Should I get my 2nd upper premolars on each side removed? (Photo)
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Doctor Answers 2
Should I Extract Two Upper Bicuspids?
Rounding out your upper dental arch and opening your bite will help resolve your TMJ issues. If your lower jaw is more comfortable in a forward position then let the lower jaw come forward. In order to do that you would NEVER extract bicuspids and retract upper incisors because that would push the lower jaw back even further. Let the lower jaw come forward by getting the upper incisors out of the way by straightening them.
Your case is pretty straight forward but make sure the treating doctor understands the relationship between tooth movement and TMJ/airway health as well as facial aesthetics. Who cares if your teeth are straight if your TMJ/airway are unhealthy and your face is less attractive.
Pulling upper teeth can lead to problems
In most cases when teeth are removed the orthodontic treatment must involve retracting teeth to close the space created. Since the lower teeth sit inside the upper teeth, this can have the effect of making the lower jaw move back further to fit in.
For you who has TMJ issues already this could be very problematic.
Seek an orthodontist or general dentist who know how to expand the dental arch to create room for your jaw to move where it will be more comfortable, down and forward.
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.