Will Invisalign correct my overjet? With IPR vs. extractions? (Photos)

Question

I have had braces a long time ago, however my top teeth still slightly protrude out. I was told previously that I would need extractions if I wanted my teeth perfect. Would it be possible to straighten this angle protrusion through IPR and Invisalign? Really would like to avoid a 4 tooth extraction. Also, how long would treatment time normally look like for this type of case? My teeth are and bite feel good but the angling of my teeth have always bothered me. Thanks

Ira Shapira, DDS · Answer

Consider correcting underlying problem of Small Maxilla by using the DNA Appliance and Epigenetic Orthopedics to grow your upper (and/or lower)  jaw orthopedically creating a wide "U"  shaped arch.
The Appliance grows the bone making room for all the teeth in larger arch.Extractions can cause headaches, migraines and TMJ disorders in some patients.

John McDonald, DMD · Answer

Your smile would look more balanced (with your lips and face) if your upper and lower front teeth could be moved back and tipped so they are not so protrusive.  I would guess that you need 3-4mm of space to get your teeth to a more ideal position.  IPR can not give you enough space so that leaves two ways to create enough space to achieve this result.1) Removal of 4 premolars (probably 2nd premolars) to allow the front teeth to move back just enough and the extra space would be closed by bringing the back teeth forward.  This is mechanically the simplest  option.2) Use TAD's (Temporary Anchorage Devices) to create a solid anchor point so that ALL of your teeth could be moved backwards to get your front teeth into the proper position.  This is more complicated but is an option if you insist on not having teeth out.   Both treatments would take the same amount of time.  Invisalign is not a good choice for either treatment.You have beautiful teeth and excellent skeletal (your maxilla is nice and wide and fits well with your lower jaw) and soft tissue features.  Getting those teeth to the right place would give you an amazing smile and would be well worth the time and expense.  PS Any kind of expansion to create space is not a good option.  Expansion type treatments always move the front teeth forward, the wrong direction for you.  Also, know that as an adult it is impossible to "grow" your jaws.  All changes in adults happen from tooth movement only.  Also, beware of phony, meaningless terms like "epigenetics" which have not definition in orthodontics or dentistry.Find an experienced, Board certified orthodontic specialist to get the best result.

Will Invisalign correct my overjet? With IPR vs. extractions? (Photos)

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Will Invisalign correct my overjet? With IPR vs. extractions? (Photos)

Answers (2)

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