Would I need tooth extraction or should fixed braces be enough?!


Question: Would I need tooth extraction or should fixed braces be enough?
Hey, i'm thinking of getting braces to not only straighten my teeth but also to (hopefully) improve my facial profile. My orthodontist said I would need to extract four (healthy) teeth and i'm hesitant on allowing him to do so due to what i've read online e.g. TMJ.

On the other hand, since my facial profile is protrusive, extracting teeth could may well in fact help greatly as opposed to just fixed braces without extraction.

Here are two pictures, one showing my facial profile and another of my upper teeth:
http://img14.imageshack.us/i/facialprofile.png/
http://img825.imageshack.us/i/teeth.png/

Thanks in advance!

Answers:

Best Answer - Chosen by Voters

Some people teeth are crooked for many reasons. Because of this, orthodontists created braces to align a peoples teeth back in correct.

http://www.doctor-dubai.com/directory/h/284/Zabeel-Clinic.aspx



you should go to doctors immediately.



What you have read about having 4 perfectly good teeth extracted making your facial profile worse is true. Your facial profile looks protrusive because your chin is retruded. In other words, you appear to have a Class II jaw relationship. Since traditional orthodontists do not know how to treat retruded chins (or TMJ), bicuspids (aka premolars) are extracted and the teeth shuffled around to make the faux protrusion look less obvious. Since the mandible has not changed, it remains retruded and hence you will still be a skeletal Class II instead of a normal skeletal Class I. The proper way to treat a Class II is to advance the mandible so that it lines up properly with the upper jaw. This will give you a straight profile so that when you walk into a room, it's not your nose that enters first. Of course a cephalometric analysis needs to be done to confirm that the maxillae is properly positioned and that the mandible is indeed retruded. Although not every patient who had bicuspids pulled will develop TMJ, the odds are greater than 50%, IMHO. Do you really want to risk developing TMJ especially when you know the facts beforehand?

BTW, I compensated for the tilt in the profile picture you posted.

functional orthodontist; treated TMJ since 1984




The consumer health information on answer-health.com is for informational purposes only and is not a substitute for medical advice or treatment for any medical conditions.
The answer content post by the user, if contains the copyright content please contact us, we will immediately remove it.
Copyright © 2007-2011 answer-health.com -   Terms of Use -   Contact us

Health Categories