Clients
American Association of Orthodontists, Smile for a Lifetime

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