Hello, My smile, or the look of my smile looks small and oval shapped, it's a bit difficult for me to smile, I mean it feels like I need to stretch my face harder in order to smile and show teeth. I've attached an image of me smiling, this is the maximum I can do to show as much teeth as possible. Something wrong with it, it's not wide and looks weird. I've attached another image of a smile from the internet that looks more relaxed which is something I can't do myself.
2 photos
Answers (3)
From board-certified doctors and trusted medical professionals
Premolar extractions are must to create room to retract anterior teeth. as you are asking for upper premolars, but by seeing your photos , i feel you have shallow mento -labial sulcus with proclined lower teeth indicating lower extraction. also i feel you have class3 tendency. so its my advice ...
VME, vertical maxillary growth, is a skeletal issue. Usually maxilla pushes the lower jaw down as well causing a weak profile. Orthognathic (jaw surgery) is necessary to correct the issue.
If you are not interested in surgery, the best thing to do would be to visit with a Prosthodontist that specializes in cosmetic dentistry to see what your options are.
