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Much of my dental practice is involved in undoing the ill effects of bicuspid extraction orthodontics. YES, when you extract bicuspids before doing braces you will OFTEN adversely change the appearance of the patient's face. Taking bicuspids out to relieve dental crowding will make the patient's face longer and more narrow. It will make lips smaller and a smile more narrow. It will often trap the lower jaw in a retruded position thus adversely affecting the TMJ and patient's airway. In short, extracting bicuspids to relieve dental crowding is RARELY the best course of treatment. I always recommend a patient get multiple opinions before ever agreeing to extract bicuspid teeth before braces. Today's modern orthodontic techniques give far better results from both an aesthetic as well as functional basis. Undoing the ill effects (aesthetic and medical) of bicuspid extraction orthodontic treatment is time consuming and expensive. It would be far better to use better techniques from the start rather than having to undo and redo.Good luck!
Retainers are necessary to keep your teeth in good alignments. Failure to wear retainers will result in your teeth moving!Typically the cost of a retainer is not very expensive, and often very affordable. Insurances typically don't cover the cost of a retainer anyways. I would call your previous...
Your upper lateral incisors do have excessive gum tissue over them, preventing the normal crown length of those teeth from showing. It is most likely that this tissue will not recede to the proper level. You will most likely need some gum tissue trimming after your...
HelloThanks for your question. In very specific cases it is possible to remove the braces in one of the jaws before the other. However we would like to keep both until the end because we need to coordinate both upper and lower arches for a great fit. Also it is important because we wear elastics...
