Second Time w/ Braces. Facial Profile Changes. Options?

2nd time wearing braces,the first one i stopped during 17mths because they suggested to extract my 4 1st bicuspids, but i don't want to and seeking for another orthodontist and suggested the same thing and so i did. The 1st treatment, i had crowded teeth and crossbite, the 2nd treatment i have an open bite because of the 1st treatment,been wearing it for 5mths now. I'm regretted because my facial profile changes from round to skinny. Should i ask the dentist to re-open the space and get implant?

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5 Doctor Answers | Asked by txgirl83 in Houston, TX

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Extractions can reduce the fullness of the smile and lead to many other problems.

Most traditionally trained orthodontists still use teeth extraction as a way to eliminate the imbalance between the bone structure and the size of teeth (which created crowded teeth to begin with). Almost all of the time the problem is not that the teeth are too big, but that the bone structure developed too small and has caused the crowding. Since you already have had the teeth removed, the jaws and arch forms still can be widened to create that full... more

Extraction treatment and facial esthetics

Your question is at the heart of many discussions in orthodontics. Unfortunately, from the information provided there is no way any othodontist could answer your question because there are so many different factors that must be taken into account. However, we can discuss several things. First, if two orthodontists both thought you needed extractions there may have been a compelling reason for the extractions. While it is always possible to align teeth without... more

Opening dental spaces and placing dental implants is possible

Anything is possible, but the question will be is it worth the money to do it all? Only you can answer that for yourself. The opening of spaces is very difficult and many orthodontists don't treat this way, so it may take some homework to find someone that can help. When done, implants or bridgework will be needed to fill in the spaces, but it should work out fine and very esthetic when complete.

Does Tooth Extraction Before Braces Cause Narrowing of the Face

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

Reopen extraction sites?

Of course you can reopen the sites, but it would leave you with the need for very expensive prosthetic replacement of the teeth. If extractions were really required and the treatment was done correctly, then you should not have a negative facial effect. Those orthodontists who market their practice on their ability to treat EVERBODY nonextraction might tell you that you should not have had teeth extracted but extractions are still a very legitimate form of treatment... more