Twin Force Orthodontic Appliance? Top 99 Best Answers

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What are twin forces?

Twin Force Bite Corrector is a revolutionary orthodontic intraoral device for the correction of Class II and Class III dental occlusion. Even your most non-compliant patients can make the move to an ideal Class I molar relationship faster and with less discomfort. Easy to use.

What is a bite corrector?

What is an orthotic trainer (bite corrector)? An orthodontic trainer is a removable device that is often used to train the teeth, bite, facial muscles, and jaw to correct itself into a more ideal, less harmful, much healthier position.

What is a bite jumper?

A Cantilever Bite Jumper (CBJ) is a growth modifying appliance, which is designed to improve the position of the lower jaw and to correct the bite. The CBJ consists of upper and lower frames, which are cemented to the teeth. These frames are joined together by the “arms” which act to hold the lower jaw forward.

How do dentists realign your bite?

Here are some of the methods we use to adjust bites: Bite Splint Therapy is used to adjust the bite guard in order to keep teeth at a correct distance from each other. Braces are used to position drifted teeth or those teeth that are not aligned properly. Worn out and damaged teeth fillings are replaced.

The Twin Force Bite Corrector

We often wake up in the morning with a sore jaw and when we eat, our jaws feel crooked. This is the indication that you need to correct the alignment of your bite or occlusion. Various reasons contribute to a misaligned bite, including crowded, loose, missing, or shifting teeth.

Occlusal corrections are also performed on patients who have a habit of clenching their teeth. If you suffer from tooth sensitivity, occlusal adjustment can be used to reduce pressure on sensitive teeth.

This procedure requires a lot of experience, state-of-the-art tools and equipment, and in-depth knowledge. Fortunately, you can find all of this under one roof when you visit Oakridge Dental Center.

When should you decide to have a bite adjustment?

At Oakridge Dental Center, we believe in educating our patients so they can make informed decisions about their dental and oral health. So here are some reasons that require occlusal (bite) adjustments:

If you feel loose or shifting teeth or the space between your upper front teeth is increasing.

If you often clench or grind your teeth. This reduces bone support for the teeth and can cause the teeth to shift, causing a problem with your bite.

Headaches in the temporal regions.

Pain when eating or when the upper teeth and lower teeth come into contact.

Sensitivity to hot or cold temperature.

Hypersensitivity or irritation of the nerve in the tooth.

How does occlusal (bite) adjustment help?

Occlusal adjustment is a dental procedure that reshapes the biting surface of the teeth. This helps reduce pressure points when you bring the upper and lower teeth together. That is why we at the Oakridge Dental Center distribute the bite pressure regularly and evenly over the entire dental arch through the occlusal adjustment.

Here are some of the methods we use to customize bites:

Bite splint therapy is used to adjust the bite so the teeth stay properly spaced. Braces are used to position drifted or misaligned teeth. Worn and damaged dental fillings are replaced. Damaged teeth are processed. In the worst case, damaged teeth that cannot be positioned correctly are removed and these gaps are then filled with various procedures such as implants, bridges and crowns.

With the help of the adjustment we can eliminate irregular pressure on the corners of the mouth and the bite will be evenly distributed. The process is performed using a dental drill and a filling that matches the natural color of your teeth. To relax the jaw muscles, we recommend protecting the tooth surface after the procedure is complete.

Why Choose Oakridge Dental Center?

Our state-of-the-art tools, devices and technology help pinpoint problem areas. We usually do computer scans to get images of tooth position and this helps us pinpoint any irregularities. Based on the results, we then inform the patient about the best treatment options available.

At this point we would like to point out that the entire treatment for the occlusal (bite) adjustment is almost painless and does not cause any discomfort.

Additional therapies with bite adjustment

We often recommend additional therapies to our patients along with a bite adjustment, depending on the damage. Some of the therapies we suggest include Hawley Bite Plane construction, splinting, and medication. The purpose of each is to solve problems stemming from a problem bite. These include headaches, difficulty chewing, and tight jaw muscles. We also prescribe muscle relaxants and anti-inflammatory medications to relieve discomfort from bite problems.

If you are also experiencing symptoms related to your bite, call us today to schedule an appointment. Our practice team is competent, sensitive and friendly. Once you’ve decided on the occlusal (bite) adjustment, you’ll wonder why you didn’t go to Oakridge Dental Center sooner!

How do you naturally align your jaw?

Stretching exercises

Open your mouth as wide as you comfortably can, and hold for 5-10 seconds. Place the tip of your tongue on the roof of your mouth. Glide your lower jaw out as far as it will go and then back in as far as it will go. Hold for 5-10 seconds in each position.

The Twin Force Bite Corrector

The temporomandibular joints open, close and move the jaw. These joints are under pressure from chewing, speaking, and other movements. This means they are also a common cause of pain and muscle and joint problems. Chronic temporomandibular joint (TMJ) pain warrants a visit to the doctor or dentist to determine the cause. Teeth grinding often plays a role, as does the habit of tensing the joint without realizing it. Regardless of the cause of the pain, exercise can help reduce tension and provide relief.

Exercise A few simple exercises can help relieve TMJ pain. Patients should begin by gently massaging the painful area. This can help reduce tension and pain. It also makes it easier to exercise the joint and the muscles that surround it. Strengthening Exercises Share on Pinterest The temporomandibular joint is a common source of pain that can be relieved with a few simple exercises. Strengthening exercises are best done between TMJ thrusts. During times of intense pain, they can make the pain worse. Here are two strengthening exercises: Place a thumb under your chin and press your chin down against it. Open your mouth wider against moderate thumb force, then hold it open for 5-10 seconds. Open your mouth as wide as you can comfortably. Place your index finger between your chin and bottom lip. Push inward while closing your mouth against resistance. Relaxation Exercises TMJ pain is often the product of tension-producing stress. Simple relaxation exercises can help. Here are two relaxation exercises: Breathe in slowly and allow your stomach, not your chest, to expand. Exhale slowly, while your exhalation lasts about as long as your inhalation. Repeat 5-10 times. While sitting or lying in a comfortably supported position, tense and release every muscle in your body. Start with your feet and work your way up to your head. This second exercise is a progressive relaxation exercise that helps people become more aware of areas of tension. It can also equip them with the skills to consciously release that tension. Stretching exercises Stretching exercises can help with temporomandibular joint pain during an attack. They reduce muscle and joint tension and provide longer-term relief: Place the tip of your tongue against the roof of your mouth. Open your mouth as wide as you can comfortably and hold it for 5-10 seconds. Place the tip of your tongue on the roof of your mouth. Push your lower jaw out as far as possible and then back in as far as possible. Hold in each position for 5-10 seconds. Slowly and steadily open your mouth as wide as is comfortable with your tongue in a neutral position. Hold for 5-10 seconds and then close your mouth. Next, open your mouth slightly and slide your lower jaw back and forth 5-10 times. Close your mouth. With your head straight, look to the right with only your eyes. Extend your lower jaw to the left and hold it for 5-10 seconds. Repeat on the opposite side. Place a thin object like a pencil or brush between your front teeth. Push your lower jaw forward so the object rests between your molars and front teeth. hold for 20 seconds. As the fifth exercise becomes easier, people can use wider objects to separate their front and back teeth.

Other Ways to Treat TMJ Pain Share on Pinterest Night bite guards may be recommended to treat TMJ pain when it’s caused by teeth grinding. If temporomandibular joint pain is caused by teeth grinding or clenching, a night-time bite guard can help. Although these are available over the counter, a fitted one designed by a dentist offers greater protection and a longer lifespan. Other strategies that may relieve TMJ pain include: Applying an ice pack to the affected area for 20 minutes. Some people find that alternating heat and ice, 15 minutes on and 15 minutes off, provides even greater relief.

Use of nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen for temporary relief.

Massage the neck and head muscles to control the tension from the temporomandibular joint.

control stress and anxiety. Mental stress can cause people to tense their muscles without thinking, which makes the pain worse. It can also cause teeth grinding. Meditation and therapy can help control stress and anxiety. When lifestyle strategies aren’t working, anti-anxiety medication may be appropriate. For people whose temporomandibular joint pain is not well controlled with home remedies, a stabilizing splint can relieve pain and stabilize the joint. In some cases, surgery to correct jaw imbalances is another option. These procedures are irreversible and can be painful, so people with TMJ pain should try other remedies first. For people whose temporomandibular joint pain is due to missing or broken jaws, jaw implants can provide relief. Botox is not currently approved for the treatment of temporomandibular joint pain. Research is ongoing to clarify whether or not Botox is a viable treatment option. Boxtox is a clinical version of botulinum toxin type A, which paralyzes muscles. It has shown promise in treating other conditions, and some doctors believe it may work in treating temporomandibular joint pain.

Causes The temporomandibular joint is a hinge and sliding joint. A disc cushions the joint and allows the jaw to rotate, slide, close and open. Problems with the muscles surrounding the joints, the disc that cushions them, or the joint itself can cause pain. TMJ pain is often temporary. In other cases, it comes in the form of flare-ups that go away and then come back. TMJ pain can also be chronic and progressive. The most common causes of pain include: A dislocated joint

Problems with tooth and jaw position

arthritis

muscle tension

Teeth grinding or clenching People with TMJ pain often hear a clicking sound as the joint moves. Properly diagnosing the cause of clicking noises, as well as the cause of the pain, is key to creating a treatment plan.

Can you correct your bite without braces?

For some, invisible aligners are an option for correcting an overbite without braces. Invisible aligners can correct dental issues in a way that is both effective and visually appealing.

The Twin Force Bite Corrector

Most people have an overbite, ranging from normal to severe. An overbite occurs when the upper front teeth overlap the lower front teeth. A severe overbite may require treatment with braces or surgery. But innovations in orthodontics have made it possible to correct some cases of overbite without braces.

Why you should correct your overbite

Fixing a severe overbite now can help you avoid bigger problems in the future.

“The overbite only becomes a problem when it’s severely outside of the ideal range,” Charles Sutera, DMD, a cosmetic dentist, tells WebMD Connect to Care. “For example, if the overbite is very deep, it can cause jaw problems because.” the front teeth create a tight tolerance to function within. The teeth must slide together in a deep way and put undue pressure on the temporomandibular joint and muscles.”

A slight overbite is usually nothing to worry about. According to a 2015 article published in the Journal of Dentistry, a severe or “deep” overbite left untreated can result in:

Can an overbite get worse over time?

Do overbites get worse with age? The space between the upper and lower front teeth can increase over time, worsening the overbite. In addition to this, the long-term effects of a deep overbite will cause more problems over time, meaning additional restorative treatment may be required.

The Twin Force Bite Corrector

Your smile is one of the first things people notice about you, and if you’re not entirely happy with it, it can take a toll on your confidence.

The most common laughter problems we encounter are concerns about the bite, particularly overbite. The vast majority of people have an overbite of any description. However, if the overbite is too deep, it can become a problem.

But what is a deep overbite and how is it corrected?

What is an overbite?

In an overbite, the upper front teeth and lower front teeth overlap. Most people overbite to some degree, but when there is excessive vertical overlap between the upper and lower teeth, it is called a deep overbite.

A normal, healthy overbite is typically around 1-2mm. If an overbite is deeper, it can lead to excessive tooth wear, protruding front teeth, and even damage to the gums behind the top teeth. In the worst case, this can even lead to the loss of the front teeth.

What Causes an Overbite?

An overbite can be caused by a number of different factors, including:

gingivitis

Worn, broken teeth

Loss of teeth from the back of the mouth

genetics

tight teeth

Failed dental work

Habits like nail biting, thumb sucking and teeth grinding.

Need to correct an overbite?

If your overbite is too deep, it can be incredibly damaging to your teeth and gums, causing a range of problems from wearing down your teeth to causing pain in your jaw. Not only that, but it can also affect the overall aesthetics of your smile and your confidence.

A deep overbite is one of the most serious types of bite disorders that can lead to the loss of front teeth if left untreated and treated. With this in mind, it is usually advisable to correct a deep overbite.

How do you correct an overbite?

Today, correcting a deep overbite can be relatively easy with a combination of effective orthodontic and restorative treatment options.

A deep overbite can be corrected with orthodontic treatments, including:

Hidden lingual braces

Clear brackets

Fixed labial braces

Clear aligners like Invisalign.

In addition to braces, treating a deep overbite can also include restorative techniques to correct damage the teeth have sustained as a result of the deep overbite. This could include:

composite bonding

Porcelain veneers and overlays

Crowns, bridges and dental implants.

How long it takes to correct a deep overbite depends on the severity of the overbite and the treatment required. Each case is different and treatment is planned based on the individual needs of the patient. However, orthodontic treatment usually lasts between one and three years. When the braces or aligners are removed, retainers are needed to hold the teeth in their new position.

Do overbites get worse with age?

The distance between the upper and lower front teeth can increase over time, making the overbite worse. Additionally, the long-term effects of a deep overbite cause more problems over time, meaning additional restorative treatment may be required.

In younger patients, a deep overbite can usually be corrected using the orthodontic treatment techniques described above. However, older patients are at greater risk of excessive tooth wear, missing teeth, or broken teeth, so restorative treatment is usually required as well.

Transform your smile today

If you’re not 100% happy with your smile, you owe it to yourself to do something about it. Contact us today to discuss a life-changing overbite treatment. If you would rather speak to us about Invisalign, please call: 01753 833 755.

What is a Herbst appliance?

Herbst is an orthodontic appliance that can be used to correct an overjet in a patients mouth. Usually Herbst will be used in conjunction with braces, but in some cases can be a standalone treatment for overjets.

The Twin Force Bite Corrector

Are there any foods I should avoid while wearing fall?

As with all orthodontic treatments, it is advisable to stay away from certain foods as they can cause/damage the Herbst appliance. These foods include:

Ice cold food/drinks e.g. slush puppies, popsicles etc. – The ice can loosen up the fall by freezing the cement

Sticky foods e.g. chewing gum, caramel etc. – You can pull the fall off your teeth

What is a CBJ appliance?

The Cantilever Bite Jumper (CBJ) appliance. Cantilever Bite Jumper, or CBJ, is a dental appliance that helps the jaw develop normally and achieve facial balance. Usually, this treatment device is necessary for bringing the lower jaw forward for better alignment.

The Twin Force Bite Corrector

How does the Cantilever Bite Jumper work?

The CBJ appliance consists of four crowns – one for each corner molar. A stainless steel sleeve is attached to the two upper crowns, and often also an expander to widen the jaw.

A rod slides into the sleeve, coming from the top crown and attaching to the two bottom crowns. These sleeves and bars stabilize the lower jaw to improve a bad bite. Once the lower jaw grows into a new position, we can remove the appliance.

The CBJ appliance stays in the mouth for about 12 months.

Some may have an extra expansion screw in the center of the upper palate that helps make room for crowded teeth. The patient’s parents have to turn the screw once or twice a day with a wrench-shaped tool.

How do you correct a bite that is off?

Braces and clear aligners are the go-to solutions when it comes to fixing a bad bite. The dentist may also opt for retainers in case of a mild malocclusion. A procedure called neuromuscular dentistry is increasingly being utilized by experts to fix a poor bite.

The Twin Force Bite Corrector

A bad bite, also called malocclusion, is a condition where the upper and lower teeth are not properly aligned. A bad bite is one of the most common dental conditions and, ironically, the most neglected. A bad bite can be congenital or the result of childhood habits like thumb sucking. There are numerous adverse consequences of a bad bite and some of these are:

language difficulties

Dry mouth

tongue biting

Early wear of tooth enamel.

problems swallowing

Cosmetic modification of the face

impairment of chewing

The upper teeth bite the lower gums, or the lower teeth may bite the roof of the mouth. Both can also happen at the same time.

Types of bad bites

There are different types of bad bites. The most common are:

Overbite: Occurs when the upper row of teeth protrudes beyond the stance, resulting in a misaligned jaw. Overbite also manifests as excessive protrusion of the front teeth. Underbite: It is a problem where the bottom row of teeth is not aligned with the top row. Crowded Teeth: As the name suggests, this is a condition of insufficient space in the mouth for permanent teeth to grow straight.

Symptoms of a bad bite

The external cause of a bad bite is expected but not universal. Many people can suffer from malocclusion and not experience facial cosmetic upsets. Therefore, it is important to be on the lookout for other symptoms that may be present.

Pain in a specific tooth is generally due to a cavity, but it could also mean that a tooth is taking the brunt of your bad bite and the resulting messy chewing. Additionally, if biting and chewing causes pain in the jaw up to the ear, then that is a massive warning sign of a malocclusion or malocclusion. It is worth noting that rapid and noticeable wear of teeth can be a strong indicator of bad teeth.

Treatments of a bad bite

There are various dental procedures to correct a bad bite. From therapy to orthodontic appliances, there are many ways to achieve healthy teeth.

Braces and clear aligners are the best solutions when it comes to fixing a bad bite. In the case of a slight tooth misalignment, the dentist can also opt for retainers. A procedure called neuromuscular dentistry is increasingly being used by professionals to fix a bad bite. It focuses on the careful balance and working together of all the muscles and tissues that make up the mouth and jaw. Other standard attachment methods include surgery, tooth extraction, etc.

It is noteworthy that early treatment is always advisable in the event of a malocclusion. The chances of correcting the malocclusion increase when treatment is given at a younger age. Although experts can fix the condition in adults, it usually takes longer and the procedure is more expensive. In addition, when an adult suffers from a bad bite, the likelihood that surgery will be required increases.

How do I get my bite aligned?

Braces are the best bet when it comes to having enough pressure on the teeth to realign the jaw, this is usually executed by the elastics. But the best way to know indefinitely if you have a bad bite is to consult an orthodontist. Orthodontists are the only specialists that can align your teeth, jaw, mouth and face.

The Twin Force Bite Corrector

We know your first thought must be, “What do you mean if my bite is normal?” and we know it sounds a little strange, but it’s actually possible that your bite is misaligned. There’s a high chance you’ve heard of overbite and underbite, but did you know there are 4 types of misaligned bites?

Since you’re already here (and most likely not going), let’s start at the beginning: why does a normal bite even matter?

The way the chompers go together

When we say bite, we mean the way your upper and lower jaws come together. Your upper teeth should fit slightly over your lower teeth and the tips of your molars should fit into the grooves of the opposite molar. If your jaw is aligned like this, you most likely have a healthy bite.

A healthy bite improves the function of your teeth and balances your teeth. When your bite is misaligned, it can put even pressure on certain teeth, which can wear them down unevenly.

Bite function is also important for a number of things like chewing, swallowing, breathing, facial symmetry, digestion, and more.

3 signs of a good bite

pain free

You shouldn’t feel any pain in your bite, if you have pain in your jawbone or in the muscles around your jaw it can be an indicator of a misaligned bite.

teeth

If your teeth are symmetrically aligned on the upper and lower jaw line, this is a good sign that your bite is healthy. Their teeth were designed to balance the force of each other, think of them like gears in a machine. If one gear fails, it can cause problems for the entire machine.

Biting and chewing is a damage-causing activity, and if the teeth in your mouth are also misaligned, the force will be applied to your jaw and teeth instead of the food you’re chewing.

Tongue

Your tongue can be a good indicator of a bad bite. If your bite isn’t aligned, there’s a high chance your tongue will get cut or nicked on the sides, which can lead to open sores that are more likely to become infected.

Now for what constitutes a bad bite

So if you’ve ever heard the term malocclusion, it literally means bad bite in Latin. There are many signs that indicate you may have a bad bite and we’ll go through them in just a second, but first we’ll address what could be causing a bad bite.

Misalignments can be caused by:

inheritance

Difference in the size of your upper and lower jaw

difference in the size of your teeth

Lost teeth, extra teeth or impacted teeth

Birth defects, such as cleft palate

Jaw repair misalignment after injury

Childhood habits such as thumb sucking, extensive pacifier use, or tongue thrusting

Now that we understand what can cause a bad bite, what are the different types of bad bites?

When it comes to the types of malocclusions, there are generally four types: overbite, underbite, crossbite, and open bite.

Overbite – While your bottom front teeth should overlap slightly, in some cases an increased overbite can cause your front teeth to bite down on your gums.

Crossbite – This is where your upper teeth somehow sit inside your lower teeth, it can happen on one side or both sides of the jaw.

Underbite – This is where your lower jaw comes over your upper teeth

Open Bite – An open bite is when the front teeth do not overlap the bottom teeth at all, the back molar does not touch, so the mouth is never in a resting position.

What would be the signs that you have a bad bite? It may be obvious to some people that you have a bad bite, but to others the signs may not be as noticeable. Some of the telltale signs are:

temporomandibular joint symptoms

The temporomandibular joint is a joint present on each side of your face that connects your lower jaw to your skull. This particular joint plays a big part in giving your jaw the necessary span (think of it affecting movement when speaking, yawning, but most importantly chewing).

Symptoms of temporomandibular joint include pain when moving the jaw, stiffness, pain, and clicking sounds when opening and closing the mouth.

headache

Headaches may not seem like a noticeable sign of a misaligned bite, as headaches can be caused by a variety of things, but they are a symptom.

If your bite isn’t aligned properly, it’s very likely that the muscles that move your jaw are very tight and strained. This built-up tension can lead to mild to severe headaches.

problems speaking

Now, this isn’t a symptom that everyone will have, but it definitely will for some. It’s worth noting that for most patients, once you’ve corrected your jaw with orthodontic appliances, your speech problems will subside.

If you have trouble pronouncing or articulating certain words due to stiffness in your jaw, this is a good indicator of a misaligned bite.

Grind your teeth

Teeth grinding is a serious problem that can have bad effects on your smile, grinding your teeth can also cause jaw pain and headaches.

The technical name for teeth grinding is bruxism, and it’s more likely to occur in people whose bites just aren’t meeting properly. The stress placed on the jaw due to the misalignment can make the grinding more likely.

Your dentist will take note

These are the last visible signs, so to speak, that your dentist will notice during your check-up if something is not quite right. Your dentist’s trained eye may be able to spot teeth that don’t fit together properly, even if your smile doesn’t look bad.

Your dentist will also be able to tell you if your teeth are wearing unevenly, if you have a misaligned bite your teeth can wear down unevenly. After your bite is corrected, you can have a balanced bite and the wear and tear on your teeth will also be corrected.

How do you fix a bad bite?

The only way to align your jaw is with orthodontic surgery. In general, correcting a misaligned bite is a complex task, so clear aligners like Invisalign aren’t really ideal. Braces are the best choice when it comes to putting enough pressure on the teeth to realign the jaw. This is usually done by the rubber bands.

But the best way to know indefinitely if you have a bad bite is to consult an orthodontist. Orthodontists are the only specialists who can align teeth, jaws, mouth and face.

If after reading this article you think your bite may be wrong, book your free consultation today to have your jaw assessed!

How do rubber bands fix your bite?

The orthodontic elastic band pulls the jaw forward or back, depending on the motion you need to get into the proper alignment. Your upper and lower teeth should be aligned and comfortable when you bite. Rubber bands speed up the moving and straightening process and are an essential part of orthodontic treatment.

The Twin Force Bite Corrector

Braces apply continuous pressure to gently and evenly position teeth and jaws. However, they straighten their teeth and upper and lower jaws independently. Ultimately, proper alignment means your teeth will be properly seated when you bite into them. In some cases, achieving the ideal connection between the top and bottom bends requires a connection force. Rubber struts can increase this strength and add an extra sound to the system to encourage the gear to shift a certain way. Elastics align your bite and are essential for the bite fixation phase of braces treatment, usually the longest and most challenging part of the process.

How do you work?

The orthodontic elastic pulls the jaw forward or backward depending on the movement you need for proper alignment. Your upper and lower teeth should be aligned and comfortable when you bite. Rubber bands speed up the movement and straightening process and are an essential part of orthodontic treatment.

What is the purpose of rubber bands in braces?

The purpose of elastics in braces is to increase the force applied to specific areas of your mouth. Elastics, also known as elastics, connect to the brackets of your braces and can be positioned in many different conformations. They align your bite and help with various types of jaw misalignments.

Does everyone with braces need rubber bands?

no Not everyone who wears braces needs to wear a rubber band. Ultimately it depends on how well the teeth move and how your bite is affected by the movement of the teeth. In some cases, orthodontists know that you need an elastic before applying braces. In other cases, the orthodontist may not know if your teeth will move after you’ve worn braces for a while. It’s a good idea to consult your orthodontist if you need rubber bands.

Do’s and don’ts of rubber bands

DOS

The more you wear your rubber bands, the better it is for your teeth. Wearing your rubber bands properly will help shift your teeth.

Wear them exactly as instructed. Too much force too quickly can damage the roots of teeth and increase the time it takes to move teeth.

Get in the habit of carrying extra elastics with you. This is an excellent habit because you’ll always be ready in the event of a breakage or replacement.

Don’ts

Double up on your rubber bands. It will not help your teeth move faster. It can stall the tooth’s movement and even damage your roots.

stretch her. If you stretch the rubber band beyond its intrinsic strength, it can lose its strength; making it ineffective.

Take off your rubber bands if your teeth are sore. Every time you remove them for an extended period of time and put them back on, you start the adjustment period and all the discomfort that comes with it all over again.

Rubber bands are diverse and come in a variety of sizes, strength categories, and materials. They can also be arranged in different conformations depending on the treatment plan. If you must use rubber bands on your braces, be sure to follow your orthodontist’s instructions for wearing those bands. This can help your treatment go according to plan.

Can a dentist change your bite?

Types of Bite Adjustment Procedures

For a filling or crown that is too high, your dentist can simply readjust the original work. Sometimes just after getting a filling/crown, when the dentist asks you to bite down and tell him if your bite feels normal, it is hard to tell due to the numbness from a local anesthetic.

The Twin Force Bite Corrector

5 reasons why bite adjustment is important

When your teeth are misaligned, it negatively affects you in a number of ways.

For example, protruding teeth are at undue risk of chipping, and an overbite or underbite can wear down your enamel or even lead to tooth fracture. And when a tooth crown or filling is set too high, it can result in an uneven bite that can cause toothache, tooth sensitivity and headaches.

Eventually, if one or more teeth land before the others, those teeth will receive more pressure when you bite down. This extra pressure can lead to sensitivity around the root of the tooth and painful inflammation.

Fix the problem with “Bite Adjustment”

Bite regulation is the solution to the painful and problematic side effects of a misaligned bite (called “malocclusion” in dental jargon).

You may be wondering if it’s worth getting your bite adjusted; but here are five main reasons why it is important to correct misalignments as early as possible:

An abnormal bite can put you at high risk of straining your jaw until you develop temporomandibular joint disease (TMJ), a painful condition that makes speaking or chewing difficult. Misaligned teeth tend to create extra pockets where food particles, plaque and bacteria can fester. This can lead to tooth decay and also cause gum disease. Gum disease can include sore, bleeding, inflamed gums and, in extreme cases, lead to oral infections and tooth loss. A bad bite will wear away the enamel on your dental crowns and overload the teeth, causing them to become sore or even loose. It can also cause teeth to break. And even mild cases cause teeth to become hypersensitive to heat, cold, and certain foods. Chronic migraine headaches or pain in other areas, such as the jaw and neck, can result from a misalignment if left untreated. If you have dentures, a “bad bite” can cause them to wear down your jawline, leading to sores and eventually your dentures not fitting properly. Bridges, crowns, or other dental appliances in your mouth can also be affected by a bad bite.

Types of bite adjustment procedures

How can a dentist or periodontist correct your bite? That depends on what the underlying problem is. Here are some of the main methods available:

If the filling or crown is too high, your dentist can easily readjust the original work. Sometimes, just after you get a filling/crown, when the dentist asks you to bite down and tell him if your bite feels normal, it’s hard to tell because of the numbness from a local anesthetic. But whatever the cause, your dentist can simply remake the crown or filling to solve the problem.

Tooth reshaping can be done if your teeth are misaligned due to heredity (or any other cause). An evenly distributed bite pressure can be achieved by gently and carefully shaping the upper tooth surfaces.

Bite splints, or “mouth guards,” are plastic devices that you can wear at night or during the day to keep your bite even and to keep you from clenching or grinding your teeth.

If many teeth in your mouth are misaligned, you may need bite adjustment via braces. You can choose from traditional metal braces, ceramic braces, and Invisalign acrylic braces, which are less noticeable and require fewer visits to the dentist.

Your bite pattern is something you probably rarely think about, but it is very important to your oral health. To learn more and avoid the problems chronic malocclusion can cause, contact Central Florida Perio to schedule a free initial consultation.

Twin Force® Bite Corrector for Class II Correction

Twin Force® Bite Corrector for Class II Correction
Twin Force® Bite Corrector for Class II Correction


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Twin Force® Bite Corrector Device by Ortho Organizers

The Twin Force Bite Corrector Device is a revolutionary orthodontic intraoral appliance for the correction of Class II and Class III …

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Class II Young Adult Treatment with Twin Force Bite Corrector

TFBC is a flexible appliance that presents several advantages as it is agreeable to the patient, as it allows free lateral mandibular movements, practicability, …

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Class II Correction with the Twin Force Bite Corrector

The Twin Force Bite Corrector (TFBC) is a new fixed intermaxillary appliance with a built-in constant force for Class II correction.

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Date Published: 12/3/2021

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Twin Force® Bite Corrector Device

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The Twin Force Bite Corrector

A long-term evaluation for Class II correction

By Aditya Chhibber, BDS, MDS

Madhur Upadhyay, BDS, MDS, MDentSc

Ravindra Nanda, BDS, MDS, PhD

A Class II malocclusion is one of the most common problems encountered in orthodontics, whether due to a skeletal or dental discrepancy. It has been suggested1 that mandibular retrognathism is more often the cause of the skeletal discrepancy than maxillary prognathism.

Based on the patient’s growth status, treatment options generally include the use of functional/fixed functional appliances (FFAs) to attempt to potentially enhance mandibular growth, headgear to limit maxillary growth, and/or the upper molars to distalize, camouflage by extraction of the upper and/or lower premolars, or surgically correct the underlying skeletal discrepancy when facial growth is complete. Functional appliances are often the preferred treatment modality in growing Class II patients with mandibular regurgitation. Among these appliances, semi-rigid FFAs are gaining popularity as patient compliance can be better with such fixed FFAs than with removable functional appliances.2

It is generally accepted that moved teeth tend to return to their former position. Pancherz3 examined retention with the rigid Herbst appliance and found that most relapses were due to the tooth changes. Therefore, maintaining treatment outcomes is the true hallmark of the efficacy and effectiveness of any given orthodontic appliance.

The long-term results achieved with semi-rigid FFA are still largely unknown. In the past, some case reports4 have shown that the corrections achieved with these semi-rigid mandibular reduction devices are stable over long periods of time. The following cases highlight the effectiveness of the Twin Force Bite Corrector (TFBC) appliance, a semi-rigid FFA, in successfully correcting Class II deep bite malocclusions, with long-term evaluation of the corrections achieved.

design and biomechanics

The TFBC appliance5,6,7 is a semi-rigid, fixed “push” appliance that clamps to archwires placed bilaterally in the upper and lower arches. Each unit consists of two parallel 15mm telescopic cylinders. Each cylinder has a piston installed at its opposite ends. Hex nuts are located at the end of each plunger to secure the appliance to the archwires mesial to the upper molars and distal to the lower canines (Figure 1).

The center of resistance of the upper and lower arches is between the top of the roots of the first and second premolars. The direction of force exerted by an FFA on the denture base in the maxilla would be distal and intrusive, while the lower arch experiences a mesial and intrusive force. The forces introduced also cause both archwires to rotate to the right, which can lead to a canting of the occlusal plane. However, because the TFBC appliance is attached mesially to the upper molar, it reduces the distance between the point of force application and the center of resistance of the upper arch, thereby reducing the distance between the point of force application and other bite jump appliances where the point of force application is distal to the upper molar (Figure 2). This also tends to maintain or minimize the steepness of the occlusal plane and preserve the vertical dimension of the face.

treatment protocol

After initial leveling and alignment, the archwires are gradually increased to 19″ x 25″ stainless steel in the maxilla and 21 x 25″ stainless steel in the mandible. Both archwires were tightened to move the archwires as a unit and prevent any spacing or flare. A .032″ x .032″ stainless steel transpalatal archwire is also placed to counteract the buccal forces exerted by the TFBC appliance on the maxillary dentition.

In addition, lower anterior brackets with a torque of -6° are recommended to minimize flaring of the lower incisors. The standard TFBC version attaches to the archwires mesial of the upper molars and distal of the lower canines with the hex nuts, positioning the mandible forward in an edge-to-edge occlusion. After 3 to 4 months of wearing the appliance, patients are overcorrected to a super class I relation to compensate for a slight relapse that would occur after appliance removal. The TFBC appliance is then removed and intermaxillary elastics are used to maintain the correction achieved. The elaboration and detailing of the occlusion is carried out according to the individual requirements of the individual case.

Impact of the TFBC appliance

An unpublished study8 at the University of Connecticut Health Center analyzed the effects of the TFBC appliance. A comparison was made between 20 subjects receiving the TFBC apparatus with an untreated Class II specimen from the Denver Growth Study. Patients were matched for age, sex, and maturity status. The results showed that the maxillary A-point moved 0.5 mm backward and 1.7 mm down during the TFBC application phase, compared to a 0.1 mm forward and 0.0 mm movement of the A-point .4 mm down in the control sample. The absolute length of the maxilla (ANS-PNS) was similar in both groups. The palatal plane rotated 0.5? in the TFBC sample compared to 0.1? for the control sample.

The mandibular length increased significantly by 2.1 mm compared to a 0.7 mm observation for the control sample. Compared to the control group, in which the upper molar mesialized 0.3 mm and extruded 0.2 mm, the upper molar dentally distalized -0.7 mm and intruded -1.1 mm. The upper incisors tipped distally by -7.0? compared to 0.1? mesial tilting in the control sample. The lower molar lengthened by 1.8 mm compared to the control group where only 0.2 mm of mesial movement was observed. The lower incisors are around 7.3? flared? compared to 0? in the control group and 2.6 mm mesialized compared to 0 mm in the control group. Therefore, the Class II correction was made using a combination of skeletal and dental parameters.

case with long-term results

An 11-year-old postpubertal woman presented with a chief complaint of an overbite. Intraoral examination revealed a 100% overbite, retroclined maxillary incisors, and a Class II relation “end on” due to a retrognathic mandible (Figure 3). The treatment plan was to correct the deep bite by relatively penetrating and widening the upper incisors. A Class II correction should be attempted by attempting to improve differential jaw growth with the TFBC appliance. After leveling and alignment, the archwires were progressively built up to .019 x .025 upper and lower .021 x .025 SS wires (Figure 4A). The TFBC appliance was used for 4 months (Figure 4B), resulting in overcorrection with an anterior edge-to-edge bite to compensate for a slight relapse after appliance removal (Figure 4C). The patient was discharged after 20 months of active treatment (Figure 5). An upper removable retainer and a lower fixed retainer were specified. The patient was examined 4 years after removal of all orthodontic appliances and showed stable occlusion with improvement in facial esthetics (Figure 6). The Class II correction was mainly due to the forward movement of the mandibular molar together with the differential jaw growth (Figure 7).

Conclusion

Class II correction with semi-rigid FFAs occurs due to a combination of mild skeletal changes and lower molar mesialization. Good posterior occlusion appears to be a factor associated with long-term stability of Class II correction. The TFBC is a versatile device for correcting class II malocclusion. Short and long-term treatment results show that the corrections obtained are stable and favorable. OP

Aditya Chhibber, BDS, MDS, is a resident in the Department of Orthodontics in the Department of Craniofacial Sciences at the University of Connecticut Health Center. He can be reached at [email protected]. Madhur Upadhyay, BDS, MDS, MDentSc, is an Assistant Professor in the Department of Orthodontics in the Department of Craniofacial Sciences at the University of Connecticut Health Center. He can be reached at [email protected]. Ravindra Nanda, BDS, MDS, PhD, is Professor and Chief of the Department of Craniofacial Sciences at the University of Connecticut Health Center. He can be reached at [email protected].

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