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Premolar extraction - what should I do next after having 2 of 4 removed & face has shrunk on that side? (Photo)

Jai2002Mar 9, 2023
I was advised by my orthodontist to have 4 premolars extracted and I had 2 on the right side extracted last month and I can feel my face has shrunk on that side, I am also concerned about the long term issues of retracting teeth as it will lead to reduced tongue space and a narrow airway, please help me with any suggestions on what I should do next, I am from Chennai, India.

Answers (1)

From board-certified doctors and trusted medical professionals
Dr. Nirav Patel, MDS, PhD
Dentist
Answered on Jul 12, 2025
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Nirav Patel, MDS, PhD

Your bite is perfect. The result is really good. Give a few months [2 to 3 months] to settle the bite. After that review, and if any issues contact your orthodontist. The bite will settle during the retainer phase.

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Nirav Patel, MDS, PhD

By seeing your photos, I feel you have dental class one but skeletal class three. So it's my advice to visit the orthodontist. Cephalometric analysis is a must in such cases to understand the perfect scenario. I feel you have skeletal excess.

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Meredith Gantos, DDS, MAGD, MaCSD

Assuming your teeth are cavity free, gums are healthy, and you have appropriate root lengths… Ideal treatment would involve:1. Clear aligners to level and align all teeth, expand the arch form to fill in some of the negative space on the sides, and create equal spacing around the peg...

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