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What are the chances in the longterm of premature aging and facial sagging after premolar extractions? (photos)

eliza.pera2
This is an adult braces experience that is being addressed. He is recommending four more extractions as the only other option to reduce the overjet and the overall aesthetic outcome of the treatment. My wisdom teeth were extracted six years ago and I waited three years after the extractions to get orthodontic treatment.

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Dr. Ira Shapira, DDS
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