Orthodontic Relapse

Orthodontic relapse is when the tooth shifts to an unfavorable position after completing orthodontic alignment. It can be due to growth or genetic factor. But when the regression is higher, then retreatment may be required. Following strict retention protocols can reduce the risk of orthodontic relapse.

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I forgot to take my retainer when I left the home. Is it fine that I do not wear retainers for few weeks?

Query: Hi doctor, I just left for a two-and-a-half-week vacation and realized I forgot my retainer at my home. Will my teeth shift drastically in that time, and is it fine to wear my retainer when I get back? I have had my braces off for almost five years and usually wear my retainer every night. Kindly he...  Read Full »

Dr. Mayank Khandelwal

Answer: Hi, Welcome to icliniq.com. I understand your concern. After that, we generally taper down the retainer, and the patient can stop using it after one and a half years to one year and nine months. However, this does not apply to all cases. For example, certain cases require longer retainers; some m...  Read Full »

How do I correct my previously treated irregularly arranged front teeth?

Query: Hi doctor, I am 25 years and seven months old, and my two front teeth are not aligned. I had a retainer five years ago, but my teeth returned to their original position again. I want the best way to treat them. I will share the pictures; please let me know the solution.  Read Full »

Dr. Alfiya K Jamal

Answer: Hello, Welcome to icliniq.com. The probable cause for your dental problem is Angle's malocclusion (maybe class II division 1 or 2). Suppose you have done orthodontic treatment and have retainers, and your upper front two teeth are the only concern; I suggest going for crowns only for that tooth to...  Read Full »

Will my teeth shift badly if I remove my braces two days before completion of the treatment?

Query: Hello doctor,My top wires were bothering me; they were poking me, so I removed the wires with pliers. I get my braces off next week. Between that time, will my teeth shift? If so, how bad?  Read Full »

Dr. Mayank Khandelwal

Answer: Hi, Welcome to icliniq.com. Hope you are doing well. Sorry to hear about wire poking you. As you will be off your braces in two days and have removed the wire, it should not change much. There are high chances it will remain the same. What you have to take care of now is the retention part. Retai...  Read Full »

Why am I getting spacing between my teeth after two years of orthodontic treatment when I already have permanent retainers?

Query: Hello doctor, I want to know whether it is the starting of gap formation between my teeth? It started two months back. I already had an orthodontic treatment two years ago and have permanent retainers. My retainers are not broken, they are perfectly placed, but still, there is a gap formation. Pleas...  Read Full »

Dr. Bhargav Gutha

Answer: Hi, Welcome to icliniq.com. I read your query and understand your concern. Upon review, it is difficult to find any spacing in the pictures you shared (attachments removed to protect the patient's identity). I have these suggestions for you- 1. Ideally, teeth contact near contact points. I see the ...  Read Full »

My orthodontic expanders put pressure on the top of the mouth every time I turn them. Will they affect the ongoing orthodontic treatment?

Query: Hello doctor,I got orthodontic expanders a while ago, but they put pressure on the top of my mouth every time I turned them. So when I went to my orthodontist, they told me not to turn them anymore. Will that affect the treatment?  Read Full »

Dr. Mayank Khandelwal

Answer: Hello, Welcome to icliniq.com. The expanders are given to expand the palate and create sufficient space for teeth eruption and crossbite correction. When we expand using the expanders, we exert pressure on the palatal sutures to separate them and gain the width. However, this separation is gradually...  Read Full »

The gaps between my teeth reappeared as I discontinued wearing retainers. Can you please help?

Query: Hello doctor, I have had braces for three years, and the gaps appeared again when I discontinued the retainer. So, I underwent tooth-bonding, but within a year, it chipped. Do I have to wear braces for the second time?  Read Full »

Dr. Krishna Swaroop Achanta

Answer: Hi, Welcome to icliniq.com. I can understand your concern, and I will answer all your doubts. But, first, I want to clarify if only the composite has chipped off or if you have to wear braces again because you discontinued the retainer treatment the first time. To bridge the gap between your teeth...  Read Full »

Will my orthodontic treatment relapse if I do not wear retainers?

Query: Hi, I have had braces, and I was stupid to get them even though my teeth were perfect before. Now I want them to relapse, but it feels like they stay in the same position even though I am not wearing a retainer. Is this possible to have no relapse?  Read Full »

Dr. Mayank Khandelwal

Answer: Hi, Welcome to icliniq.com. I read your query and understand your concern. Retainers are given to hold the teeth into their position after orthodontic treatment. If retainers are not worn, teeth might shift to other positions as it takes about one year for the bone to fully mature (retainers dura...  Read Full »

Does having a retainer only on few teeth affect other teeth badly?

Query: Hello doctor, My essix retainer only covers my front upper six teeth. It has been about eight years since I have taken off my braces. Does having a retainer only on those teeth affect other teeth badly?  Read Full »

Dr. Mayank Khandelwal

Answer: Hello, Welcome to icliniq.com. I understand your concern, The retainer will not badly affect other teeth. As you have mentioned, having retainers for eight years already means all your teeth would have settled into their respective correct positions. An Essix retainer(used to maintain a previous...  Read Full »

Can the open bite as a result of orthodontic relapse be fixed?

Query: Hi doctor,I have misaligned teeth due to not wearing a retainer after I had worn braces 16 years ago. I am now 31 years old. I was firmly rejected for braces recently by the orthodontist because of some root canals treatments and extractions (last upper molar missing would be a huge risk) that are d...  Read Full »

Dr. Mayank Khandelwal

Answer: Hi,Welcome to icliniq.com.I understand your concern. Indeed the condition of your dentition is not good (attachment removed to protect the patient's identity). There are missing molars, and the overbite has increased because of missing molars allowing front teeth to erupt more and causing deep bite....  Read Full »

My lower jaw still reclines way too much after the orthodontic treatment. What are my options?

Query: Hello doctor, I had braces where my upper premolars were removed to bring my upper teeth backwards. My lower jaw still reclines way too much when I bite. I have aligned teeth but still want my lower jaw to be brought forward. Doing so, will it cause my teeth to collide, what are my options?  Read Full »

Dr. Krishna Swaroop Achanta

Answer: Hello, Welcome to icliniq.com. The MARA appliance (Mandibular Anterior Repositioning appliance) or the orthognathic surgery may be needed depending on your bite for repositioning of your lower teeth to upper jaw alignment. Most of the time, orthodontic treatment is not sufficient alone. You wi...  Read Full »

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