Extraction of premolar or making them thin will make any problem in case of braces? (photos)
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Doctor Answers 1
Orthodontics vs Orthopedics: The DNA Appliance would be excellent in your case.
You have a narrow maxilla from your photo which supports the muscles and tissues of your face. I would suggest a consult on orthopedic expansion of the maxilla, DNA Appliance would be my first choice.
Extraction can increase risks for TMJ disorders, headaches, migraines, sleep apnea and snoring.
When you have an underdeveloped maxilla that can be orthopedically grown either with the DNA Appliance and Epigenetic Orthodontics/Orthopedics or with a SARPE procedure.
Creating a more physiologic airway gives the best and healthiest results.
Ira L Shapira DDS, D,ABDSM, D,AAPM, FICCMO
Chair, Alliance of TMD Organizations
Diplomat, American Academy of Pain Management
Diplomat, American Board of Dental Sleep Medicine
Regent & Fellow, International College of CranioMandibular Orthopedics
Board Eligible, American Academy of CranioFacial Pain
Dental Section Editor, Sleep & Health JournalMember, American Equilibration Society
Member, Academy of Applied Myofunctional Sciences
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.