Facial changes after braces (Photo)
Doctor Answers 2
Thank you for your question and photos! First, congrats on finishing treatment and your new smile! It looks like your finished result is excellent from the photo.
Premolar extractions like you had are relatively common in orthodontics. Orthodontists have been recommending extractions for 75 years to improve the alignment and relationship of the teeth. Peer-reviewed research has confirmed the benefit and low risk to premolar extractions with an orthodontic specialist. It's impossible to say without full initial records, but based on the photo you've provided it does look like you started out with some severe crowding of the upper teeth. Most orthodontists would recommend extractions in this situation.
When severely crowded teeth are aligned without extractions teeth can be pushed out of the bone. When this type of movement occurs you're at a greater risk for periodontal problems like recession which can weaken the tooth. To align the front teeth and keep them in bone, extractions of posterior teeth (like premolars) are occasionally recommended.
Please discuss any questions about your treatment or results with your orthodontist and I'm sure you'll be pleased with any additional options available.
Facial Changes After Bicuspid Extraction Orthodontics
What can you do now that you have had this type of treatment? There are some things you can do to "undo" your treatment but they are not as simple as "filler" or veneers. You basically have to undo the treatment that caused the problems you are noticing. This can be done with a simple, comfortable, removable dental appliance. Unfortunately, there is no quick fix but you will be much happier with the results. Look for a doctor who understands the relationship between orthodontic treatment and facial aesthetics and TMJ/airway health. Find a doctor who understands epigenetic orthodontics. The solutions are not simple but are certainly worth your effort.