Dissapointment with Braces Dentist Answers, Tips
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Dissapointment with Braces

I had crowded teeth and crossbite, i went on treatment at this corporate orthodontics clinic for 17months since june 09, which have more than 3 different orthodontist doing the treatment.

I thought i can get out with extraction of my 4 1st bi-cuspid, but i can't. I stopped going there and seeking for another dentist told me the same thing, so i did get extracted. So disappointed, my family and friends said my face is too skinny now, not like before rounded. What should i do now?

5 Doctor Answers | Asked by txgirl83 in Houston, TX
+6

Extractions and Orthodontics

Is your face skinnier because of the extractions done in conjunction with orthodontic treatment? This is a hotly debated topic within the orthodontic community. Does extraction of bicuspids cause change in facial appearance? There is very compelling evidence that indeed it does. There are several cases involving identical twins that were treated one with non-extraction orthodontics and the other with bicuspid extraction orthodontics. At the conclusion of treatment they no longer look like... more
+3

Teeth pulled and narrow now what

This is a hotly debated discussion in orthodontics. I fully believe what you and your family see can and does happen. That said your teeth are gone and now what? There are some options 1) spaces can be reopened and replaced with implants=approximately $3500/implant after braces again. 2) expansion can be done to fake that the teeth we not pulled but will not help restore much of any "lip thinning" you may or may not be experiencing. In my 11 yrs of private practice... more
+1

Disappointment with Braces

  Many people are drawn to the "corporate: clinics because of their advertising and "lower" fees. The "corporate" orthodontic clinics tend to hire new graduates who have just completed their orthodontic residencies. They are all very intelligent and well educated but lack experience. Unfortunately when more than one orthodontist is involved in treatment unless there is a excellent communication treatment may not be as efficient.   Sorry to... more

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+1

4bicuspid extractions cause constricted smile?

Sometimes extractions are necessary, and often, for symmetry you need one tooth out in each quadrant. Many orthodontists (and "orthodentists" will tell people that extractions cause constricted arches but the studies do not show this to be true if the diagnosis and treatment was done correctly. .  It is almost always possible to treat without extractions, BUT the final result can be very unstable and unesthetic. Having said this, I have no idea if your treatment was... more
+1

Extractions and braces

I'm sorry to hear about your experience. Since very case is different it isn't possible to address your specific concerns without seeing you personally and evaluating your initial records. However, I'm certain that regardless of your initial situation, a highly experienced and trained orthodontist would be able get a good esthetic and functional result. Sometimes this might require extracting teeth other than the first bicuspids (ie the second... more
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