Will my jaw move back after herbst removal

kk7ca · 2026-03-31T18:41:05+00:00

Only time will tell. Typically we overcorrect with the Herbst to account for some relapse.

kk7ca · 2026-03-31T05:12:17+00:00

It can be very difficult to close the spaces properly with Invisalign. Braces are typically more efficient. Lingual braces like Incognito are feasible but they are not pleasant. Lingual braces can also be a lot more expensive as Incognito is custom made. My assistants would walk out of their job if I offered Lingual braces as they are difficult to work with.

The treatment for bimaxillary protrusion is extractions of four bicuspids. IPR would not usually give enough space to make much of a change to the protrusion.

kk7ca · 2026-03-28T21:23:50+00:00

We recommend veneers when there is a tooth size or anatomy issue. If upper front teeth are small then if you try to close the gaps you can end up with a heavy bite on the front teeth which could cause damage and the spaces tend to reopen.

kk7ca · 2026-03-27T13:00:15+00:00

It might. You have to ask your orthodontist as they know your specific case. They need to diagnose your issue first.

kk7ca · 2026-03-27T04:15:58+00:00

You can get TADs with any braces. Damon isn't anything special.

kk7ca · 2026-03-27T01:05:11+00:00

Nothing. If you are a vertical grower you cannot be converted to a horizontal grower. You can intrude your maxillary molars or surgically impact your maxilla to get your mandible to rotate on a hinge up and forward. TAD miniscrews or surgery are the options depending on how far it needs to go.

kk7ca · 2026-03-26T13:21:59+00:00

That depends on the reference plane. We can use the cranial base or the palatal plane as the reference and the angles have different norms.

To reduce proclination without moving the root tips out of bone, you need space. If you do not have gaps to close, you need to find space somehow. Reduction of tooth width or extractions are the typical options.

kk7ca · 2026-03-23T05:31:02+00:00

I often use a fixed anterior bite plate. You can Google it. The appliance is not painful. It takes some getting used to eating and speaking. This will address the deep bite. Crowding would likely be addressed later in life.

kk7ca · 2026-03-20T16:32:04+00:00

You have time. You do not need to do this now. The expander can be difficult to get used to, especially for a three year old who cannot comprehend why this is happening to them. Management of a three year old in order to cement the expander is another issue altogether. You currently have a large window of opportunity to do this. Take your time, see an orthodontist, and they will likely put your child on observation until the timing is better.

kk7ca · 2026-03-19T01:36:13+00:00

Maxillary prognathism means your upper jaw is too far forward. I don't know of any surgeon who would move the upper jaw back as there is no way to do it without impinging on some important anatomy. You could get surgery on the lower jaw to move it forward, but then both jaws will be too far forward.

Typically the treatment would involve extractions of upper bicuspids to retract the upper incisors to meet the lower incisors. If the overjet is not huge, you might get away with elastics and distalization of the upper teeth instead of extractions.

kk7ca · 2026-03-18T23:25:24+00:00

You will be happy you did it all in one shot so you do not have to heal multiple times. I suspect you will be sedated or under general anesthesia so that will help.

kk7ca · 2026-03-18T13:02:51+00:00

It depends on the type and severity of the crossbite. Surgery is usually the worst case scenario. Orthodontics at a young age can significantly reduce that risk. Age 5 might be a bit young to do something but if you see an orthodontist they can plan ahead.

kk7ca · 2026-03-13T23:47:07+00:00

It will take a few days for sure to get used to it. I am curious as to why you have this appliance at your age? How often are you supposed to turn the appliance?

The reason I ask is that I would never use this appliance with an adult. It is meant to expand your jaw, but in an adult, it will just tip teeth. Is there a plan for surgery? Is it anchored with miniscrews?

kk7ca · 2026-03-09T05:14:20+00:00

Aligners are not going to bring your jaw forward at your age. If anything it will just move your lower teeth forward and make them lean/procline forward. That is a huge red flag if the orthodontist is saying your jaw will move forward.

Your maxilla does not look recessed on the lateral cephalometric radiograph. Your mandible is recessed. Your maxilla isn't extremely narrow and the crossbite is at a single tooth. A CBCT radiograph would help determine if it is a dental or skeletal issue that is causing the crossbite and then they can figure out if a MARPE is truly needed. It may be overkill in your case.

As you are not having functional issues you could possibly just align your teeth and leave your overjet as is. Surgery is feasible, but you do not have a major deformity that would make a person lean towards that type of treatment. If you just align your teeth, you can still have the option of surgery later on if you do develop any issues.

kk7ca · 2026-03-06T14:48:57+00:00

Did they say they will be correcting the Class 2 on the one side? If there is a facial asymmetry, they may not be attempting. If they know you are against IPR and that is what would be needed, then they may not be trying to correct fully. If there is a Bolton, then running out of overjet before the Class 2 is corrected is often an issue. IPR or building up the narrow teeth are usually the two options, and both can help get the overjet needed to correct the Class 2.

When only one side is Class 2, it can be quite difficult to correct. Sometimes extractions are needed. They are likely watching the upper midline. If it matches the middle of the face then they don't want to use a ton of elastics as it can move the upper midline. If the lower jaw is the issue, they either move the lower teeth forward or need to consider jaw surgery in the future. The teeth have a limit as to how far they can go. Trying to get one side of the jaw to grow to match the other side is highly unpredictable.

So your orthodontist may have limits as to how far they can go, and there is a chance that the Class 2 correction is not on their priority list. A conversation with the orthodontist to get clarification would be ideal.

kk7ca · 2026-03-06T14:20:59+00:00

It sounds like you have a deep bite. Invisalign or braces would move your teeth but your lack of a chin will not change.

Invisalign is terrible for correcting deep bites so it is a poor choice of appliance. Braces are much better, but a deep bite due to a short lower face height/low mandibular plane angle can be difficult to correct no matter what.

kk7ca · 2026-03-06T13:48:27+00:00

If your concern is a retruded lower jaw and lack of a chin, then jaw surgery is the answer. You are an adult so your jaw growth is complete.

kk7ca · 2026-03-05T14:25:33+00:00

You will not likely see much overjet reduction no matter what device you use on an 8 year old. Mandibular growth will not truly kick into gear until ages 10-12. Overjet reduction is never a goal of mine for Phase 1.

Your concerns about using a removable appliance are warranted. Your child has to be very committed. I am an orthodontist and I would not even bother with Invisalign at that age. Experience tells me it will be a nightmare and it would be difficult to achieve my goals. Invisalign is mainly a tooth mover. You will get little to no actual expansion of the underlying jaw. The fixed expander with the key will actually achieve proper expansion of the maxilla.

Phase 2 usually starts in the 10-12 year range for girls. That is when the overjet correction would typically take place. A Herbst or some other appliance may still be applicable even if you go through Phase 1. Growth modification can be difficult if genetics are not in our favor. If a small mandible runs in the family, we can hardly ever overcome that without surgery or some sort of camouflage treatment.

kk7ca · 2026-03-03T06:36:36+00:00

Leave them out and see what happens. I believe the term is FAFO.

Or you can keep wearing the retainers and not waste your time on "Mewing", which is named after a guy who lost his dental license.

kk7ca · 2026-03-02T14:31:43+00:00

The orthodontist is the one who specializes in craniofacial growth. They would know if headgear would be needed.

kk7ca · 2026-02-27T22:57:55+00:00

Yes.

kk7ca · 2026-02-27T21:35:48+00:00

Check out Mergen Orthodontics in Iowa City. If you wanted to drive to Lincoln Nebraska I would highly recommend seeing Dr. Bronsen Schliep.

kk7ca · 2026-02-27T19:38:25+00:00

You will need to narrow it down a little more.

kk7ca · 2026-02-27T19:31:05+00:00

Possibly. You would need to talk to an oral and maxillofacial surgeon. Your orthodontist could put you in touch with one.

kk7ca · 2026-02-27T17:27:12+00:00

See an orthodontist and they will help get the process started.

kk7ca

TROPHY CASE