Do you think its necessary for me to have upper teeth extractions in order to have braces? (photos)
Doctor Answers (2)
Do I need teeth extracted?
1. extract teeth...usually done bilaterally to maintain symmetry....done correctly there will be no spaces left at the end
2. expand by pushing front teeth forward....do you really want you front teeth sticking out further?
3. slenderize...narrow each tooth slightly...only good for minor crowding
4. push all of the back teeth backward until you have enough room to correct the crowding in the front....very, very difficult if not impossible to gain a lot of room this way with adults
So, there you have it!...you have to do one of the above....I vote for the extractions
Do you think its necessary for me to have upper teeth extractions in order to have braces?
If you extract only upper teeth, your upper arch will become even more constricted than it already is. What is the plan for making the lower arch fit into the upper arch if you extract teeth from the upper arch only?
Palatal development can be done quite nicely with a simple removable appliance. The reason it was left off of the previous doctor's list is that many American trained orthodontists believe that arch development in adults is either not possible or not stable. There are volumes of cases proving this simply isn't true. Some of the most unstable orthodontic cases I have ever seen are cases involving bicuspid extractions. Palatal development works in adults and if done correctly is extremely stable. I have personally treated patients using arch development from four years old to one patient in his late 80's and all ages in between.
Your upper arch was not supposed to develop asymetrically. Your teeth were not supposed to be crooked. Something happened during your growth and development that altered the course of your genetic potential. There are appliances that can be worn that will actually pick up where nature left off and allow your dental arches to properly develop, thus allowing sufficient space for all of your teeth to fit.
Proper development of your dental arches will not only result in sufficient space to properly align all of your teeth but will also enhance facial aesthetics and improve airway and TMJ health.