Apertognathia (open bite)

Discussion in 'Dental Archive' started by Rob, Oct 21, 2003.

  1. Rob

    Rob Guest

    I'm 35 years old. I've had severe rheumatoid arthritis since I was a
    child. I had braces when I was a teenager, so my teeth are straight.
    However, in the past few years I have developed an open bite, I assume
    from arthritic damage to my jaw (but there is no pain). My front teeth
    do not meet when I bite. The back teeth are fine.

    What type of doctor should I consult - orthodontist or oral surgeon?

    Thanks.
     
    Rob, Oct 21, 2003
    #1
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  2. Rob

    Dave King Guest

    On 21 Oct 2003 09:36:30 -0700, (Rob) wrote:
    To initially find out the causes, especially with your medical
    history, I woud say start with the surgeon. Both are more than
    capable to determine what, if any, changes are due to the RA. A good
    place to get started is with your general dentist to make the
    appropriate referrals.

    ~~~~~~~~~~~~~~~~~~~~~
    David A. King, D.M.D.
    Diplomate, American Board of OMS
    Fellow, American Association of OMS
    HTTP://WWW.DEOMFS.COM
     
    Dave King, Oct 21, 2003
    #2
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  3. Rob

    Dave King Guest

    On 21 Oct 2003 21:34:50 GMT, ojunk (Orthodmd) wrote:
    Good question Charlie. If the patient is without symptoms for atleast
    2 years, lab values have been stable and the mandibular position has
    been constant throughout that time frame, you can still be playing
    with fire. Probably more with a set-back than an advancement. The
    patient would REALLY have to understand these facts, including the
    chance of total joint replacement in the future if the disease wakes
    up. If it does, the exacerbations can be worse than initially and not
    just limited to the TMJ.

    Dave
     
    Dave King, Oct 22, 2003
    #3
  4. Rob

    Dave King Guest

    On 26 Oct 2003 23:03:56 GMT, ojunk (Orthodmd) wrote:
    Thanks and your treatment plan would win the hearts & souls of many a
    surgeon. I would still emphasis the potential problems but much less
    likely with simple autorotation of the mandible. Besides, I like doing
    chins even if they are minor moves. Other than a rhinoplasty, not many
    things round out the entire package better than a genioplasty.

    That reminds me, one of those instant beauty reality shows had a
    plastic sturgeon placing a chin implant from the skin on a patient
    that had no mandible projection. Did these idiots ever consider adding
    Ortho/OMFS evals? Much more harmonious improvement than the cookie
    cutter aproach. Thats just me ranting.....

    Dave

    ~~~~~~~~~~~~~~~~~~~~~
    David A. King, D.M.D.
    Diplomate, American Board of OMS
    Fellow, American Association of OMS
    HTTP://WWW.DEOMFS.COM
     
    Dave King, Oct 27, 2003
    #4
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