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Serene, of course no diagnosis can be made from just a few photos, but in general, extractions are more common in adults with crowded arches.&nbsp; Kids who are growing can be influenced to grow more; adults can't.&nbsp; What has to be planned well is what will your smile look like and how stable will your bite be after braces - if the front teeth are 'brought back' then will they just be too straight up and down or will they slant forward a bit, which&nbsp;is more natural and makes your lips look right.&nbsp; The bite has to match how your jaws move and how your jaw joints work, so there isn't a real simple answer.&nbsp; Taking out your wisdom teeth won't affect much of anything - that's a different decision.&nbsp; Please keep interviewing orthodontists until you meet the one who will talk about how everything works together and begins with how it's going to be when you are finished.

I am 28 year old female. My ortho suggested for 4 premolars to be removed. He told that without extraction the you wont be able to make out much of difference. My lower jaw is protruding out. Extraction will improve my bite and profile considerably.Will extraction cause change in my profile. My lower lips are broad it is because of protrusion? X ray shows that my lower wisdom tooth has grown in horizontal direction.Would extraction of wisdom tooth help instead of bicuspid removal. Please advice.

Is Bicuspid Extraction Needed in my Case? (photo)

Cosmetic Dentistry

When the adult canine teeth don&#39;t come in right, it is usually because the jaw didn&#39;t grow big enough to make room for all the teeth.&nbsp; At 18, you still may have a chance to help correct that and make room not only for teeth but for your tongue and breathing as well.

	Just getting the baby teeth out of there won&#39;t solve the problem - something prevented the natural course of things so that has to be found and fixed.&nbsp; The danger in waiting is kind of technical:&nbsp; the roots of the adult teeth take time to completely form but once they do the teeth don&#39;t really move all that much.&nbsp; If you wait too long, even orthodontics (braces) won&#39;t be able to move the teeth and treatment gets really complicated and expensive.

	The best thing for you is to see an orthodontist right away and discover&nbsp;why those teeth didn&#39;t erupt correctly, and investigate what treatment options you have now. This is important for many reasons for you to have a comfortable, healthy and good-looking smile for the rest of your life - maybe 90 years!&nbsp; Don&#39;t delay finding out about treatment choices!

I am 18 and i still have my 2 canine baby teeth my left adult canine tooth is slightly showing above my baby tooth but my right one is not. Im scared that if i get my baby canine teeth removed that the permanent ones won&#39;t come down, especially the right one. What risks am I taking if I do not get them removed?

Still Have 2 Baby Canine Teeth. Will Permanent Ones Replace Them if I Got Them Removed?

You mention &#39;retainers&#39; - this device is made to advance the lower jaw to open the airway for breathing disorders like snoring and sleep apnea.&nbsp; It&#39;s not a retainer to hold the teeth in place after orthodontic treatment.

	Your dentist can have her/his laboratory fabricate an all-metal retainer if that is what you are looking for - no reason to advance the lower jaw if you don&#39;t need that.

	I can&#39;t find anywhere on the website if FDA has cleared the Somnowell for sale in the US.

	 
	The mechanism to advance the mandible is well-proven.&nbsp; Having a metal framework will give it the durability you seek, as long as the teeth are stable - plastic can be adjusted where metal usually cannot.&nbsp; Chrome cobalt is safe except for those with nickle allergies.&nbsp;Plastic can be kept fresh using UV sanitizers.

	Hope this helps!

I will be getting retainers and have done some research. New to the market is Somnowell retainers. I would be interested in these because I do not like the idea of sleeping with plastic or acrylic, but is chrome cobalt alloy safe? They will last a life time (until something new comes on the market) and can be boiled, which I really like. Also, I cannot find any pictures of how they look. Can anyone help please?

Are Somnowell retainers recommended?Are they safe?

There is a great chance you can get by with a filling on the chipped tooth.&nbsp; There sure are a lot of things to consider, but the key is to check with a dentist and ask about choices.&nbsp; Your area might have a Dental Health Center (a federally funded clinic), a dental school, a dental assisting school, or a high volume, low-cost private clinic.&nbsp; All of these are possibilities for getting a&nbsp;filling&nbsp; to close the gap with low cost.&nbsp;

	You can also call the local dental society - sometimes dentists get together to learn a new technique and need patients to use for teaching cases. Sounds a bit scary, but you will be treated by an expert while others watch and learn.&nbsp;Many people really enjoy being part of the learning cycle.

	Of course, you might choose to use limited funds to get a higher level of care, like a better filling or one of the very exciting new porcelain options.&nbsp; This investment will be higher at first but will last much longer.&nbsp; The best dentists often have payment plans to help your budget while being able to give you high value care.

	By far, the most expensive choice is to do nothing - that chip, if it is decay, will eventually destroy your tooth and you will spend&nbsp;way more money&nbsp;with fewer choices.

	Seek out a dentist soon and get some information so you can make the best choice for you.&nbsp; Best of luck to you.

I Have One Damaged Front Tooth and a Gap in Between my Two Front Teeth Now. How Do I Fix This on a Very Small Budget?

E, this is a complicated question, and your dilemma about getting two opinions is a common one - so don&#39;t feel alone!

	Expansion works great for growing people - so if you were 7, or 9, or 12, this is what most orthodontists would do. Unfortunately, at 23, your jaw just can&#39;t grow like it did back then, so if the teeth are pushed sideways with that expander, they tend to tip sideways - not make your jaw bigger.&nbsp; This will create big troubles later.

	On the other hand, taking teeth out will not help you have that big, wide smile that a lot of people find most attractive.&nbsp;&nbsp;I can&#39;t see your whole face, so I don&#39;t know if this would be a great match for your body shape, but it is for a lot of folks.

	So what to do?&nbsp; There is yet a third alternative, that sounds very invasive but it is actually not so much.&nbsp;The oral surgeon, working closely with your orthodontist, goes under the skin on the roof of your mouth and separates the bone right where it used to grow.&nbsp; Then your jaw can be expanded and the bone fills in the gap.&nbsp; This sounds scary, but patients get through this just fine.&nbsp; With this option, you get to keep all those beautiful teeth and you can have a nice wide smile.&nbsp; There are a lot of details that have to be considered.

	I think you should keep looking until you find an orthodontist willing to discuss this option with you - they will have a surgeon that they are used to working with that can help you get the information you need to make the best choice for you.

I am 23 years old and was told by my ortho thatI would have to wear an expander for 6 mnths but may also have to extract my bicuspids to create space. When I went to 2 other orthos for their opinion they both said that expansion would not work at my age and that it would be best to go straight to extraction. My ortho is completely against extraction on its own because he feel that it will not give me the "best smile." What should I do?

Will Wearing a Bonded Expander at 23 Create Enough Space &amp; Avoid Removal of 4 Bicuspids? (photo)

Sounds like you are unhappy with the appearance of some of your teeth.&nbsp; While it takes little to file down those points; you&#39;ll have to pay the dentist for her/his time.&nbsp; More importantly, how does your whole smile look?&nbsp; If those teeth are not so pointy, will something else stand out?&nbsp;

	Have a conversation with your dentist about everything you notice about your smile.&nbsp; We take a simple photo, print it, and mark out the pointy parts to see what the rest looks like.&nbsp; That helps us preview results. You don&#39;t want to trade one problem for another!

What is the Cost of File Down Vampire Teeth?

You are very fortunate to live in Tucson, because one of the best specialists is also there.&nbsp; Contact Dr. Brien Harvey and ask this question of him.&nbsp; He is a periodontist - specializing in implants, so he knows who all the good dentists are.&nbsp; Good luck!&nbsp; You can trust Dr. Harvey to give you the straight story.

my teeth sre so bad in the front and the horrible dentist i went to wants to put a bridge. i dont want a bridge. i want implants. everyone i know who has a bridge has bad experience. they fall out break etc. i have 2 poorly capped molars that are so painful. i wanna get those implanted. i cant afford to get every tooth fixed with a root conal and cap. might as well get them all implanted. i cant chew with any of my teeth with out being in severe pain.i need work done asap. please help me.

How Can I Find the Right Dentist Here in Tucson? I am Having No Luck.

A wide, beautiful smile is the result of many things, including the width of your upper jaw.&nbsp; An expander is used in adults, but did you know that involves surgery first?&nbsp; Otherwise, the teeth can&#39;t move &#39;sideways&#39;&nbsp;- and if the upper teeth move, they may not match your lower teeth any more.

	So you may benefit, but it requires a careful plan.&nbsp; Another way to make the smile look wider is to have bonding or veneers done on your teeth to change how they appear.

	Your face shape and how much tooth shows with a big grin also controls how wide your smile looks.&nbsp; 
	&nbsp;

	Have a visit with an excellent cosmetic dentist in your town and see what is possible!

My teeth are fairly straight, but I don&#39;t have that amazingly wide smile that I would like. I am in my 30s. Can an adult use a palate expander to broaden a smile or is that something that you either did or did not do when you were younger and now you&#39;re stuck with your narrow smile?

Could a Palate Expander for Adults be used to Broaden Smile?

Always take care of dental infection, cavities, and gum disease first.&nbsp;

	The best tooth appearance improvements come when they are matched nicely to the shape of your face.&nbsp; So if you think there will be significant changes to your face shape, waiting until that is stable will allow your dentist to make sure your new teeth (whatever that means to you) will look like they belong!

	The worst thing is to have pretty teeth that are tapered and round, but your face shape is more square!&nbsp; They might look &#39;fake.&#39;

	&nbsp;

I have been planning having some facial work done...most likely a face lift. I went to the dentist and need to have work done on my teeth and gums. I think I know already but it is better to have the teeth attended to 1st for they are a priority but, also if I had anything done even just fillers of Botox it would be affected by my facial muscles by the jaw and below being bruised and being moved around. Am I right?

What Comes First Dental Work or Facial Work?

Some teeth are best restored with CEREC crowns, to be sure, but there are details of your teeth that the dentist must consider before choosing the right type of restoration.&nbsp; CEREC is not the only choice that will work.&nbsp; If your dentist only thinks of that option, then she/he may be trying to use the cool new technology instead of thinking about what is best for you.&nbsp; I think CEREC can make beautiful restorations that equal the best traditionally lab made crowns, but sometimes, it is necessary to use the lab artist.&nbsp; Front teeth are a great example of when the artists&#39; touch can make all the difference.

What Are 3 Disadvantages of Getting Cerec Crowns?

Steve Carstensen, DDS

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I had delayed replacing a crown for several years until I found a dentist I could trust. I finally found that with Dr. Carstensen and his staff. They did a wonderful job and the procedure was the best dental experience I have ever had (and completely painless)!

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Steve Carstensen, DDS

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