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The upper jaw can be expanded with braces during the period that the face is still growing. After the mid-teens, attempts to expand with braces will probably result only in tooth movement, not change in the underlying jaw structure. With minor problems of jaw narrowness, this might be sufficient to achieve a satisfactory outcome. In more severe problems, such tooth movement might cause future bone and gum recession arounfd the back teeth. There have been major advancements in orthodontic and facial surgical techniques in recent years. Rely on your orthodontist and the surgeon with whom he or she collaborates to arrive at a plan that will work best for your particular set of circumstances.
If your orthodontist told you that surgery was needed, I'm sure its accurate. In an adult, you cannot successfully widen the upper jaw without surgery or you are likely to cause gum tissue and bone problems. With that said, it is possible to accept a compromise in your result and simply line up the teeth without surgery and leave your upper jaw narrow. Thus, your bite will NOT be corrected. While this is not the favored and best option, it is still an option. From my perspective, why would I make someone live their whole life with crooked teeth just because they didn't want surgery. Educate yourself, I'm sure surgery is the BEST option, but then discuss compromises.
If a dentist or orthodontist said surgery is the only way, then perhaps. If you heard from a friend that surgery would be needed, you may find that there are other options. Expanding the arches may be possible and should be explored. Another option my be simply compromised care. Meaning, braces without surgery may yield an acceptable result, but not quite as good as the surgery route. If you are OK with "better" and not "perfect", then you may be happy with alternatives.
The wire will definitely need to be removed prior to the impression, however, if you can have the brackets removed in the morning, for your dentist to get his impression, and have the brackets rebonded the same day that will be fine. Removing the brackets on the adjacent teeth will only help...
Correction of the crowded teeth you describe may be done with either conventional braces or with the Invisalign system of clear, removable aligners. It is important to understand that teeth that are overlapped like this will continue to move further out of position. In many cases the...
Hello and thank you for your question. Sometimes there is no choice but to remove 2 teeth on the top due to limited space. In most cases though you have 2 choices. Either to remove teeth to gain space OR move the upper teeth back. I prefer a second option. It obviously avoids pulling teeth an...