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Arch over expanded, any appliance to move teeth in?

User Level:
Patient
Posted by: Johnboy  (4 years ago)
i always thought I had a narrow upper jaw now I know I am a class 3 malocclusion. In 2011 I saw a dentist who fitted an Alf appliance to expand my upper jaw, he did this with so much force I was constantly bleeding from my mouth and every one of my teeth was pushed out of position. I later found out he did not have a denta licence and was imprisioned. I had this appliance in everyday for over a year and I regret it everyday. I have had braces in twice but all it has done is straightened my teeth. My lower jaw falls back. I have had 2 jaw surgerys for the class 3 but because the surgeon goes by the teeth and the fallen back jaw both have been a disaster. All I see on the Internet are appliances to expand the upper jaw or move teeth in any direction apart from inwards, is there an appliance that does the opposite and brings teeth inwards?

Please find attached photos,

I hope somebody can help

Regards
J
User Level:
Dentist
i always thought I had a narrow upper jaw now I know I am a class 3 malocclusion. In 2011 I saw a dentist who fitted an Alf appliance to expand my upper jaw, he did this with so much force I was constantly bleeding from my mouth and every one of my teeth was pushed out of position. I later found out he did not have a denta licence and was imprisioned. I had this appliance in everyday for over a year and I regret it everyday. I have had braces in twice but all it has done is straightened my teeth. My lower jaw falls back. I have had 2 jaw surgerys for the class 3 but because the surgeon goes by the teeth and the fallen back jaw both have been a disaster. All I see on the Internet are appliances to expand the upper jaw or move teeth in any direction apart from inwards, is there an appliance that does the opposite and brings teeth inwards?

Please find attached photos,

I hope somebody can help

Regards
J


You have an arch space excess. this is hard to treat.
You don't show a profile view, but you are probably skeletal class III and open as well. Don't know what you mean by "your jaw falls back." Sure don't see that on the photos.

How come you have practically no open spaces in the pictures with the brackets, and tons of space between teeth in the photos without the braces?

Doesn't sound like you case was worked up very thoroughly. Usually a surgeon works together with an orthodontist to plan a case like this.
I guess a palatal narrowing could be done but one would have to take a width of pone out of the palate. Plus you may need maxillary intrusion as well. Expansion is easier. Not easy to deal with space excess either.And the lower arch was compensated-sort of- to match the expanded upper arch. One would need to de-compensate that as well.

Where was this case worked up? Looks like some goofy treatment I have seen in England.
Posted 4 years ago
User Level:
Dentist
I checked out a website on the ALF appliance. To me, this seems like a hocus-pocus device designed by some holistic healing crazies.

I don't see any way a light force appliance like this could cause bone growth in an adult. Probably what it did was flare posterior teeth toward your cheeks. This would produce the spacing that I see. If it indeed did happen, conventional orthodontics should be able to move the teeth back toward the palate. Any class III mandibular excess would still have to be dealt with surgically, but you said this had been done.

Posted 4 years ago
User Level:
Patient
Posted by: Johnboy  (4 years ago)
This is exactly what the alf appliance did, it pushed all my teeth out with such force my posterior teeth were all out of position and flared, these appliance should not be allowed on the market it has completely ruined my bite. My bite teeth are not straight as you can see in the picture however this was not where was teeth were before there were all tilted inwards before the appliance the braces only straightened my teeth
User Level:
Dentist
This is exactly what the alf appliance did, it pushed all my teeth out with such force my posterior teeth were all out of position and flared, these appliance should not be allowed on the market it has completely ruined my bite. My bite teeth are not straight as you can see in the picture however this was not where was teeth were before there were all tilted inwards before the appliance the braces only straightened my teeth

The website stresses how ALF force should be kept very light, and adjustments are critical. The device, which could be marginally useful in growing children, was probably overactivated in you. My advice is the same. An orthodontist or VERY experienced GP doing ortho should work up your case together with an oral surgeon. Probably 3D imaging will be necessary on a case like this. I don't understand what surgeons treated your class III case without doing this before.

Devices like this are peddled to as cure-alls to dentists with little to no orthodontic experience. Without adequate training dentists don't know what they are doing with them. Claims that devices like this can obtain nebulous goals like "cranial and TMJ harmony" and "release of bone stress" is so much nonsense= dental snake oil medicine.
Posted 4 years ago
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