Twin blocks

So I have had twin block braces for coming up to a year now and I find them very irritating and annoying, as well as very embarrassing so I don’t wear them much, I can’t stand going to school with them in because I can’t hardly speak with them in. Every time I go to my orthodontist she says to come back every 12 weeks, so I do but I haven’t been wearing them so there is no point. I have an appointment tomorrow and have once again failed to wear my brace, what do I say to my orthodontist? Is there any other treatment I can have? Or any smaller blocks?

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Answer: Twin blocks

By Sarah h
Dental Professional

Usually when worn correctly treatment with twin blocks is 12 months or less, followed by 18-24 months of fixed apliance such as braces.  The twin blocks must be worn at the same time and must be worn to be effective.  Orthodontists prefer twin blocks because they can correct big overjets (where the top teeth stick out beyond the lower ones more than normal) and work quickly, reducing treatment time.  They also can be used to widen out the top jaw at the same time, and they can hold the space for erupting teeth.  The appliance is only as good as the patient wearing it, so if you are not wearing it at all, not even after school and overnight, it will not work.  Surgery is exensive and recovery can be difficult.  Without seeing the amount of overbite you currently have, it is hard to mention alternative treatment options.  Discuss your concerns with your orthodontist and see if there are any alternatives.  A non-compliant patient is an unsuccessful treatment case and most orthodontists are willing to have a happy patient with successful treatment.  

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