While using a byte retainer, patient reported that they have had major teeth pain, they had to have re-treats to root canals, went to a specialist who ground down their teeth because their teeth moved out of alignment that any time, they chewed they only chewed on 1 or 2 teeth.The patient was examined by their orthodontic specialist due to significant distress with their bite and tmj.The specialist, in their professional opinion, the patient was not a candidate for byte aligner treatment because of the limitations in aligning only the anterior dentition without managing the posterior occlusion, the result was a creation of a reverse (brody) crossbite tendency with significant balancing contact interferences upon both lateral and protrusive excursive movements.In the patient's case, this resulted in a traumatic occlusion which resulted in significant pain on her right side leading to a need for a root canal and crown.Patient's tmj has suffered tremendously from the imbalance in the patient's bite affecting her quality of life.After managing pain on the right side, the left side developed acute inflammation due to limitations to chew only on that side.Orthodontic specialist recommended comprehensive ortho treatment to restore proper posterior occlusion and remove the balancing contact interferences.
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