Would extraction be required to fix my protruding teeth? (Photo)

Question

I got braces 6 years ago and got no teeth extracted. Recently i have not worn my retainers which caused my teeth to move. I went to an orthodontist and they told me to fix the protrusion i would need to get 4 teeth extracted. 2 on top and 2 one the bottom. Im worried that would cause me to have a sunken or flat face. Based on my pictures would it be better to get them extracted or is it not?

Ira Shapira, DDS · Answer

Taking out teeth is no longer necessary to treat your problem.  The DNA Appliance can orthopedically grow your maxilla to correct the protrusion.  This is called Epigenetic Orthodontics and the appliance only needs to be worn 12-14 hours/day.There is a debate between expansion and contraction orthodontics.  You potentially create a host of problems with extractions including migraines, chronic daily headaches, TMJ disorders, Sleep Apnea and Snoring.Ira L Shapira DDSDiplomat, American Academy of Pain ManagementDiplomate, American Board of Dental Sleep MedicineRegent & Fellow, International College of CranioMandibular OrthopedicsBoard Eligible, American Academy of CranioFacial PainChair, American Alliance of TMD Organizations ThinkBetterLife.com

Jennifer S. Stachel, DMD · Answer

Dear jisuk,Thank you for posting your question on Real Self. I will do my best to answer your question with the information provided.It appears that removing the four teeth would be the best option if your chief concern is protruding teeth.  It does not appear that your face would flatten if you choose this treatment option.  Another option is that you could do some reshaping of your teeth to make them slightly smaller and gain some retraction with that option.  It would not be as effective as extractions.  I recommend getting a second opinion from another orthodontist in your area if you are unsure.  It is difficult to make a true recommendation with only photos.I hope that this helps and good luck.Best,Dr. Jenn

Would extraction be required to fix my protruding teeth? (Photo)

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Would extraction be required to fix my protruding teeth? (Photo)

Answers (2)

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Everything you need to know about Braces

Our mission is to create a world where every investment in modern beauty is Worth It.