Gurs Sehmi, BDS

Do you mean, that you feel your bottom teeth are pushing your top teeth forward? (and not pushing your top teeth out of the bone?)

If you are worried that they are being pushed forward, then you should see an orthodontist for reassurance. It is possible that your bottom teeth can push your top teeth forward, but this only happens where people have a very specific bite pattern. You could have a retainer made, that you wear at night, this will help keep your teeth in the same position they are in at the moment. 

Hope this helps! 

Gurs Sehmi

Hi, it does depend which teeth are missing, and if by missing, are they stuck in the bone, or just not developed at all?

Lets assume that the teeth are not developed at all, and there are spaces where the teeth should be, your challenge is to get a nice cosmetic appearance, which fits in with her lifestyle, knowing that this may need to be changed in 7-10 years. (I normally advised waiting until you are about 21 before going for implants - if at all possible). 

The most non invasive option for now is to have a removable plastic denture made. She may not love this, but it is definitely the quickest and simplest thing to do. 

If the tooth position is not ideal, or the spaces need to be enlarged, then have braces now, and either a denture, or a temporary bridge.

Having a temporary bridge, this will look nice, the teeth will not be removable, and there is no tooth adjustment needed. To find out more about these temporary bridges, do a google search for sticktech, and find the videos on their site, these are designed for dentists, but show the idea really well. 

I would avoid any permanent bridges at this stage, as her jaw and body are still developing. 

I hope this helps a little! 

Kind regards
Gurs

Hi, without a proper assessment, I can't say, but your class 3 looks quite mild and ipr will not sink your face. In fact by straightening your top teeth, it may fill your profile a touch. 

usually taking out two or 4 premolar teeth will sink your profile. 

I hope this helps

Gurs Sehmi

Hi,  unfortunately you will not get veneers on the NHS. In general you only get the most basic treatments in the NHS, like black fillings, dentures and extractions. 

Most good clinics will offer payment methods, and you might be able to finance the treatment, which makes it easier to afford. 

I hope this helps. 

Gurs Sehmi

Firstly, have you seen an ENT (ear, nose throat) specialist for an assessment, that would be first on my to do list! 

To answer your question, it depends on why you have a narrow arch, are the actual bones too narrow, or are the teeth tilted in? 

If the bones are too narrow, it is possible to expand these, I warn you - its not nice! and the absolute best way to do this is have a clamp fitted to the roof of your mouth, secured by mini pins, and this clamp cracks the bone in the middle, and separates it out. I have never done this for anyone! 

You may be lucky, and it might be the teeth tilted in, as you can sometimes get if you used to suck your thumb, in this case, you could upright the teeth and this would give you some widening. 

In regards to your (correct) point about would your bottom teeth fit - it depends on how much the the upper is expanded, the bottom teeth can be 'rolled' outward to make them fit a slightly wider arch. 

In my opinion, your face shape is normal, and I would look at finding out why you have sinus issues first. 

I hope this helps! 

Gurs