My profile is horrible. I constantly feel a tension around my jaw because I can't close my mouth without forcing it. People always say I'm upset by look while I'm not, it's just my mouth. I have crowded and crooked teeth. I consulted with three orthodontists and they do not suggest extraction, most do not care my profile problem. One ortho's plan is Invisalign distalization to not make my profile fuller but says my lip incompetence will not change for better. How about TAD with non-extraction?
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Answers (2)
From board-certified doctors and trusted medical professionals
Hi
All humans are not built the same and often an orthodontist needs to do something out of the box to get the desired result. If done correctly, removing one premolar will cause no issues with bite/symmetry/profile.
Vijay Bhagia, Space Center Orthodontics, Houston TX.
All a functional appliance will do when used by an adult is move teeth...no bone changes...If you had such a large overjet after braces I'm guessing that you have a very severe skeletal problem.
There is a limit to how far you can move the teeth to compensate for a poor bone pattern.....
I can see why you are reaching out to have your question answered. It sounds like your second opinion orthodontist did not mention the need for surgery, but the partner of your old orthodontist did? My recommendation is to contact these doctors again, to have them clarify their opinion. They...