【Chris Chang Ortho】CC442.

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  • เผยแพร่เมื่อ 21 ต.ค. 2024
  • Bimaxillary Protrusion Treated with Insignia® System Customized Brackets and Archwires
    Abstract
    Correction of moderate-to-severe bimaxillary protrusion is challenging, particularly without orthognathic surgery and/or temporary anchorage devices(TAD). This case presents a 4-first-premolar extraction treatment of a 12-year-old boy with a chief complaint of lip protrusion. The diagnostic evaluation revealed a convex profile, steep mandibular plane angle, bimaxillary flared incisors and protrusive lips, deep bite, and deep curve of Spee.
    The orthodontic treatment was accomplished with a customized appliance (Insignia® system), including the self-ligating brackets and progressive archwires, constructed by reverse engineering from a 3D digital set-up. Extraction spaces were successfully closed in all four quadrants in 13 appointments over 19 months without using TAD supplemented anchorage. The facial profile and occlusion have been significantly improved.
    The 3 keys to success of bimaxillary protrusion treatment with digitally engineered mechanics are precise estimation of anterior torque compensations, appropriate use of auxiliaries, and careful adherence to the recommended archwire sequence. With correct treatment planning, the outcomes are enhanced by minimal treatment adjustments, and decreased treatment time.
    摘要
    治療中重度的雙顎前突極具挑戰性,如果不採用手術及暫時性錨定裝置的情況下,難度更高。本案例是一位主訴上下唇突出的12歲男孩,以拔除四顆第一小臼齒的方式來治療雙顎前突。診斷評估為側面輪廓突出,mandibular plane 角度偏大,上下門牙角度過度唇傾,上下唇突出,深咬,且具有明顯的curve of Spee。本案例使用客製化的矯正裝置系統 Insignia® 進行治療,此系統是經過3D數位設定確立治療計劃後,再特製的自鎖式矯正器及序列性矯正線。經過13次診療,歷時19個月,本案例成功將4個拔牙空間關閉,且治療過程中沒有使用暫時性錨定裝置。病人原本突出的側面輪廓及咬合,皆獲得明顯的改善。
    使用數位化矯正裝置成功治療雙顎前突有三個關鍵:1. 精準預測前牙矯正所需的torque補償,2. 在適當時機使用輔助裝置,3. 依循系統建議的矯正換線順序。在正確的治療計劃設定下,使用數位化矯正裝置能減少矯正過程中需要調整的次數,縮短整體治療時間,更有效率的達到理想治療效果。

ความคิดเห็น • 952

  • @Christina-bp6qg
    @Christina-bp6qg 2 ปีที่แล้ว +279

    I did this yesterday! Overall they're not painful, just a bit uncomfortable. I hope I will get the desired result because I've been really insecure about my side profile.

    • @rickphenomenal6790
      @rickphenomenal6790 2 ปีที่แล้ว

      It pain's or not?

    • @Christina-bp6qg
      @Christina-bp6qg 2 ปีที่แล้ว +23

      When the dentist injected the anesthesia, yes. But after that, no pain.

    • @rickphenomenal6790
      @rickphenomenal6790 2 ปีที่แล้ว +3

      @@Christina-bp6qg thanks for the help

    • @afra977
      @afra977 2 ปีที่แล้ว +1

      Me too

    • @sujatahegde1371
      @sujatahegde1371 2 ปีที่แล้ว

      Didnt they effect jawline?

  • @7dhruti
    @7dhruti 2 ปีที่แล้ว +92

    This video, by far has the best explanation. No other video is so explicit. I really enjoyed watching it. Very helpful. My dentist sadly didn't explain it so well.

  • @jujuwel6780
    @jujuwel6780 2 ปีที่แล้ว +58

    i was little skeptical when i was told my 4 premolar teeth were to be extracted. this video helped me understand the why i need to undergo that procedure. its been a week since i had my teeth extracted. hoping for the best results.

    • @PremeDex
      @PremeDex 2 ปีที่แล้ว +22

      Im with you here bud. I think it’s best we stop ourselves from continued research from what can’t be undone. I’m trusting the process.

    • @trushalihinge2866
      @trushalihinge2866 2 ปีที่แล้ว +1

      Sm here

    • @user77777rr
      @user77777rr 2 ปีที่แล้ว +7

      bro same i was hella sceptical. but seeing your comment reassured me

    • @ittodakimasu4814
      @ittodakimasu4814 2 ปีที่แล้ว

      @@user77777rr seeing yours reassured me

    • @sdotbk
      @sdotbk 2 ปีที่แล้ว +1

      I have todo the same… that’s why I’m watching too… how you making out with your process?

  • @jaydahdelarosa9846
    @jaydahdelarosa9846 6 ปีที่แล้ว +541

    Wow I’m getting those same teeth extracted in like 10 mins... And I have braces to fix my over bite. I think me and him have the same problem with our teeth. Wish me luck!

    • @reem-rm7nd
      @reem-rm7nd 6 ปีที่แล้ว +11

      Jaydah Delarosa how are your teeth now?

    • @Hifirrrr
      @Hifirrrr 6 ปีที่แล้ว +6

      Yeah how is it

    • @viviyang8531
      @viviyang8531 5 ปีที่แล้ว +2

      Did it work? And how old were you?

    • @tacks9115
      @tacks9115 5 ปีที่แล้ว +2

      Can you update us?

    • @realayush599
      @realayush599 5 ปีที่แล้ว

      Fuck sorry luck

  • @pratimamahobe6006
    @pratimamahobe6006 4 ปีที่แล้ว +22

    This must be the best orthopaedic clinic 👍🏻👌🏻

  • @jayafron5067
    @jayafron5067 6 ปีที่แล้ว +72

    All my doubts were clarified! Thank you!

    • @ChrisChangOrtho
      @ChrisChangOrtho  6 ปีที่แล้ว +5

      Thank you, my friend!

    • @ashleybangbang6807
      @ashleybangbang6807 2 ปีที่แล้ว +1

      Sane goes here

    • @annababyxx
      @annababyxx 8 หลายเดือนก่อน

      ​​@@ChrisChangOrtho can a 34 yr person obtain the perfect results? It's been 3 yrs of braces with extractions for an overbite for my friend, now he's a deep bite that the orthodontist doesn't see💀 still bracing..

  • @thelibragamine
    @thelibragamine 2 ปีที่แล้ว +47

    Really hoping to get this done someday, most of my facial insecurities deal with the lower third of my face. The profile looks horrible and my philtrum is already longer than it needs to be with my small lips. I feel like this would be beyond helpful to my self-esteem

    • @alyssa3243
      @alyssa3243 ปีที่แล้ว +1

      Same here ❤

    • @elvespresley2282
      @elvespresley2282 ปีที่แล้ว +1

      Girlll let me tell you this...... it's life changing!!! For for it!!!!!

    • @vandamme5895
      @vandamme5895 11 หลายเดือนก่อน

      Same girlll

    • @JeyKie-fs5eb
      @JeyKie-fs5eb 10 หลายเดือนก่อน

      ​@@elvespresley2282any updates? please

  • @mhathungmurry212
    @mhathungmurry212 4 ปีที่แล้ว +40

    forget the video. Hi, i am also a classical guitarist :-D

  • @laurag2572
    @laurag2572 3 ปีที่แล้ว +99

    That soundtrack gave me anxiety.

    • @nathanb6537
      @nathanb6537 3 ปีที่แล้ว +6

      Same😂

    • @pudinadhania8993
      @pudinadhania8993 3 ปีที่แล้ว +2

      @@nathanb6537 Jesus Christ 😂😂😂😐😂

    • @nbnguitar
      @nbnguitar 2 ปีที่แล้ว

      Prelude no. 1 by Heitor Villa Lobos

    • @arpitaanand7217
      @arpitaanand7217 2 ปีที่แล้ว

      😂😂😂😂

  • @annubi19
    @annubi19 5 ปีที่แล้ว +34

    My daughter had her upper premolars removed last night. I look forwards to her results, and so does she. This video is lovely! Great job, this kid had amazing orthodontic care :)

    • @Yayhooray
      @Yayhooray 4 ปีที่แล้ว +2

      How did it go? share your experience plzz

    • @myrizfernandez9049
      @myrizfernandez9049 4 ปีที่แล้ว

      Yes please. Can you post the update?

    • @diasroshi4097
      @diasroshi4097 4 ปีที่แล้ว

      Please tell us how its going?

    • @annubi19
      @annubi19 4 ปีที่แล้ว +9

      Hi everyone! My daughter's teeth moved into place so quickly after extractions. And she will take off her braces just before Christmas 🎄. I can't believe how quickly time passed by. Her treatment will be 2 years total because she had upper jaw expanders 2 months before braces. I wish you all the best and hope you all will smile big always 😁😁😁😁😉

  • @venusdeguzman8299
    @venusdeguzman8299 5 ปีที่แล้ว +41

    I hope my dentist is like you :(

  • @abelalbujar3324
    @abelalbujar3324 ปีที่แล้ว +2

    A fantastic case, greetings dr. Chris

  • @pengkia
    @pengkia 5 ปีที่แล้ว +11

    This is totally wrong thing to do. How about the tongue space?

  • @stevenharyanto2824
    @stevenharyanto2824 7 ปีที่แล้ว +20

    Doctor i still confuse about stopper placement even after u make a video about that. Any futher explaination please? Thanks

  • @Chorith77
    @Chorith77 4 ปีที่แล้ว +14

    I notice the airway is smaller post treatment. Anyways great result doc.

    • @luisgonzalez5374
      @luisgonzalez5374 3 ปีที่แล้ว

      You should be breathing with your nose

    • @insomniax.2394
      @insomniax.2394 3 ปีที่แล้ว +1

      @@luisgonzalez5374 i kinda can't lol

    • @luisgonzalez5374
      @luisgonzalez5374 3 ปีที่แล้ว

      @@insomniax.2394 nah, do it

    • @Chorith77
      @Chorith77 ปีที่แล้ว

      @@luisgonzalez5374 Don't you need the airway to breath through your nose?

  • @kikiartsy1338
    @kikiartsy1338 6 หลายเดือนก่อน +2

    Why extraction arch expansion will work right!

  • @cokesacamuelas
    @cokesacamuelas 7 ปีที่แล้ว +9

    Excelente Dr.. Chang. Ojalá pueda venir a Chile a algún Congreso

    • @ChrisChangOrtho
      @ChrisChangOrtho  7 ปีที่แล้ว

      Thank you, my friend! Welcome to join us! Please go to orthobonescrew.com to get more information! Please send your schedule to my manager to arrange "thhuang@newtonsa.com.tw"

  • @zubayrali1220
    @zubayrali1220 2 ปีที่แล้ว +14

    I had 4 premolars removed and will be getting my braces tomorrow! This video was very informative. Thank you

    • @SzAkos04
      @SzAkos04 2 ปีที่แล้ว

      I'm getting 2 premolars extracted next week please share your experiences about the pulling

    • @mangolover6039
      @mangolover6039 ปีที่แล้ว

      UPDAAAATE

    • @m_shae9657
      @m_shae9657 ปีที่แล้ว

      update plssss

    • @zubayrali1220
      @zubayrali1220 ปีที่แล้ว

      Update:
      I’ve had my braces for 6 months now and the gaps in my lower teeth are semi closed but the upper ones are still there but on their way to close too! The gaps don’t bother me tbh and they’re not noticeable unless you open your mouth wide open.

    • @zubayrali1220
      @zubayrali1220 ปีที่แล้ว

      @@m_shae9657 done

  • @vinceocaya6101
    @vinceocaya6101 5 ปีที่แล้ว +10

    This is very genius explanation

  • @SK-ch7ik
    @SK-ch7ik 4 ปีที่แล้ว +53

    HE HAS THE SAME PROBLEM AS ME, EVEN THE CHIN, I RLLY HOPE MY DENTIST DID ALL THIS WORK FOR MY CASE😂

    • @SK-ch7ik
      @SK-ch7ik 3 ปีที่แล้ว +2

      @Singhal et al I hope that everything goes well in your treatment, I am sorry that your previous dentist was a bad professional

    • @mse312
      @mse312 3 ปีที่แล้ว

      @@SK-ch7ik how did your treatment go? I am thinking of removing premolars too

    • @SK-ch7ik
      @SK-ch7ik 3 ปีที่แล้ว

      @@mse312 it's going well. My dentist said that I needed to extract 4 tooths for my braces to move. I removed my premolars a year ago. Now my smile is more beautiful, my face changed for the better too. the treatment is going very good

    • @mse312
      @mse312 3 ปีที่แล้ว

      @@SK-ch7ik thanks for replying. I needed to hear this

    • @SK-ch7ik
      @SK-ch7ik 3 ปีที่แล้ว

      @@mse312 no problem😊

  • @kaylahkent1864
    @kaylahkent1864 4 ปีที่แล้ว +16

    This was very helpful. I didn’t understand all of the medical terms, but it helped me understand what could happen when I get my extractions.

  • @tat2384
    @tat2384 ปีที่แล้ว

    The best presentation so far. 🎉🎉

  • @lanalirain210
    @lanalirain210 3 ปีที่แล้ว +7

    I'm 26.
    I have the same dental condition and just started wearing braces. But l only have it for upper teeth. Can it work well??
    I'm so nervous!😪
    I'm just keep praying and praying.🙏

  • @ryanchristianbayuta7109
    @ryanchristianbayuta7109 4 ปีที่แล้ว +11

    I just had my last premolar extraction yesterday and my Dr. said that after 3 weeks, we will start the pulling so the 4 spaces will start to close. I'm excited!

    • @ChrisChangOrtho
      @ChrisChangOrtho  4 ปีที่แล้ว +3

      Good luck! Thank you!

    • @ducxandy9889
      @ducxandy9889 4 ปีที่แล้ว +4

      You will regret on that extractions. Because you'll age faster. Say you're now 25. By the time you'll turn 28, you'll look like 40 year old man

    • @ashutoshsegekar8144
      @ashutoshsegekar8144 4 ปีที่แล้ว +1

      @@ducxandy9889 it is scientific?

    • @tropicaldimitri7374
      @tropicaldimitri7374 4 ปีที่แล้ว +3

      @@ashutoshsegekar8144 You can see at 8:50 his protrusion is fixed but at the same time his chin (and his facial profile in general) has shifted down a little bit. You are not supposed to have a long face while you are still young.
      Unlike orthodontics, orthotropics is all about forward and upward growth, pushing your upper and lower jaws forward and upward.

    • @arlyn6310
      @arlyn6310 4 ปีที่แล้ว +1

      Ailar Kma imagine the exhaustion in our jaw and chin when we can’t properly close our mouth. I think your face slimming down isn’t a bad thing.

  • @Faithmay96
    @Faithmay96 2 ปีที่แล้ว +5

    I used to have an open bite (5mm) and most orthodontists had suggested extractions since I couldn't afford surgery. So I opted for a camouflage technique instead, osseous genioplasty to fix my protruding chin, 4 premolar extractions (wisdom teeth had already been extracted), lingual braces with tads for 2 years. I now have wire attachments behind my front teeth and wear a retainer for 12 hours a day and a tongue crib to better help me position my tongue. It has been worth it.

    • @Faithmay96
      @Faithmay96 ปีที่แล้ว

      @@jazmin2111 it's a bit difficult to say! It has become a bit slimmer but that was from the genioplasty and masseter Botox injections but im not sure about the premolars themsleves. it loiks better now tho!

    • @m_shae9657
      @m_shae9657 ปีที่แล้ว

      @@Faithmay96 does wearing braces after extraction change our face shape in a good or bad way ?

    • @Faithmay96
      @Faithmay96 ปีที่แล้ว

      @@m_shae9657 i don't see a particular difference to be honest, looks slightly slimmer but overall pretty much the same

    • @JeyKie-fs5eb
      @JeyKie-fs5eb 10 หลายเดือนก่อน

      how are you now? is it good?

  • @jasminefranc5889
    @jasminefranc5889 ปีที่แล้ว

    Beautiful work. ❤

  • @calechannel7181
    @calechannel7181 4 ปีที่แล้ว +58

    Very informative content. But the music was too annoying.

  • @lordy7933
    @lordy7933 5 ปีที่แล้ว +8

    Excellent Work/video. Wow the weapon does work. Thank you doctors😃

  • @ashleybangbang6807
    @ashleybangbang6807 2 ปีที่แล้ว +12

    My smile is already fine but i am very insecure about my side profile and my overbite so i was planning to get braces but my new dentist (since the last dentist just scammed me) informed me that I'd need to sacrifice my perfectly fine pre-molars first, i was very hesitant at first but thanks to this video and bunch of research I am now able to trust my new dentist, thanks!!

    • @Christina-bp6qg
      @Christina-bp6qg 2 ปีที่แล้ว +2

      I also had 4 of my perfectly fine teeth extracted due to my mouth being a little protruding.

    • @awembaweawembawe6116
      @awembaweawembawe6116 2 ปีที่แล้ว

      @@Christina-bp6qg did you experience any pain in the jawfterwards?

    • @Christina-bp6qg
      @Christina-bp6qg 2 ปีที่แล้ว +1

      @@awembaweawembawe6116 For me, no. Just a bit uncomfy for a couple of hours after the procedure was done.

    • @ashleybangbang6807
      @ashleybangbang6807 2 ปีที่แล้ว

      @@Christina-bp6qg they only removed the upper set of premolars since i already had my molar teeth on lower set extracted! I'm currently at the healing stage and trying to trust the process since my parents doesn't trust my decision on this one 😂😂 hopefully I'll get that perfect smile after!

    • @nanwijanarko1969
      @nanwijanarko1969 2 ปีที่แล้ว +2

      @@ashleybangbang6807 Hey! I'm on the verge of doing the same treatment too with yours, with the almost exactly the same case. Thank you for sharing! I'd like to know how you're doing if that's alright!
      For me, I'm actually happy with my smile, and my teeth alignment are considered fine, it's just the protrusion really bothered me and the fact that I can't close my lips properly. It's rather scary having to go extract healthy teeth and having the empty spaces while the treatment is going. Do the empty spaces bother you much? How long till they close?

  • @markwaters5434
    @markwaters5434 ปีที่แล้ว +1

    Just a masterpiece ❤

  • @vinaykamble8588
    @vinaykamble8588 6 ปีที่แล้ว +5

    Mine is Same case ...what an amazing video made by you ..... ! Well done

    • @sushmitarai8173
      @sushmitarai8173 5 ปีที่แล้ว +1

      Same here 😂😂 have to take out 4 teeth

    • @kamal-km1lx
      @kamal-km1lx 4 ปีที่แล้ว

      @@sushmitarai8173 same here ....my orthodontist extracted 4 teeth

    • @vinjapuridivyasree8709
      @vinjapuridivyasree8709 4 ปีที่แล้ว

      Will the lower teeth gaps will be closed?

  • @dogukanegeatalar1745
    @dogukanegeatalar1745 2 ปีที่แล้ว +2

    Perfect explanation, thank you.

  • @уяѕмєѕиєє
    @уяѕмєѕиєє 3 ปีที่แล้ว +2

    Hello doctor... If we don't put our retainers after the extraction... Does it leave the gap open again?
    I got four of my teeth removed..

  • @04__DIA
    @04__DIA ปีที่แล้ว +1

    does getting teeth extracted not cause facial collapse?

  • @rx0788
    @rx0788 6 ปีที่แล้ว +91

    If my dr was this brilliant today I would have a nice bite but nope we have sucky dr's and nurses in orthodontistry

    • @tanvirhayer4869
      @tanvirhayer4869 5 ปีที่แล้ว +3

      True

    • @moodsmoody4936
      @moodsmoody4936 4 ปีที่แล้ว +9

      Exactly :( I took my braces and my teeth look flared

    • @sabrinasharif6729
      @sabrinasharif6729 4 ปีที่แล้ว +2

      Same my dentist extracted my lower premolars and it's been 2 years still waiting when she will my upper premolar.

    • @shennyrusli
      @shennyrusli 4 ปีที่แล้ว

      True

    • @x0aei
      @x0aei 4 ปีที่แล้ว

      @@sabrinasharif6729 updates?

  • @JuditDrJeney
    @JuditDrJeney 6 ปีที่แล้ว +2

    Great job, great presentation! Thanks for sharing!

  • @joegh8453
    @joegh8453 2 ปีที่แล้ว +5

    I have overbite with crowded teeth just got 4 extractions it was painful but u get used to it with time it’s been a week and I can’t wait for final results

    • @Natagay123
      @Natagay123 ปีที่แล้ว

      I have braces for the same reason, how is your process?

    • @JeyKie-fs5eb
      @JeyKie-fs5eb 10 หลายเดือนก่อน

      how is it?😊

  • @yaritoko_
    @yaritoko_ 2 ปีที่แล้ว +2

    I'm also very insecure about my side profile. I'm on braces before extraction but I don't know when will doctor do the extraction.

  • @je32132
    @je32132 6 ปีที่แล้ว +49

    He looks more attractive now 😁

    • @314SSplurge
      @314SSplurge 4 ปีที่แล้ว

      😂🤣😭😂😂😭😂🤣😭

    • @resulsanane4506
      @resulsanane4506 4 ปีที่แล้ว +6

      Orthotropics is the real way, this is crime on humanity

    • @theivans90
      @theivans90 4 ปีที่แล้ว +7

      FBI open the fckng door!!

  • @andreearoxana5989
    @andreearoxana5989 4 ปีที่แล้ว +6

    Are your lips changing dramaticaly after this?? I have thin lips already and i got 4 extractions im so scared 😭😭 can someone tell me how much the face changes after this???

    • @grimmy6121
      @grimmy6121 4 ปีที่แล้ว +4

      Yes, I have thick pouty lips before extraction and braces, after like a year I noticed that my face became wider and my lips are like moved backward and smaller, my chin is more forwarded now and im happy with that, but i wish my lips remained the same :(

    • @ChrisChangOrtho
      @ChrisChangOrtho  4 ปีที่แล้ว

      Please go to consult your dentist. Thank you!

    • @ChrisChangOrtho
      @ChrisChangOrtho  4 ปีที่แล้ว

      Please go to consult your dentist. Thank you!

    • @muskaanchelani5959
      @muskaanchelani5959 4 ปีที่แล้ว

      Same i have really thin upper lip and fat hanging lower lip, dont know what will happen

    • @dantan1249
      @dantan1249 4 ปีที่แล้ว

      @@grimmy6121 I have full lips but with my braces currently on the top one looks bigger than it used to. I like the balance actually. Makes me sad that it will be smaller after. ☹️. No teeth removed though. I went the expansion route.

  • @medhataly5143
    @medhataly5143 7 ปีที่แล้ว +7

    Nice work. Can you share you experience using fixed functional appliances ?

  • @kepharjones8010
    @kepharjones8010 ปีที่แล้ว

    Gat the same problem....how much does the treatment costs en how long does it take for the alignment...??

  • @randompersonlol7519
    @randompersonlol7519 4 ปีที่แล้ว +11

    I had the same teeth extracted but only on my right side. Now I have braces, my treatment time is 24 months, but I'm already on my 3rd month!! I have some power chains on my canines and a coil spring on my left side (which hurts a lot).

    • @yomomgay7170
      @yomomgay7170 3 ปีที่แล้ว

      Hi, i have a premolar on my top jaw that is severly broken so i need to get extracted, can i have braces afterwards to close the gap? I can't really afford an doctor to ask about this so if you know please answer

    • @randompersonlol7519
      @randompersonlol7519 3 ปีที่แล้ว

      @@yomomgay7170 Yes you can get braces after having the tooth extracted. I had to get 2 of my canine teeth taken out on my right side, top and bottom teeth, before I got my braces. Hopefully that helps you

    • @justyourshubh
      @justyourshubh 2 ปีที่แล้ว

      How is it now? Any updates brother?

    • @randompersonlol7519
      @randompersonlol7519 2 ปีที่แล้ว

      @@justyourshubh It’s good, I ended up getting the same teeth extracted on my left side to straighten my midline (then my wisdom teeth last month). No more power chains or coil springs for me.
      Sometime next month I’ll be getting my braces off finally :))

    • @justyourshubh
      @justyourshubh 2 ปีที่แล้ว

      @@randompersonlol7519 u had 5mm overjet?

  • @priyanshi310
    @priyanshi310 3 ปีที่แล้ว +2

    My dentist removed only one teeth from the upper side,he will remove the second teeth after a month.Will it make my face ugly😭😭😭😭

  • @abinatienza6654
    @abinatienza6654 3 ปีที่แล้ว +5

    Can this narrow the airway and lead to sleep apnea?

    • @belindayang8463
      @belindayang8463 3 ปีที่แล้ว

      I have the same question.

    • @chrissy-x
      @chrissy-x 3 ปีที่แล้ว +3

      Yes. It happed to me

    • @grangerxborg4216
      @grangerxborg4216 2 ปีที่แล้ว +1

      Yes small room for tongue causing hard to breath

  • @Sumit_Bhise
    @Sumit_Bhise ปีที่แล้ว

    Great explanation and presentation!!!

  • @louubriones
    @louubriones 5 ปีที่แล้ว +15

    Exactly what they’re gonna do to me! I just got 2 of my teeth extracted and I will have another 2 next week!

    • @_onlyjuniorr
      @_onlyjuniorr 5 ปีที่แล้ว

      Does it hurt? What did you feel?

    • @louubriones
      @louubriones 5 ปีที่แล้ว +4

      Onlyjuniorr ' It stopped hurting 6 hours after and bleeding stopped 4 hours after the extraction. I just don’t feel confident when I smile cause it’s so visible 😣

    • @nishitadas6306
      @nishitadas6306 5 ปีที่แล้ว

      @@louubriones even i am going to extract tomorrow the other two..

    • @simplepleasures3568
      @simplepleasures3568 5 ปีที่แล้ว

      May I know ur age

    • @jagritimishra4303
      @jagritimishra4303 4 ปีที่แล้ว +1

      How did you bear the pain?😫

  • @vinaykamble8588
    @vinaykamble8588 6 ปีที่แล้ว +1

    Please I have one question.... I am very very confused that whether I should go with experience ortho or I should go with young orthodontist , these young once have franchise and they have all the new equipments and Demon braces as well and are knowledgeable also.... but on the other side one is very experienced , please suggest me, I am very depressed with my decision making , which one I should go for experienced or equipments ? I rely need your suggestion and it will be my final decision .... Waiting

    • @ponrajg8806
      @ponrajg8806 2 ปีที่แล้ว +1

      Are you ok bro now?

  • @bonedee4859
    @bonedee4859 2 ปีที่แล้ว +5

    My ortho waited a whole year and 2 months to have the extractions done. And even after 8 months now (I got the extractions back in feb 22) the gaps are still there. Like you could literally still fit an entire tooth in each of the gaps. And I’m so frustrated because I was supposed to get my braces off this October, but it looks likes it going to be a bit longer. Probably much longer at this rate… 🙃🙃🙃

    • @thepotato1824
      @thepotato1824 ปีที่แล้ว

      How is it now??

    • @bonedee4859
      @bonedee4859 ปีที่แล้ว +3

      @@thepotato1824 Gaps have started to close just a little bit, but they're still very wide. 🙃

    • @nanwijanarko1969
      @nanwijanarko1969 ปีที่แล้ว +1

      Why did your Ortho wait so long? Were your teeth really crooked? To my knowledge, yes, you need to align and level your teeth first before you can close any gaps, but still that's pretty long...
      Did they thought it could be fixed without extraction, then changed their mind after a year or was extraction always in the plan?
      For me, I have bimaxillary protrusion, but my teeth are not crooked, only slight overcrowding in my lower incisors. My ortho extracted my top premolars within the first week and installed the top brace few days after that. Two months later the lower teeth and jaw followed. She needed the space for the teeth to wiggle around and aligned themselves, before finally closing the gap. The levelling and aligning she predicted 6-8 months.
      I wish you the very best of luck! I sure hole the result will be amazing seeing how patient you had been.

  • @verticalmeans
    @verticalmeans 10 หลายเดือนก่อน

    Where are the TADs? I’m confused , did you use them or no?

  • @TheVikasV3
    @TheVikasV3 6 ปีที่แล้ว +16

    What about tongue space ???

    • @ss2553313
      @ss2553313 5 ปีที่แล้ว +1

      The right position of tongue is in the top of your mouth known as mewing chick out dr.mike mew channel on TH-cam

  • @noblegold8041
    @noblegold8041 2 ปีที่แล้ว

    Please tell me the price? ?? How much this operation???

  • @hadeelbafaqeeh6153
    @hadeelbafaqeeh6153 7 ปีที่แล้ว +9

    very nice work and presentation doctor,
    what's the program for moving teeth photos like video ?

  • @renatafalcao5996
    @renatafalcao5996 2 ปีที่แล้ว +1

    Would orthognathic jaw surgery be applicable in this case?

  • @liyanafauzi5036
    @liyanafauzi5036 4 ปีที่แล้ว +3

    may i know , how long the time lapse did it take to close the teeth gap ? i will extract my 4 premolar teeth on this april too. 😭 hope to get a respond from other patient whom in the same case with me 😭😭

    • @briannar6412
      @briannar6412 4 ปีที่แล้ว +3

      I just got my 4 premolars removed. And the dentist said that Change in body is a very slow process and bone resorption and deposition rate varies from person to person. It may take 3-6 months for the gap closure but depends on the position of the jaw,bone,teeth, and your regular follow ups

    • @ChrisChangOrtho
      @ChrisChangOrtho  4 ปีที่แล้ว

      Thank you, my friend!

    • @ChrisChangOrtho
      @ChrisChangOrtho  4 ปีที่แล้ว

      Please go to consult your dentist. Thank you!

    • @liyanafauzi5036
      @liyanafauzi5036 4 ปีที่แล้ว +1

      @@briannar6412 aww thanks for your response my dear ❤️😇 noted. thanks too for making this video @newtonsa0301 ^^

    • @jyoleya3671
      @jyoleya3671 4 ปีที่แล้ว

      How many months wear to braces on the teeths

  • @shifa3284
    @shifa3284 2 ปีที่แล้ว +1

    My case is exactly same and it's been 2months I got braces and extracted my 4 teeths. let's hope whether I get this drastic change Or not

  • @chittygong4290
    @chittygong4290 6 ปีที่แล้ว +3

    Could you use the same wire sequence with damon brackets without the insignia system Dr. Chang?

  • @cucumberkdkdjvf
    @cucumberkdkdjvf 4 หลายเดือนก่อน

    Good job 💁‍♂️❤

  • @joseignaciomesam
    @joseignaciomesam 7 ปีที่แล้ว +10

    "WOW" !!
    EXCELLENT PRESENTATION !!!

    • @ChrisChangOrtho
      @ChrisChangOrtho  7 ปีที่แล้ว

      Thank you, my friend! Welcome to join us! Please go to orthobonescrew.com to get more information!

    • @Assorted-ym2lg
      @Assorted-ym2lg 6 ปีที่แล้ว

      How can I contact you sir

  • @уяѕмєѕиєє
    @уяѕмєѕиєє 3 ปีที่แล้ว

    Is that permanent??? I mean after u take out braces.. Some say that the gap start showing up again

  • @ilovetaehyungbuthelovesjun6637
    @ilovetaehyungbuthelovesjun6637 5 ปีที่แล้ว +4

    he looks so nice afterrrrrr^^

  • @dr.ashrafelmessery3382
    @dr.ashrafelmessery3382 5 ปีที่แล้ว +2

    Very nice as usual dr.
    My question. Correction of U1/sn from 118 to 103.
    And L1/Mp from 92 to 82.
    Which is more than 5 degree. Will not make relapse as dr .profit stayed. Thank you million

  • @gergisalkhouri3936
    @gergisalkhouri3936 7 ปีที่แล้ว +5

    Muy bien. Excelente presentación.

    • @ChrisChangOrtho
      @ChrisChangOrtho  7 ปีที่แล้ว +1

      Thank you, my friend! Welcome to join us! Please go to orthobonescrew.com to get more information!

  • @Island728
    @Island728 5 ปีที่แล้ว

    May I know why the upper canine teeth were made curved? Most people have a pointy canine tooth but he has a flat bottom naturally why dentist still insist to move his canine from flat to pointy? Wouldnt the root made curved as a result?

  • @blackjaguar3401
    @blackjaguar3401 5 ปีที่แล้ว +4

    I don't see any problem in protrusive teeth. It is at least better than having severely crooked/crowded teeth

    • @evanh9301
      @evanh9301 2 ปีที่แล้ว +2

      the lips and muscle can't relax to close, it is also aesthetic

  • @ME-FluorineNizamul
    @ME-FluorineNizamul 2 ปีที่แล้ว +1

    Hello sir,
    I need your help
    Where are you from?

  • @rabychichakly
    @rabychichakly 7 ปีที่แล้ว +4

    thank you doctor .... but is this trtmnt possible without Insignia Brackets ?

    • @ChrisChangOrtho
      @ChrisChangOrtho  7 ปีที่แล้ว +1

      Maybe we can try. I just share my knowledge and treatment. Thank you! Welcome to join us! Please go to orthobonescrew.com to get more information!

  • @ujjwalverma1
    @ujjwalverma1 4 ปีที่แล้ว

    Nice work..

  • @ShakeemGuzman
    @ShakeemGuzman 5 ปีที่แล้ว +12

    I’m getting my two top and one lower removed. Got my 4 wisdom teeth removed a while back. Not I’m like 3 more teeth need to go? Imagine my surprise. This video explained why I need my upper and lower removed. Thank you for this useful information, now I can make sense of loosing more teeth haha.

    • @Yayhooray
      @Yayhooray 4 ปีที่แล้ว

      how did it go broo ?

    • @lenalee5516
      @lenalee5516 4 ปีที่แล้ว +3

      Yo same here!!! I got my 4 wisdom teeth removed, it was hell lol. Now i have another mission to remove my 4 premolars, i hope it wont affect my jaw or anything

    • @diasroshi4097
      @diasroshi4097 4 ปีที่แล้ว

      Hey how is it? Are you happy with the result?

    • @lenalee5516
      @lenalee5516 4 ปีที่แล้ว +1

      @@deepshikhakumari9681 honestly, extracting 4 teeth is risky, but u gotta discuss it with ur orthodentist

    • @m_shae9657
      @m_shae9657 ปีที่แล้ว

      @@Brotried97 in a good or bad way ? because some people said in a good way so im not really sure about that

  • @dramitsagar
    @dramitsagar 7 ปีที่แล้ว +2

    Excellent presentation sir

    • @ChrisChangOrtho
      @ChrisChangOrtho  7 ปีที่แล้ว

      Thank you, my friend! Welcome to join us! Please go to orthobonescrew.com to get more information!

  • @anizoohang5408
    @anizoohang5408 4 ปีที่แล้ว +3

    Can someone tell me how much will i spend for this? I have same teeth position, i think from my personal pov. Otherwise, from dentists pov. 🙋🏻‍♂🙏🏻 .

    • @GearheadENG
      @GearheadENG 4 ปีที่แล้ว

      Going to depend a lot on what country you are in. For the US, I would expect $7-10,000

    • @AdityaaaSinghhh
      @AdityaaaSinghhh 4 ปีที่แล้ว

      Depends where you live... In India braces cost hardly $500-$700...

  • @adilahusin
    @adilahusin 2 ปีที่แล้ว

    i have overbite and just extract 1 teeth just now. 3 to come but my mom made me feel skeptical. So pls help me by answer this, is it normal to extract 4 teeth?

  • @dansky03
    @dansky03 6 ปีที่แล้ว +2

    We have the same case. My 2 upper teeth was already extracted. The lower 2 will be extracted next week. Wish me luck.

    • @ChrisChangOrtho
      @ChrisChangOrtho  6 ปีที่แล้ว

      Good luck, my friend!

    • @crossgeneasia3508
      @crossgeneasia3508 5 ปีที่แล้ว +1

      how is it now?

    • @diasroshi4097
      @diasroshi4097 4 ปีที่แล้ว

      Hey how its going? Are you happy with the result?

    • @cgio3206
      @cgio3206 2 ปีที่แล้ว

      how much did it cost?

  • @yashmahadik2638
    @yashmahadik2638 3 ปีที่แล้ว

    Do this treatment is really needed If we have this problem 🤔

  • @anandandrews1049
    @anandandrews1049 4 ปีที่แล้ว +5

    Sir in the beginning of the video it is stated that " Always unfavorable in asian people especially for males" what did you mean is the condition unfavorable or that the treatment is unfavorable??

    • @TwoLeggedTriceratops
      @TwoLeggedTriceratops 3 ปีที่แล้ว

      The condition of course. Unfavorable as in western media used to more commonly make fun of Asians by stereotyping this kind of teeth.

    • @adnaaar6782
      @adnaaar6782 3 ปีที่แล้ว

      @@TwoLeggedTriceratops not make fun It’s just more common for people of Asian and East African/North American decent to have that and usually narrow palate.

    • @TwoLeggedTriceratops
      @TwoLeggedTriceratops 3 ปีที่แล้ว

      @@adnaaar6782 Look at old racist cartoons of Asians they make the top teeth jut out.

  • @marylabrador1671
    @marylabrador1671 ปีที่แล้ว

    Wow this helps me a lot❤️gone all my worries

  • @lat.k3189
    @lat.k3189 4 ปีที่แล้ว +4

    Wouldnt this make tongue resting position (mewing) smaller?

    • @grangerxborg4216
      @grangerxborg4216 2 ปีที่แล้ว +1

      Yes you will have breathing difficulties because the jaw became small due to extractions

  • @dreamer4124
    @dreamer4124 4 ปีที่แล้ว +1

    I am 21 yrs. And i have the same problem as the boy has in Video. Can i get braces and how much time will it take??

    • @dantan1249
      @dantan1249 4 ปีที่แล้ว

      I think you can always reduce size but it’s harder to make it bigger as you age. So yes but the retraction May be less drastic since your bones are fused. My sister did it at that age and it worked

  • @Flyerbeklol
    @Flyerbeklol 4 ปีที่แล้ว +14

    Dont ever extract, go with Orthotropics. Just expand the palate.

    • @hi-nq5mm
      @hi-nq5mm 4 ปีที่แล้ว +13

      i agree with orthotropics but extractions always isn't a bad choice

    • @christineotp
      @christineotp 3 ปีที่แล้ว

      I mean true but I think I’m too old for that I’m 12 and my ortho told me I need to extract

    • @pepperminteu
      @pepperminteu 3 ปีที่แล้ว +1

      Sometimes the only option is extractions. I got four teeth pulled because there simply wasnt enough space for my teeth to move, and my upper teeth were still so protruded :/
      I was given the choice to just have my teeth aligned, but the end result would be more protrusion, which ofc I didn't want
      Im also 21 already so the expander wouldn't have worked so well
      In cases like mine extractions is the only way to fix the profile

    • @TheYoungAchiever
      @TheYoungAchiever 3 ปีที่แล้ว

      no.

  • @anniesapna7229
    @anniesapna7229 4 ปีที่แล้ว +1

    I have the same problem..so I am going to put braces now....

  • @machinegunkely4417
    @machinegunkely4417 5 ปีที่แล้ว +6

    Braces causes sleep apnea because of the pulling of the teeth backwards you won't have space for resting the tongue this will cause you breathing problems

    • @Sariine436
      @Sariine436 5 ปีที่แล้ว +2

      11:19

    • @swarnabhshekhar1837
      @swarnabhshekhar1837 4 ปีที่แล้ว +1

      You know someone who had braces and teeth pulled but later developed sleep apnea. Please tell me in detail. I'll go through same procedure in few days.

    • @ayaanahmed2961
      @ayaanahmed2961 2 ปีที่แล้ว

      @@swarnabhshekhar1837 you started your treatment?

  • @audreysmith1938
    @audreysmith1938 2 ปีที่แล้ว

    Did this client need 2 screws in? I thought it suggested this in the video but couldn’t see them in. I would be surprised if he needed them for his treatment.

  • @아름나는
    @아름나는 5 ปีที่แล้ว +18

    This is kinda similar to mine, but I have a gap infront of my teeth so I’m waiting for the result which means 2 yrs from now.😌❤️

    • @ChrisChangOrtho
      @ChrisChangOrtho  5 ปีที่แล้ว +3

      Wish you have a good treatment. Good luck!

    • @leecw2445
      @leecw2445 5 ปีที่แล้ว

      아름나는 woah can you update me your result

    • @diasroshi4097
      @diasroshi4097 4 ปีที่แล้ว

      I have the exact same problem with a gap infront teeth. Did you do it? Please tell if theres any progess? Please

    • @rukmanisoren3446
      @rukmanisoren3446 2 ปีที่แล้ว

      So how is it, been 2 years

    • @davidkhow88
      @davidkhow88 2 ปีที่แล้ว

      @@deepshikhakumari9681 it's sunken if you don't have protrusion

  • @Hifirrrr
    @Hifirrrr 6 ปีที่แล้ว +1

    May i know will we experience any discomfort when we chew foods after wearing braces

  • @norules7805
    @norules7805 4 ปีที่แล้ว +4

    We have the same situation. But my ortho doesnt recommend extraction.

    • @ChrisChangOrtho
      @ChrisChangOrtho  4 ปีที่แล้ว +1

      It depends your choice. Thank you, my friend!

    • @squirrel8397
      @squirrel8397 3 ปีที่แล้ว

      If your orthodontist doesn’t recommend extractions what did you do for treatment? A response would be appreciated but I am aware this comment is a year old.

    • @norules7805
      @norules7805 3 ปีที่แล้ว

      @@squirrel8397 I just went with my orthos recommendation, my teeth are still protruded a bit now, but not as much as before. And my friend seems to think that it's cute since it looks like a bunny

    • @squirrel8397
      @squirrel8397 3 ปีที่แล้ว

      @@norules7805 I see. Do you know how much your teeth protrude now? I also have protrusive teeth and I want to avoid extractions but my orthodontist said my teeth will protrude more if I don’t get extractions. :/

    • @norules7805
      @norules7805 3 ปีที่แล้ว

      @@squirrel8397 Do you know Jungkook from BTS? Kind of like that. If you dont, try searching "Bts Jungkook bunny teeth"

  • @dilipkumarsarkardilipkumar2040
    @dilipkumarsarkardilipkumar2040 5 ปีที่แล้ว +1

    Good job

  • @vlogasapisces4865
    @vlogasapisces4865 7 ปีที่แล้ว +3

    EXCELLENT

  • @JancenRevo
    @JancenRevo ปีที่แล้ว

    Hello dr. What is the average cost for braces for adults for overcrowding. 22 years old?

  • @chhatrabhadurkatwal6110
    @chhatrabhadurkatwal6110 6 ปีที่แล้ว +4

    Does this extraction affect our health??

  • @nexus7c0
    @nexus7c0 ปีที่แล้ว

    Nice guitar concert

  • @roseabdullah9078
    @roseabdullah9078 4 ปีที่แล้ว +5

    Reading all the comments gives me mix feelings about taking four teeth out :( this guy has the same problem as me looking at it I think it makes sense when u have a small arch and his lips do stick out a lot he looks normal after it would be scary to take teeth out and u have like that sunken mouth look it would be horrible

    • @ChrisChangOrtho
      @ChrisChangOrtho  4 ปีที่แล้ว +1

      Please go to consult your dentist. Thank you!

    • @ancientmariner6463
      @ancientmariner6463 4 ปีที่แล้ว +1

      @@ChrisChangOrtho fucking guys.... Same comments again & Again.

  • @luisllamas5675
    @luisllamas5675 2 ปีที่แล้ว

    Great job and nice music!!

  • @palak-ue7wi
    @palak-ue7wi 4 ปีที่แล้ว +4

    I have my 4 premolars extracted today!!😩😩🥺 gosh I’m scared

    • @behappy9498
      @behappy9498 4 ปีที่แล้ว +4

      For me 7 teeths are going to extract

    • @palak-ue7wi
      @palak-ue7wi 4 ปีที่แล้ว

      @@behappy9498 what! Oh my gosh! 😭😭 Best of luck!! 😂

    • @lenalee5516
      @lenalee5516 4 ปีที่แล้ว +2

      In my case i have 8 extractions. I already got 4 wisdom teeth extracted last month, later i will get my 4 premolar extracted 😔

    • @palak-ue7wi
      @palak-ue7wi 4 ปีที่แล้ว

      Lena Lee oh god! 😂

    • @palak-ue7wi
      @palak-ue7wi 4 ปีที่แล้ว

      Deepshikha Kumari tbh you should get braces! And extraction of teeth doesn’t hurt at all ! Dentist will numb your gums and you won’t feel anything! Don’t be scared! It’s been a month since my teeth were extracted and it’s fine! If you want a perfect smile you must get braces! And best of luck for your treatment! :)

  • @MurchanaMedhi
    @MurchanaMedhi 7 หลายเดือนก่อน

    Is anterior segmental osteotomy necessary to fix bimax protrusion?

  • @yoloop93
    @yoloop93 4 ปีที่แล้ว +3

    I have the exactly same misalignments, and got the same teeth extracted, been on braces for 3 months now

    • @diasroshi4097
      @diasroshi4097 4 ปีที่แล้ว

      How is it? Any progress?

    • @yoloop93
      @yoloop93 4 ปีที่แล้ว +1

      @@diasroshi4097 going good, I had a tooth that was pointing at 45 degrees incline and surprisingly took only about 3 weeks to align it straight.

    • @mse312
      @mse312 3 ปีที่แล้ว

      @@yoloop93 did the gaps close? did your face change?

    • @yoloop93
      @yoloop93 3 ปีที่แล้ว

      @@mse312 not yet. Still more to go

    • @mse312
      @mse312 3 ปีที่แล้ว

      @@yoloop93 are the gaps in process to close?

  • @ayukim8449
    @ayukim8449 2 ปีที่แล้ว

    I don't want to remove my teeth but I need brace is there any way I can fix my teeth without removing

  • @mumi8858
    @mumi8858 6 ปีที่แล้ว +4

    wow, the results are amazing.. can anyone please tell me an estimation of how much a treatment like this would cost? I have bimaxillary protrudion too..

    • @mumi8858
      @mumi8858 6 ปีที่แล้ว

      *protrusion

    • @caramelcoldstone
      @caramelcoldstone 4 ปีที่แล้ว

      Mine around $1000 and $20 for control every month

    • @caramelcoldstone
      @caramelcoldstone 3 ปีที่แล้ว

      @Locust Hypnosis Indonesia

    • @La_Mavimbela
      @La_Mavimbela 3 ปีที่แล้ว

      In SA I paid 3000$

    • @davidkhow88
      @davidkhow88 2 ปีที่แล้ว

      @@caramelcoldstone did you get your tooth extracted? How is it going?

  • @nenicahyati7037
    @nenicahyati7037 4 ปีที่แล้ว

    Dok if only want to use braces only up my teeth can or not ,and how much

  • @samiribrahim6992
    @samiribrahim6992 5 ปีที่แล้ว +14

    What about tongue space ???
    What about tongue space ???
    What about tongue space ???

    • @Sariine436
      @Sariine436 5 ปีที่แล้ว +3

      OMG FINALLY SOMEONE UNDERSTOOD MEEEEE I DIDN'T BLNOW THIS WAS GOING TO HAPPEN NOW SINCE I DID IT IM HAVING ODD PROBLEMS AND MY TONGUE DOESENT FIT AND IT'S AFFECTING MY BREATHING

    • @jovita1709
      @jovita1709 5 ปีที่แล้ว

      @@Sariine436 omg me too

  • @ramboraulbc
    @ramboraulbc ปีที่แล้ว

    The same case with my teeth i had my braces yesterday hope the same result on these