My lower teeth are not centrally aligned, they're shifted to right and are quite overcrowded with the canines partially overlapping the lateral incisors. My orthodontist recommended that I remove my bottom left premolar to address this (removing two may create too many gaps). It makes sense to remove one premolar to shift my teeth so they are more centrally aligned, but I'm worried if removing one premolar and not the one on the other side will cause symmetrical issues with the profile and jaw?
Answers (2)
From board-certified doctors and trusted medical professionals
All a functional appliance will do when used by an adult is move teeth...no bone changes...If you had such a large overjet after braces I'm guessing that you have a very severe skeletal problem.
There is a limit to how far you can move the teeth to compensate for a poor bone pattern.....
I can see why you are reaching out to have your question answered. It sounds like your second opinion orthodontist did not mention the need for surgery, but the partner of your old orthodontist did? My recommendation is to contact these doctors again, to have them clarify their opinion. They...
Hi there
It is not impossible but hard to maintain good bond of braces to porcelain. Also, it is difficult to judge how much of the natural tooth structure was removed to place these veneers. But it is certainly not a unique problem and we deal with this often. It would be best to perhaps...
