Teeth pushed too far back - how to reverse this?

Question

How can I reverse this and how long will it take?? I had 4 teeth extractions now it's effected my appearance I'm willing to do anything to look like I did before would I have to open up the spaces and get implants

Ira Shapira, DDS · Answer

Extraction Orthodontics after bicuspid extraction can create TMJ disorders, smaller airways, snoring, sleep apnea, swallowing issues and give your face a sunken look.  I have no pictures to view but typically my first choice is to utilize Epigenetic Orthodontics/ Orthopedics with the DNA Appliance to three dimensionally grow the maxilla (and/or mandible) and to pneumopedically grow a larger airway.  
It is also possible to utilize an ALF or Crozat Appliance but generally speaking the DNA is the most effective functional appliance.Oral Myofunctional exercises can also be helpful.Ira L Shapira DDS, D,ABDSM, D,AAPM, FICCMOPast Chair, Alliance of TMD OrganizationsDiplomat, American Academy of Pain ManagementDiplomat, American Board of Dental Sleep MedicineRegent & Fellow, International College of CranioMandibular OrthopedicsBoard Eligible, American Academy of CranioFacial PainDental Section Editor, Sleep & Health Journal
Member, American Equilibration SocietyMember, Academy of Applied Myofunctional Sciences

Brad Lockhart, DDS · Answer

One of the major problems with bicuspid extraction orthodontics (and there are numerous others) is that almost always by extracting bicuspid teeth you end up with more space than you need to straighten the crooked teeth. In order to close all the excess space you have to pull back front teeth and tip both front and back teeth. This causes the face to be long and narrow, the smile to be narrow, the lips to be small, the wrinkles in your face to be accentuated, the facial profile to look like an arrowhead and potentially leads to TMJ Dysfunction and sleep breathing disorders.Many of the adverse effects of bicuspid extraction orthodontics can be reversed by undoing the treatment that was done and then doing it using arch development techniques. When a person's teeth are crooked and there is insufficient room to straighten them there is only three ways to create the needed space: 1. extract teeth, 2. slenderize teeth, or 3. make the dental arches bigger. My personal preference is in reverse order of the above list. Unfortunately, many doctors believe that arch development is not possible in adults so they believe they only have option #1 and #2. We develop arches in adults every single day with beautiful, stable results and so do thousands of other doctors around the world.In your case, you can reverse many of the adverse effects of your treatment. I will tell you that it is exceedingly difficult to reverse the effects sufficiently to create enough space to place implants where the teeth were extracted; not impossible, just exceedingly difficult. However, any reversal of what you have currently would be a vast improvement both aesthetically and medically.Good luck!

Kourosh Maddahi, DDS · Answer

Hi:I am afraid without photo and X-rays I can not give you accurate advice. Please post the photos as soon as you can.Best,Dr. Maddahi

Teeth pushed too far back - how to reverse this?

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Teeth pushed too far back - how to reverse this?

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