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I am on twin block therapy for Class 2 malocclusion. How to prevent retroclination of upper incisors?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am 22 years old male. I had a Class 2 overbite issue due to a short mandible. My functional orthodontist started twin block therapy. I have read few medical articles about how they work. Twin blocks cause retroclination of maxilla incisors and proclination of mandible incisors. Personally, my maxillary incisors seem fine, as said by my doctor, and my mandible is short. Will the functional therapy of twin blocks reduce my upper lip or maxillary protrusion? If so, then my maxillary bone will reduce, or just the upper front teeth will slightly point inwards to complete my overbite? I want my mandible to grow forward, and I do not want to reduce my maxillary length. I am concerned about the retroclination of upper incisors.

Answered by Dr. Bharat Joshi

Education:

MDS Periodontology

Professional Bio:

Dr. Bharat Joshi is a highly skilled Periodontologist with extensive years of clinical experience. He specializes in the prevention, diagnosis, and treatment of gum diseases and conditions affecting the supporting structures of the teeth. Dr. Joshi is dedicated to providing advanced periodontal care, including surgical and non-surgical treatments, to help patients maintain optimal oral health and achieve long-lasting, healthy smiles through personalized and evidence-based dental care.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I appreciate that you have studied and undergone so many articles about the twin block. Yes, it causes proclination of mandibular teeth and retroclination of maxillary teeth. But the advantage you are having is you are in the phase of active growth, so the movement of teeth will definitely modify the position of the maxilla and mandible but not inhibit their growth. Also, for stability, you will be given retainers like Frankel. So do not worry, have your treatment done.

Medically reviewed by Dr. K. Shobana
Published At March 25, 2021
Reviewed At July 13, 2023

Education:

MDS Periodontology

Professional Bio:

Dr. Bharat Joshi is a highly skilled Periodontologist with extensive years of clinical experience. He specializes in the prevention, diagnosis, and treatment of gum diseases and conditions affecting the supporting structures of the teeth. Dr. Joshi is dedicated to providing advanced periodontal care, including surgical and non-surgical treatments, to help patients maintain optimal oral health and achieve long-lasting, healthy smiles through personalized and evidence-based dental care.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MDS Periodontology

Professional Bio:

Dr. Bharat Joshi is a highly skilled Periodontologist with extensive years of clinical experience. He specializes in the prevention, diagnosis, and treatment of gum diseases and conditions affecting the supporting structures of the teeth. Dr. Joshi is dedicated to providing advanced periodontal care, including surgical and non-surgical treatments, to help patients maintain optimal oral health and achieve long-lasting, healthy smiles through personalized and evidence-based dental care.

This doctor is not available for online consultations on the platform anymore.

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