Orthodontic Patient Requires Nerve Block Treatment For Pain Relief

Case Overview

This case involves a male orthodontic patient whose occlusion was suffering because his upper front teeth bit down too close to his bottom front teeth. The patient’s treating orthodontist recommended the patient get braces. The patient’s understanding was that the braces would lighten the anterior contact to promote the long-term stability of his teeth. The orthodontist estimated that the patient would only require braces for 12 months. The patient ultimately required braces for over 3 years. When the braces eventually came off, the patient’s occlusion had worsened, and he only had one point of contact when biting down. The patient also developed severe facial pain around his mouth and cheeks, requiring him to undergo sphenopalatine ganglion blocks for pain relief. An expert orthodontist was sought to review the current course of treatment and opine on the standard of care the patient received.