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Options after Braces


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Hi guys, 

I'm in need of some advice. I had an underbite and it was corrected via braces when I was 23. My teeth look so much better now however I still haven't been able to achieve the smile I've always dreamed of, for some reason my bottom teeth still show when I smile and I hate it. I've asked my orthodontist and he said my teeth were perfect and it was to do with the muscles in my face and that I should get smiling infront of the mirror. 

Its disheartening after spending $8k on braces to be told that - are there exercises I can do? Or is there a specialist I can see? I hate it so much and people always ask me why I don't smile properly...

Any advice or suggestions welcome. Thanks guys. 

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Thank you - hope you're recovering well! Must be a tough surgery! 

Im not sure if I can get a referral for one, both my orthodontist and new dentist all say my bite is "very good" after braces and that any issues I may have are due to the muscles in my face. Im guessing after 23 years of an underbite it may take some time for the muscles in my face to relax. Im contemplating visiting a cosmetic dentist...

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Anyone with an underbite certainly doesn’t have a ‘very good’ bite. Your teeth are most likely perfect but you cannot change the jaw issues without surgery. I would absolutely consult someone else but ideally you want to seek opinion from a Maxilio facial surgeon. Underbites have the most amazing surgical transformations!!!

I am doing well thank you very swollen and a little sore but everyday gets better and I finally have a nice profile and good bite. Long long way to go though but so glad I did it ?

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Hmm.. I don't know that jaw surgery would work in this case. Your bite is now perfect according to your dentist. I think you should consider what your dentist said about the muscles you're using to smile. I can show all of my teeth if I wish but when I 'smile' properly, my bottom teeth don't show. However, everybody's smile is different. I show ALL of my top teeth when I smile, right up to the gum line. Some people only show part of their top teeth and also part of their bottom teeth. If people are commenting that you 'don't smile properly', you might actually be doing something weird with your muscles, similar to when people say 'show me your teeth'. You can pull your bottom lip down when you smile or you can leave it completely lifted over your bottom teeth. Maybe that's what you're doing? I'd try practicing smiling in front of a mirror and see if there is anything you can change with the muscles you're using first. 

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If the poster has a true underbite then ? never ever will have the perfect bite and smile without surgery. Absolutely impossible. An orthodontist can align the teeth in the jaw to be as perfect as possible but if it’s a true underbite the only way to get the perfect bite/smile is with surgery. My smile and how my muscles pull now are 100% better post surgery. Before it was wonky and never showed teeth. Now I show the perfect amount. I’m only saying this is if it’s a true underbite. Also they said the orthodontist said ‘teeth were perfect’, that doesn’t mean anything if the jaw is misaligned as an underbite is. My teeth were perfect too my jaw and smile were still off. Your teeth can only be as perfect as the jaw they sit in. 110% second opinion.

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Jaw surgery is absolutely the only way to 100% correct an underbite and your smile.

There’s only so far orthodontics and cosmetic dentistry can take you - Whilst this may be a great outcome it doesn’t completely fix your underbite issue. It’s up to you to decide whether you’re happy with that or not.

I personally need jaw surgery to correct the exact same issue - luckily I’ve seen very knowledgeable and experienced cosmetic dentists & orthodontists who know what they’re talking about who have made me completely aware of what my smile will look like after treatment - minus jaw surgery. It’ll never be 100% perfect without - but that’s a risk I’m willing to take.

In your case - you’re not happy with your outcome going by this post. I’d be getting that second opinion.

A mirror can’t save you as suggested, I’m afraid. If that was the case a lot of surgeons would be out of a job hey ?

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My kids have been born with small jaws. Through the orthodontist, we have gone down the track of twin blocks for each child to help move the jaw. It has been a costly exercise as it has been for 3 children all at the same time. It has been more pertinent to do this for our eldest child as the orthodontist said once he hits 16 years old or so, it will be too late to move the jaw forward. He's 15 now. I was just amazed at the difference in the jaw when the orthodontist showed me the first lot of xrays from the beginning of 2017 to the end of 2017. The orthodontist said the twin blocks move the jaw and the braces he gets next week will straighten the teeth. It's been a lot of money but I am glad that I have decided to go down this track. The orthodontist said if we leave the jaw issue, it will affect how the kids eat etc later in life.

I know this is of no help to you at all. But if it is more of a jaw issue rather than a teeth one, I agree with the ladies in going to a specialist surgeon who can guide you further with this. I wish you all the very best with whatever decision you make for yourself.

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46 minutes ago, pink butterfly said:

My kids have been born with small jaws. Through the orthodontist, we have gone done the track of twin blocks for each child to help move the jaw. It has been a costly exercise as it has been for 3 children all at the same time. It has been more pertinent to do this for our eldest child as the orthodontist said once he hits 16 years old or so, it will be too late to move the jaw forward. He's 15 now. I was just amazed at the difference in the jaw when the orthodontist showed me the first lot of xrays from the beginning of 2017 to the end of 2017. The orthodontist said the twin blocks move the jaw and the braces he gets next week will straighten the teeth. It's been a lot of money but I am glad that I have decided to go down this track. The orthodontist said if we leave the jaw issue, it will affect how the kids eat etc later in life.

I know this is of no help to you at all. But if it is more of a jaw issue rather than a teeth one, I agree with the ladies in going to a specialist surgeon who can guide you further with this. I wish you all the very best with whatever decision you make for yourself.

You’re an amazing mum for recognising and treating your kids jaw issue as kids. I wish I knew the severity of my bite earlier to treat, especially as a child. They will thank you as an adult I promise ???

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