Hi,

I am getting strong pain in one of my molars which has gotten to the point where I cant turn. I have at no point felt any pressure in my palate cheeks or nose when turning.

I have read here that its expected to feel pressure on facial bones, however I dont feel anything, just ever increasing pressure and pain on a single molar.

Does the pressure on the facial bones, only start once the split has taken place?

  • I experienced tension around molars from the first turn, but only experienced pain around molars at around 18 turns. By that point I had already felt strong tension around midline, incisors and palate, but also some tension in sinus, nose, cheekbones and even the top of my head. Diastema appeared around turn 27.

    I would call the orthodontist.

    Thanks for the feedback, I, at 30 turns and felt absolutely nothing anywhere outside of the teeth. I got to 28 turns which was starting to generate some mild but tolerable pain on my canines but then each day getting towards 30, my molar started to become so sore, I couldnt tolerate turning at all.

    I will contact the ortho.

    Hey any updates? Did you split yet ?

    Hi, no I didnt split, my ortho suggested I pause and wait for the pain to subside and see if I can then start to turn again. The pain did subside after some days and I have started turning again.

    I had turned backwards to try and see if that would help reduce the pain so need to work back through those turns to get back to where I was.

    I see! Glad the pain is gone ! I hope you’ll split ! Iam currently worried that I’m not gonna split, Iam turn 17. 25 years & male. Gonna turn another week and hope to split 🙂‍↔️

    Thanks, as I mentioned I was close to 30 and had not split, 17 turns is still early days and everyone is different. Just keep turning slowly and steadily and take a break if there is pain. From everything I have read expanding slowly is better than expanding quickly as this gives more chance for the nasal cavity to grow and reduces the risk of problems also.

    My turning protocol is daily 2x in a row. That’s what my doctor told me to do 🤷‍♂️ But I’ve seen people splitting with both slow & fast protocols, I don’t know if that’s that important

    Yes people split with both fast and slow and there are differing opinions, but I have seen studies which showed that a slow expansion protocol resulted in slightly larger expansion of the nasal cavity. It also reduces the risk of microfractures and other potential side effects that you definately dont want to have to deal with if they occur.

    How old are you, what gender and did you have a MSE Device or Marpe?

    Glad you splittet! 1) how old are you & gender 2) What was your turning protocol and did you have a piezo cut ? 3) If so, when did you start turning after that? Thanks

    39m. No cut/surgical assist. 3 turns per day for 3 days per week. When diastema appeared, 1 turn per day for 6 days per week

    Oh wow, very interesting. Glad it worked out for you. Especially at your age without any surgical assist :) 👍 Thank you

  • This happened to me too, except it was both sides. And it was truly brutal constant pain in the molars and usually a headache on top of it for like 6-8 days. No pain in face or palate or nose. At the time I should’ve talked in more detail about it with my ortho so that’s a good call.

    I also didn’t see anything on this specific situation on here or anywhere else in searches so just figured it was what it was.

    I came up with a theory that because my teeth just behind my incisors were always the main contact/pressure points and my molars always barely touched that adding the metal part on the bottom side of the top molars forced my molars to be the impact points for the first time. And just that it’s metal doing the impacting that that’s why the pain was so severe. Again, just a theory I’m not an ortho and didn’t even talk to my ortho about it in detail (hand up I messed that up) but I have had both hips replaced and those were nothing compared to this pain so I had to “find” an answer haha.

    Getting a form fitting mouth guard to sleep with was a GAME CHANGER. Balanced out the pressure on my molars and gave “padding” for the between the molars. Advil too but even with Advil it was still it was pretty bad most of the time. Prescription pain meds and Tylenol were not helpful for me.

    Got better after 8-10 days or so, stopped needing the mouth guard and that pain hasn’t come back. Wish you the best!

    Appreciate the detailed response. What type of molar arms did you have on your device, was it ones where only one set of molars on each side had bands around them so they are taking all the force or ones where multiple teeth and engaged on either side with bands and pads on different teeth.

    I have just have bands on one molar either side which I think is concentrating the pressure also..

    The metal bands only around the back molar on each side up top. And the metal bands stick out just enough further than my actual molars so my other teeth aren’t touching when I bite down for the time being and the molars have all the pressure

    Thanks, so similar to me in that you only had one molar per side engaged. Mine are on the first molars so further forward.