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To Extract or Not to Extract? - Braces (photo)

My daughter just had her consultations with two different ortho. One doctor recommended extracting 4 bicuspids. The other doctor said she will be fine to keep all teeth. From picture you can see, my daughter's upper lip are already a little forward. I worry about her face shape getting worse (further forward) without extraction. Could you please give me some advice? Thanks,

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bicuspid extraction
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2 Doctor Answers | Asked by oracleoracle
+2

I would start out with a non extraction approach.

I would start out with a non-extraction approach. In approximately 4-6 month re-evaluate. If you feel facial esthetics have been compromised and the upper and lower front teeth are too flared affecting lip competency.....than extract. This will not lengthen the total treatment time significantly if you do decide to remove teeth. I have really changed my philosophy over the years through continued education and one thing I always consider, when treatment planing for the... more
+1

Do I need extractions?

As I have done on previous questions , here is a copy of a newsletter I wrote dealing with this question.. NOT ANOTHER NEWSLETTER (volume III) Since much of orthodontics is still not “evidenced based”, and treatments are often influenced by the prejudices (conscious and unconscious) of the practitioners, it is not surprising that... more

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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

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