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Is It Possible to Reopen the Spaces from Braces?
asked 7 months ago by txgirl83 in Houston, TX
Latest answer by Rob van den Berg, DDS, MS
Question viewed 199 times
Tags: 1 year post-op, open, options
The treatment it's been almost a year already with braces, my face is too narrow and small because of the extraction of the 4 bicuspid, can i still reopen the space again? since all of the canine moves into the premolar spot, except the upper have space left from the canine haven't closes yet. I can see my face the more the space get closes the more my face get slimmer and looks horrible, should i stop the treatment now or i continues? No other ortho from tx wants to take my case bc of lawsuit.
4 answers to Is It Possible to Reopen the Spaces from Braces?
+2
Braces can open up spaces for missing teeth
I am not sure of all the circumstances in your case but generally speaking...
If you are young and have healthy gums and teeth (healthy periodontal tissue), you may open up the spaces. *
We have taken patients in the middle of treatment in the past but unfortunately many doctors and dentists have to be very careful helping patients in the middle of treatment because our system allows for many frivolous law suits but even if not, attorneys love to get everyone involved so the new...
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+1
Reopen the extraction space and then close it
This may be accomplished in two steps, without bridges or implants:
Open up the space, broaden the dental arch and move the front teeth forward
Close the space by moving the back molars forward using TADs anchorage
This may also be an option for patients that had their ortho completed with extrations years ago.
Rob van den Berg, DDS, MS
San Ramon Orthodontist
San Ramon Orthodontist
+1
Re-opening spaces
Depending on your unique circumstances it might be possible to open up spaces that are closed or partially closed. Many factors come into play, and to really get an idea of what is both possible and in your best interest you should seek several opinions. If there was dental crowding before treatment it might be difficult to open enough space to fit implants (for example), but only an in-depth consultation will reveal the best approach.
+1
Should I reopen space
As the decision to extract 4 teeth is usually and all or nothing one, many patients can be borderline with different opinions as to whether the teeth need to be extracted. There are good ways to minimize the retraction of the anteriors due to extractions and opening spaces should be a last resort as it will require 4 implants or 4 bridges!
The FIRST thing I would do is get multiple opinions as to what should be done!.....don't ask them to treat you....just ask for opinions on...
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Robert Waxler, DMD, MS
Saint Louis Orthodontist
Saint Louis Orthodontist