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Is It necessary to extract four bicuspids to reduce protruding teeth and lip incompetence?

echo123Jan 22, 2015
I am 24 and have an open bite, lip incompetence, and protruding top and lower teeth. I am currently on braces and was informed I would need to extract 4 bicuspids before jaw surgery.

Answers (2)

From board-certified doctors and trusted medical professionals
Dr. Majid Jamali, DMD
Board Certified Oral & Maxillofacial Surgeon
Answered on Jan 24, 2015
Answer
Dr. Gerald Wittenberg, MSc, DMD (retired)
Certified Oral & Maxillofacial Surgeon
Answered on Jan 26, 2015
Answer

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Manolis Manolakakis, DMD, FACS

Alex,Without photos it is difficult to make a diagnosis as to what exactly is occurring. Yes jaw surgery is possible to improve the appearance or visibility of your anterior teeth. If your teeth and facial symmetry are normal it is very difficult to have only a one jaw surgery. Once the upper...

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Majid Jamali, DMD

This is best answered by your surgeon. It depends on the type and extend of the surgery. Usually, I would like my patients to stay in town for one month. 

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Gerald Wittenberg, MSc, DMD (retired)

The two ways to alter the midline include a dental extraction on the opposite side associated with orthodontics: which also has to be analyzed vwith your present bite. OR the maxilla can be surgically rotated to line up properly, but this is also associated with braces to ensure the bite is correct.

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