The problem is not big teeth, the real problem is an undersized Maxilla (upper jaw) that is too small for your teeth. You have a very narrow arch that crowds your teeth forward.The best treatment would have been to expand your mouth prior to eight years of age. As an adult there are a few choices available. The first decision is between Expansion and Contraction Orthodontics/ Orthopedics.THIS IS A CRITICALLY IMPORTANT DECISION.#contractionvsextractionorthodontics, #DNAAppliance, #EpigeneticOrthodonticsCONTRACTION ORTHODONTICS would entail removing four teeth and retracting other teeth. I would not reccommend this course of treatmentThe alternative is EXPANSION ORTHODONTICS/ ORTHOPEDICSThere are two methods;1.The DNA Appliance and Epigenetic Orthodontics/ orthopedics2. Rapid Maxillary (palatal) Expansion with a Surgical Assist or SARPEThe decision between expansion and contraction is critical. Problems with contraction orthodontics include:TMJ disorders including locking, clicking and popping.snoringsleep apneamigraineschronic daily headachesfacial painoccipital headachespostural issuesSinus painsunken look to facecrowded tongue /deviate swallowThe mRNA version of the DNA appliance is FDA approved for treating Sleep Apnea and Snoring and there are a number of published case studies showing that they can cure patients with sleep apnea by growing the jaws orthopedically and the airway pneumopedically. There are no large prospective studies published as of this date but they are in progress.If you are already having these problems Expansion Orthodontics/orthopedics may relieve or eliminate symptoms.The DNA Appliance is worn 12-14 hours/day and gradually and virtually painlessly grows your bone orthopedically and allows teeth to position ideally.The SARPE procedure consists of cutting the upper jaw loose from mxilla (partially) and splitting the upper jaw on the midline. This is done in conjunction with an expansion screw usually cemented or bonded to your teeth. This is the followed by orthodontic treatment. Both are excellent procedures. The DNA is far less expensive than the cost of SARPE plus ortho and entails more pain.The DNA Appliance is amazing in orthopedic growth and most tooth positioning but may require invisalign or other method of finishing for final tooth positioning. This is not typical but some times required.The DNA Applince therapy requires visits every 2-3 months after first month and is ideal for long distance patients such as college students. It was develped by Dr David Singh based on his work with the NIH (National Institute of Health)Ira L Shapira DDSCertified DNA ProviderDiplomate, American Board of Dental Sleep MedicineDiplomat, American Academy of Pain ManagementRegent and Fellow, International College of CranioMandibular OrthopedicsChair, American Alliance of TMD Organizations
