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It's Cammie, yes.

There are retainers, and there are special devices that help you

train your tongue not to do what it's used to doing. The retainers

are usually either Hawleys (plastic plates, with wires embedded; the

wires go around your teeth in the front and keep things in place) or

Essex, which are what I have. These latter are little acryllic bits,

made with heat and vacuum, by stretching a sheet of plastic over a

mold of your teeth. And there's another kind, too -- the wire that's

bonded to the back side of your teeth, upper and or lower. Virtually

invisible, these latter two, but they keep reminding the teeth where

they need to be.

As for the devices to discourage tongue thrust, they sound pretty

awful to me -- a series of prongs or rigid loops to insist that the

tongue not go where it's not sposed to. But I have known some folks

for whom they work.

C.

> Sue, I dunno how all this works over there, but if you can manage

it,

> I think the person from whom you need the opinion would be an oral

> and maxillofacial surgeon. Now, and again after the ortho has

worked

> on you for a while.

>

> Sometimes the ortho can do wonders, all by itself. But many times,

> the surgery is needed to give the ortho the space in which to

> complete his or her job.

>

> And yes, it is usual to be in braces for a time before and after

> surgery. And the corrections for surgery are often different from

the

> ones an ortho would make if he's not prepping you for surgery.

>

> 'Tisn't at all unusual for family, friends not to understand poop

> about all this. They don't live with the bite, either.

>

> I do believe that true open bites, often caused by tongue-thrust,

can

> be really difficult to treat and stabilize. Sorry. So talk a lot

with

> the docs about that part of it, and what you might expect for

> permanent retention...

>

> Owning six clinics doesn't mean a lot of experience, necessarily.

Ask

> him how many cases like yours he has treated, and what their

outcomes

> have been. You want a doc, and a surgeon, who have done A LOT! My

> surgeon had operated on almost 2,000 patients before I got on his

> table, and that was two years ago.

>

> C.

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It's Cammie, yes.

There are retainers, and there are special devices that help you

train your tongue not to do what it's used to doing. The retainers

are usually either Hawleys (plastic plates, with wires embedded; the

wires go around your teeth in the front and keep things in place) or

Essex, which are what I have. These latter are little acryllic bits,

made with heat and vacuum, by stretching a sheet of plastic over a

mold of your teeth. And there's another kind, too -- the wire that's

bonded to the back side of your teeth, upper and or lower. Virtually

invisible, these latter two, but they keep reminding the teeth where

they need to be.

As for the devices to discourage tongue thrust, they sound pretty

awful to me -- a series of prongs or rigid loops to insist that the

tongue not go where it's not sposed to. But I have known some folks

for whom they work.

C.

> Sue, I dunno how all this works over there, but if you can manage

it,

> I think the person from whom you need the opinion would be an oral

> and maxillofacial surgeon. Now, and again after the ortho has

worked

> on you for a while.

>

> Sometimes the ortho can do wonders, all by itself. But many times,

> the surgery is needed to give the ortho the space in which to

> complete his or her job.

>

> And yes, it is usual to be in braces for a time before and after

> surgery. And the corrections for surgery are often different from

the

> ones an ortho would make if he's not prepping you for surgery.

>

> 'Tisn't at all unusual for family, friends not to understand poop

> about all this. They don't live with the bite, either.

>

> I do believe that true open bites, often caused by tongue-thrust,

can

> be really difficult to treat and stabilize. Sorry. So talk a lot

with

> the docs about that part of it, and what you might expect for

> permanent retention...

>

> Owning six clinics doesn't mean a lot of experience, necessarily.

Ask

> him how many cases like yours he has treated, and what their

outcomes

> have been. You want a doc, and a surgeon, who have done A LOT! My

> surgeon had operated on almost 2,000 patients before I got on his

> table, and that was two years ago.

>

> C.

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