Should You Extract Teeth For Orthodontic Treatment?
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- เผยแพร่เมื่อ 15 ก.ย. 2024
- In this edition of the Friday Focus Dr. O El-Hillal discusses whether you should remove teeth for orthodontic treatment. This is something that Dr. O El-Hillal and E&S Orthodontics are very passionate about. You'll see in this video a case study of two twins, one who had extractions, and one who didn't. See the amazing difference.
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Disclaimer: this video is intended for reference and educational purposes only. It is not medical, dental, or orthodontic advice, and viewing this video does not create any kind of doctor-patient relationship. The creator of this video disclaims any and all liability for any reliance on the content of this video for personal medical, dental, orthodontic purposes. If you have a medical, dental, or orthodontic problem, contact a licensed medical, dental, or orthodontic professional in your area. If you have a medical emergency, dial 911. Any replies to comments left on this video by the video creator do not constitute medical, dental, or orthodontic advice.
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9 months ago I was told to extract two upper teeth and it was one of the worst decisions in my life. It caused my face to look sunk in, have no support, my upper lip disappeared and my nose looked bigger.
Today I had a consultation with another specialist orthodontist and I was told extractions was not necessary.
Worst mistake of my life getting extractions but I’m so happy I found a good specialist orthodontist to help fix this damage.
moni vez I’m sorry that happened to you, how did the specialist ortho fixed the problem?
You had protrouding overbite or only crowding
So is braces also affect your jawline? Or is it just the extraction that can affect this?
Did you have overcrowding? I also have to get 2 removed on top I’m not sure if I should do it
@@rune4563 did you end up doing? I have to get 4 teeth extracted and I am also not sure so was asking if you did it what problem did it caused?
I’m so glad that I did my research! I went to one dentist and he immediately wanted to pull out all 4 premolars of my daughter, one never came in. I ended up finding you guys after calling about 10 orthodontist who didn’t take our insurance. My daughter started her treatment with you guys and will only need to get the 1 premolar out that never came in because it has no root. I am so glad I did my research because I was so against pulling any teeth out! She didn’t even have any crowding, she has gaps in all her teeth. I showed her this video and she told me “good job mom” for not letting the first orthodontist pull that many teeth out. I guess points for me.
How old is your daughter? Does she had underbite or crossbite?
I have similar problem and don’t know what to do. Go with an ortho that plans to pull out 2 teeth for my son, if not need surgery or try another one that said will try not to depending on progress. He has underbite and he’s on 11.5 years old
Same! Luckily I'm aware of this problem.
@@jennyd5728 i got an underbite and got 2 teeths extracted out what do you think about it i'm so worried
I'm so confused as to how some parents do all this research for their kids to avoid pulling teeth, but others don't. Why didn't my parents do any research??
@@gabriellameattray9778 my parents didn't do it in my older sister's case either because it's common to have teeth pulled out for braces and our relatives have done it too so it didn't seem anything outta ordinary.
It's not about "looking beautiful" - if you've had extractions and retractive orthdontics, that beautiful smile will fade quickly and it will show in your face and body. It's about the function of the jaws, the consideration of the airways, having adequate tongue space in order to function, rest, swallow.... The list goes on. That's exactly what the majority of orthodontists are, teeth beauticians - it's a beauty therapy which will affect your health. If they have a straight set of teeth, their job is done. They just aren't trained to look at WHERE those teeth are positioned in relation to the structures of the skull, spine, airways, tongue.... It's absolutely insane - it's like going to get your nails done at a beauticians, and them chopping a finger off because society says they "look better" that way, regardless if your hand can function properly or not.
Chinese foot binding still happens to this day, that is also wrong. Just because orthodontists still extract teeth for braces now - DOESN'T MAKE IT RIGHT.
I think extractions then jaw surgery is good for the with recessed face and protrusion
@@jawsurgery8894 Well, you're wrong, but if you want to do that to yourself and ruin your health then that's your perogative.
@@theboyjames3065 tell me how what o said ruins your health, yep u can’t
@@jawsurgery8894 Have you not ready previous response? Extractions of premolars and retraction of the arches into the spaces results in neck pain, impingement on breathing, lack of tongue space resulting in sleep apnoea, cognitive impairment... The list goes on. It is unnatural to extract healthy tissue from the body. It is normal to have a full set of fully functioning teeth and jaws. Extraction does not address this. Do not be immature with your responses to me. This is not something to take lightly.
@@theboyjames3065 u r being immature because you did not read my comment fully. I said extractions plus jaw advancement surgery. Not bad for your health. Extractions will fix maxillary protrusion then jaw surgery advance both jaws and open air way give room for tongue etc. trust me I already thought about all the points you made. None of the them are true for extractions plus jaw surgery
I'm really worried about my face and my lips changing, my orthodontist told me I needed to have 4 teeth removed , I don't want to :(
have you asked why they are recommending extracting teeth? Are there any other options available to you?
E&S Orthodontics yes , he said there was another option , I just forgot the name of it , but he said that extracting teeth would make my bite better than the other option , honestly I don't want to extract any teeth.
I would pursue any options that allow you to avoid extractions. Have you had a second opinion? If you send me your profile photos to dro@esorthodontics.com ill take a look at your case.
E&S Orthodontics i'll try to get ahold of my photos, do you think you'll be able to get me a second opinion also?
happy to give you a second opinion, just send over the photos
I had 4 premolar tooth extracted for orthodontic treatment and yes! My mouth appeared sunken in and my lips appears smaller.. this is irreversible guys so PLEASSSEEEEE do yourself a favour and ask for less extraction as possible! Do your homework before extraction..
I’ve had braces for for 5 months and before getting them I went to 4 doctors to hear their opinion and prices. Only one doctor told me I had to get one bottom front tooth extracted. That scared me so much and I asked around more and other doctors told me that was unnecessary. I suggest before getting your braces to go out and ask different doctors.
It is always advisable to get multiple opinions so you can choose the one that you believe suits you best.
Its literally just 1 tooth lol
@@af-pqueen4287 yeah seriously I am getting 4 teeth removed lol
@@ESOrthodontics Extractions never help. It masks the patient's problems and makes an already bad situation worse.
@@af-pqueen4287 It's not "just" one tooth, it affects the entire body - posture, spine... All the way down to the feet. Orthodontists simply aren't trained to think outside of the mouth and consider this in relation to the entire body's system..
This guy saved my side profile. My profile looks just like the twin from the right and my orthodontist told me I needed extractions. I also have a little of a big nose so I was so hesitant about it. I think I will look up another orthodontist.
There are way too many comments on YT about orthodontists telling patients to remove 4 premolars. I just got braces a few days ago and he told I should take them out and i have 6 months to decide. I am glad Ive seen this video and read these comments. I will most definitely not be pulling out those teeth.
i extracted my teeth cause its only way to reduce crowding and overjet, i had done some researches on pubmed, the results shows no changes in profile for extraction, these people like in this video want to be popular and sell their products
@@ilyasawawdih9232 Hi, I've also suggested to extract my 4 teeth but I don't want to coz of these comments. How is your experience & should I do it or not ?
This is extremely refreshing. I currently have an open-bite and my orthodontist 🦷 recommended that I have 4 extractions. I really don’t want to have my teeth removed.
Definitely get a second opinion! I also have an open bite. The first orthodontist I went to told me my best option was to have 4 teeth extracted and that if I didn’t, my bite would relapse. The second orthodontist I went to was shocked that tooth extraction was even recommended to me. She’s going to fix my open bite with braces and bands.
@@jessyt5943 thanks a lot you’re a big life saver.
DON'T DO IT.
@@jessyt5943 my first ortho didnt wanna remove my teeth I had over crowding and an over bite and when she put the braces on this caused my teeth to push forward and created an open bite and protrusion so now I have to get braces again and 4 teeth removed
I had 4 of mine removed .. mine was overcrowded now CANT wait to see results I needed space so it can aligned my whole mouth
You just sold me not to remove my precious 4tooth 👏🏻 thank you Doctor 👨⚕️
Great! What did you end up doing.
How is your teeth now? Please answer my orthodontic also want to extract my 4 premolar teeth 😭
I am 28. My upper incisors are slightly in a protruded position. My confidence to smile has always been an issue because of this. Recently I also felt like my face is becoming longer. I consulted an ortho and he instantly advised me to extract 4 premolars. He explained stuffs like my side profile issue and straight line alignment of face etc. But still, I was reluctant to remove my perfectly healthy teeth. I later went to another orthodontist and he did a scan of my mouth, cbct. He told teeth extraction is not required now, instead what I require is MSE expander as the upper palate of my mouth is smaller while compared to the lower one. That's probably the cause for my face getting slightly longer and also the reason for my mouth breathing. The orthodontist also told that after the removal of MSE, I will be given braces to fill up the space. If teeth extraction is still required, it could be considered way after that.
Maybe it's just me, but the twin who had the extractions always looked older.
Just to share my own experience. I had four teeth extracted and traditional braces installed eight years ago . I underwent this procedure of pulling teeth backwards after extractions because the ortho explained the results would be best for my Protrusion. After five months of retraction, I suddenly hit a point where my jaws clicked, I felt foggy, my whole body ached and I cannot fully enter a restful body mode. I almost cant sleep with all the pains. It was chronic and nonstop. I had the braces removed immediately and though no one will believe me, I was all over my thoughts that it was due to the extraction and retraction that was done in my mouth. Although it was a relief that the spaces were not fully closed (my left extraction spaces almost halfway from closing), it was eight years of chronic pains that never went away fully. Aside from the elongation and flattening of my face (as per my observations), the chronic pains were the biggest toll for me. The first year after removal was the worst because I lost my ability to enter full sleep (even after drinking sleeping pills). I just prayed at night. Whenever I sit and stand, there is heaviness in my shoulder blades that is irritating and exhausting. I am always gasping for breath. I had my self checked by various doctors including a cardiologist just to hear I am perfectly fine when I am NOT really. Fortunately for me, the symptoms waned slowly over those 8 years with the help of massage and bone realignment (so your teeth is not JUST TEETH as my previous ortho pointed out. Your teeth may go a long way beyond just eating and smiling and I brag that it goes to prove the biggest link between beauty, the scientific measure of beauty if there really is, and your health/well-being). I was really thankful I believed in my guts to have it removed (though I really resented the damage I have done to myself with having consented to the "treatment"). The Biggest lesson in this is, BE CAREFUL. We have to evaluate carefully what we want done to our bodies especially when it comes to having ourselves possibly mutilated in the process. Some of our body parts never grow back and our lives, however it may seem pitiful to our own eyes or to the "better judgement" of others, is a responsibility we hold for our creator. In retrospect, I really am not sure if extractions were ever necessary since I am not yet a dental professional. However, If it ever will be, I am 100 percent sure it must take a lot of evaluation and planning before having it done to any living being. Personally, I want to avoid this things looking back because in my case, it really disrupted my dentition and caused full-on TMJ problems. Now, I am hopeful to have my dentition fully restored by a carefully chosen ortho/dentist. I made sure I agree and understand the plan (and guys, I have a messed up dentition now including a problem with my jaw joint and my neck spine. I cannot conclude that it was all due to what happened to me way back 8y ago, but well, I may not find the other reasons for my military neck in the xrays) and it required reopening my extraction spaces to accomodate teeth replacements as well in order to allow a proper TMJ disorder-free bite/occlusion. I am just a month in this treatment and am happy that I feel really positive both physically and mentally that I am in the right direction (I am in self ligating/damon braces by the way). The differences of my previous treatment and my treatment now is great. People around the net will say different things about these braces but as always, do your own research and never compromise on your well-being.
Sound slike bullshit
I am so sorry you went through this. Thank you for sharing your story as a precautionary tale for others.
@@CK-1000 Thank you for the appreciation. I feel compelled to share this personal circumstances. It must not be in vain after all. I am better now. Thank God.
thank u so much for sharing your experience, this helps a lot
@@Rice413 Thank you for the trust in sharing your own experiences in this post. Before anything else, I would like to clarify that I am not a dental professional in any aspect. However, I do sympathize deeply with your concerns. If I may give my advice, do think it through before having any other teeth extracted for any cause. I have this idea gained from jaw hacks that any sort of extractions are amputations because in theory, God put all your body parts for a reason (I suppose?). In my case, It took me 8y from my extraction-retraction ortho to find another ortho which I am comfortable with the treatment plan. In my case, the key concepts I really looked for in my new ortho was TMJ ortho, no retractions,no extractions, with CBCT or full Xray analysis prior to any treatment proposals (If your ortho is just eyeballing your case, I suggest runaway especially if they boldly suggest additional extractions). Remember, our teeth does not grow back. They are also vital structures which means that the treatment must be gentle enough. As for your facial and bone structures, that is the biggest reason you must be careful. If the ortho does not show considerable knowledge in your jaws (not just your teeth alignment ok), I suggest you pass. Your age is also important since modifications in bone structures are no longer possible in theory when growth ends. However, there may still be reason for hope if you find the right ortho or professional. In my case, I was really lucky that the same ortho that I am having now also exprienced the bad effects of extraction-retractions. She is able to understand me and my case. Just do more asking and comparing before having anything done. If you have doubts, clear it first. Forget about easthetics. It will come if you have the right treatment. Focus on what the next ortho can do to your jaws and your airway. If, the doctor will do an assesment of your airway during your CBCT (without you asking especially) I really think this is a major plus that you are in the right hands. In europe and the US this is more avaible. Above anything else, ask God for guidance and provision. Ill pray for your healing. Good luck.
In the profile view, the girl on left is smiling a bit. And that makes the profile look a bit sunken too. So not a good comparison pic.
The research on this says there is not much difference.
I would disagree with your comment here. In our personal experience, practicing here in Phoenix for 15 years, there is certainly a difference between extraction and non-extraction treatment.
You don't know what you're talking about do you
I had all wisdom teeth extracted plus 4 bicuspids for braces, I only have 24 teeth now. I have jaw tension, my face changed for the worst, I feel like I want to bite a lot wider than I am able because my arches we also narrowed. I should have had a palate expanded but was not given one during the whole process of moving my teeth.
I used to be able to smile very wide and now my mouth is constricted and pursed.
What can be done?
Both for the aesthetics and structural support so everything will be in good shape for years to come?
Do I need to get spaces reopened and implants?
Etc?
This is very draining.
I have already had other things happen to me that have decreased my quality of life and as far as this goes-i was just an uninformed child
with uninformed parents. I wish I had control over the situation, I would have done things so much differently.
SAME!! I have 25 adult teeth now and my face has been sunken in since I got them extracted. My smile looks sheepish and not confident like it did before. I only recently figured out why! I hope you get a response...I'm considering seeing a new orthodontist and consulting about 1) if there's a way to bring my maxilla forward (my original orthodontist moved it back to fix the overbite), 2) widening the arch 3) implanting teeth.
I’m in the exact same situation. Had eight teeth extracted and now I only have 24. My arch is way too narrow and my facial muscles are atrophying due to the lack of support. My jaw and chin is also resorbing. I’m going to get a consultation with another orthodontist before my face gets even worse.
@@nataliec1246 please let me know if u found a solution / what is goin on to fix it, im in the same situation and would like to find solutions
I'm glad I stumbled on this. I didn't think about the cosmetic aspect. That removal of my k9's would basically do the same if not more exaggerated. Thank you for the education sir. God Bless.
look up the medical reasons for which a person should literally NEVER get canine teeth removed. they are utterly important, structurally. canines are NEVER taken out. premolars maybe (although its becoming increasingly evident that it is a damaging practice and even though it is currently the standard practice, a lot of offices are moving away from any extractions of permanent teeth)
I can't thank you enough for this video! I was on the verge of getting 4 teeth extracted before braces. You saved me a big mistake.
I'm gonna trim instead of extraction 🥲 feeling happy and sad at same time
@@copycat9593 getting healthy teeth extracted is just insane to me now. I'll go for trimming now. All the best to you!
@@copycat9593 keep your healthy teeth in your mouth!!!
The fact that I'm too late watching tgis video i had my 2 premolars on the top taken out and I really regret in pain but I agave no choice now its done
Me too, bro. I feel your pain
How are you know? Are there any side effects?
My son has a class II prognathic maxilla, severely proclaimed mandibular incisor, mentalist strained, facial convexity convex, lip protrusive forward (little bit). However from the naked eye, his alignment is not too abnormal. He was recommended 4 tooth removal. Is that too excessive? Please share any thoughts. Thank you in advance!
I have large forward lips, with lip incompetence. I had 4 extradimos. I hope change my face for the better
Hi,I too have same problem,did it change your face?
@@suvarnavarshaabhaskharan2190 hello, so I had my teeth extracted since nov. last year honestly I don’t see any changes in my face. The good thing is that my 4 canine teeth already moved into the empty spaces.
@@suvarnavarshaabhaskharan2190 i was honestly scared it was gonna change my face so far it don’t look much different.
I have full lips and I have bimaxilary protrusion so I hope if my face changes it improves my appearance. I think it will lmao!! I was scared for the extractions but I just went for it lol good luck
@@Li-oz1ux ofc it will change atleast slighter otherwise there is no use of extracting teeth,it takes time so be patient
She looks fine and better without extraction. Should have avoided extraction. Only people with striking protrusion should consider extraction. If only I could afford the treatment, I would be overly contented to have a feature (mouth/lips area) like hers (original). I look quite normal from the front, but from the side my protuding teeth look so sticking out. Even if I zip my lips, my mouth and lips look protruding from the side. Always feel self-conscious and incomfortbale. Would not think twice to go for premolar extraction (especially the upper jaw).
Edit: i'm glad i never had any orthodontic treatment, i still have a full set of teeth (32).
Thanks for sharing!
Same
@@ESOrthodontics the girl 2nd side profile looks better she looks great without extraction... why she extracted her teeth and changed her face. .. she looks too old with extraction
trouble is you won't look normal from the front anymore if you extract. trust me, i know x
@@KeirMenzies Agree. I learned about Orthotropics and Myofunctional Therapy. I have been practicing strict proper tongue posture ("mewing") for about a year. Recently i compared my old and recent pictures I was quite surprised to find out my facial simmetry has improved, my protrusion is less pronounced and my smile has become less gummy (which implies my maxilla has moved up) and i have no more breathing difficulty. I never knew that being a mouthbreather (i used to be) can cause all sorts of problems. Now I can only be thankful i was not able to afford any orthondotic treatment in the past. I still have all my 32 teeth.
I saw on internet that if you remove teeth or trying to retract your mouth when you have a "bimaxillary protrusion", it make another aesthetic that can make you age quickly but also reduce your airway which lead to problems when you trying to sleep and stuff like this. Do you think that it's true?
I think it’s true
Yes true
Don’t listen people online. They are not professionals and you should seek a professional opinion
My appointment is tomorrow Im so glad I watched this video. No extraction for me !!!!
This video and cmts are making me scared. I just got 4 teeth extracted for treatment. I didn’t think much because I always get unpleasant judgments about my teeth. It’s a mild overbite protrusion. I wanted nothing but straightened teeth. God, hope my face won’t change so ugly.
update?
Heyy me toooo😬
update ?
pls update?? m confused for extraction nw
@@taaniya8618 Well. It’s been over a year I’ve been wearing braces and yes, I’m pretty happy with the results. My teeth have been straightened and my smile has improved a lot. Teeth extraction is not a bother anymore once all the holes are closed. The only downside is that I lost my chubby cheeks. Instead, my jaw becomes defined and slimmer, making me look mature.
Am I the only one who think that 1st face (one with extraction) looks better then 2nd face🤔
Yes you are.
I like the chin and prominent nose look though. I would prefer that look than the non extracted case with the protrusive look. The non extracted girl is more likely to develop a double chin. I can already see it happening, but the girl with the extracted teeth has a stronger jaw line because her chin is big enough to support the rest of her neck line and jaw, therefore the fat under her neck is tight and supported due to the teeth being positioned the way they are and pushed back, giving the chin more size/space to support the rest of her jawline and neck. The smaller the chin and the smaller the space between the chin and the lower lip, the more weaker your jawline will be. I think it is all opinion on what you find is more aesthetic.
Orthodontics is part science and part art. Esthetics is in the eye of the beholder. I agree with some of your observations.
But it makes her look older even been so young, just imagine what will happen if you do it being older than her
But the one that had the extraction has a chin while the one without it doesn’t?
are you commenting on the orthodontic work, or the original structure of the face?
IKR?? I was waiting for someone to point that out!
the treatment made or face more orthognathic which pulls the teeth back from the chin causing it to be more prevalent. this is why if you look at a white person from the side, on average they tend to have a more prominent chin. black people are more prognathic which makes the chin look less prominent.
@@dantan1249 ? uh this has nothing to do with race
Destiny L is an example because black people have more prominent the tooth to the outside and by this it looks like more lips and less chin, i know the example was kinda not the best because this happens in every race, but is a bit more common there
I consulted about 6-7 orthodontics and all said I need 4 premolars removed...I got them removed finally and now I am seeing the video .. 🙄....I just hope it doesn't change my face much...I had overcrowding
Update?
After extraction can we reverse the orthodontic treatment?? Can i back my canines
Yes ask for it
Is there any way out?? I already got my 4 premolars extracted
I am asking the same thing😭
Ig I am not the only one trapped :(
Reading the comments made me regret my decision of having my teeth extracted. I just got 2 of my lower teeth premolars extracted yesterday, and I'm overbite. Another two will be removed next time for my upper premolars. I should have done my research first before agreeing omg I wanna cry. Hope things will still go well for me T___T help
Same. My next visit it planned to take out four. I’m scared now doing research
@@biancarodriguez_9996 dont have them extracted! try myo appliances and expanders.
Oooh I’m so sorry for you hope you will get a good results
I got 4 premolars extracted 4 months ago and i feel like my face is looking better , also i like my jawline now but these comments are making me nervous 💀 ( sorry for my english it's not my mother language )
Same but mines worse 3 premolars and one incosor 🥺
I got my treatment completed in 2020. My doctor suggested me to extract 4 premolars during treatment,but my mom refused. Then my treatment completed. I wear retainer for six months. After that one week I didn't wear retainer . My teeth shifted back. And my doctor said I should wear brace again and he said teeth extraction is necessary.
Same problem here 😭😭😭😭...I don't know what to do ...there is so much confusion regarding extractions 😣
@@tanujaverma9952 have u done extractions or not???
Cuz u are an idiot retain should be weared at night everyday
I’m too late 😭 just got 3 extractions today (already had 1 missing tooth) I’m so worried of my face being sunken in ugh 😣
Update
This is word by word what I am experiencing, how did you go?
@@Nicole-sd2lm I don’t like the way my smile looks. My mouth /bite feels too small. I regret it. 😭
@@anassbel-afia4918 ^^^
I had an overbite and protruding lips and teeth. Got 4 teeth extracted. Still with braces on and gonna get coil spring day after tomorrow ;*)
Dear Dr. El-Hillal -- my daughter had extractions and we are very unhappy with the results. Her situation is very similar to the case in your video. We live in Massachusetts, north of Boston and we are trying to find a doctor to help reverse these results. What would you recommend and do you know anyone in this area who could help us?
Are they even identical twins?? or fraternal to begin with... since little they dont look exactly the same, even before one of them got the extractions, just my opinion.
Does the tongue fit precisely within the palette after pulling off the premolar and molar teeth ?doesn't the tongue carry risk of getting bitten everytime you chew ? and finally does it create problems while breathing because of forced repositioning of the jaws and a constricted tongue ?
If an orthodontist suggests premolar extractions, you have a problem with your jaws, not your teeth. Removing healthy tissue and retracting teeth is only going to exacerbate your problems.
The tongue is connected all the way down to your toes. If your tongue and your jaws aren't functioning properly, this impairment will travel throughout the body.
The worst combination of orthodontic problems is overcrowding and impaction. I unfortunately have this problem, especially with my lower left canine.
os it completely impacted? did you take ortho treatment?
Would extraction of all 4 wisdom teeth and then getting braced cause as much retraction and the dished in profile like the girl in the video?
I'm getting all 4 wisdom teeth taken out. Any updates?
Each case is individual. I have no choice but to pull my teeth out to correct my bite and make sure the gap between my upper teeth and lower teeth isn't too big (not going into detail). For me it is not just about how I wan't my face to look like. Do not look at videos and speculations, go to your orthodontist and find out.
We would agree that a well trained orthodontist with a face driven approach to orthodontics would be the best choice
Hi I know this comment is a bit late but I had my bottom 2 premolars removed and just learned about all the consequences I'm surprised I wasn't told about them before the procedure. Now I dont know what to do and need help!
hi did they drug you before doing it? if that makes sense lol
@@alyssah6305 they gave me nitrous because I asked for it and then shots to numb the pain haha
Update?
I had my appointment yesterday and the doctor directly told me that I need 4 teeth extraction , I'm really lucky to find this video, fuck it won't do it even if it means staying with my teeth like this
I have a crossbite and underbite and my options were surgery or extractions ..
What did you end up doing?? I have the same exact thing! My orthodontist told me to do extractions to avoid surgery but I’m really scared now
I have two crooked front teeth and open bite 🥺😭😭 my orthodontics side I have to remove 4 teeth to fixed it 😭😭😭😭😭I don't want to extract my 4 teeth!!!
SAMEEE
I am gonna so frustrated as for eachtime when I visit the clinic I find someone new dentist for my case and again till now they are just tighting my teeths there's no great improvement it since 2 yrs now and now I have suggested for extraction of 4 teeths.I am literally scared and confused, should I extract my teeths or not ??
My orthodontist said I need to remove four teeth🤯 I don’t want to..... Help please 😩😩😩
This was EXTREMELY helpful!! I’ve been indecisive to so long now whether I should shave teeth down to make room or remove & this gave such clarity!! Thank you !
Shaving tooth will damage the tooth in the long run.
@@kdhebskhhow come? It's only .2 millimeters, at best.
It's supposed to be just a bit, which shouldn't affect the tooth in the long run if you keep up good hygiene.
It’s intriguing how we perceive others from side profiles. The ones on the left and right are twins so they have the same length of jaw and chin. However, as I see, the left one looks like an underbite while the right one looks like she has a recessed chin.
Where is your office located? I don’t want to extract 4 teeth next Monday 😕
Same kindly guide me I have asked to extraction of 4 teeth after 2 weeks
Any update?
Unfortunately my orthodontist said that the only way I can fix my teeth is to have 4 teeth extracted. I’m so scared that my lips and face will change for the worst. I always believed that once I finish my orthodontic treatment I would look good for the best. Now I’m not sure since I’m getting teeth extracted…
I’m in the same situation😭😭eventhough she told me my facial features won’t change I can’t seem to believe.I’m probably going to a different dentist to get a second opinion
@@Alex-fm2ik I went to a different dentist for a second opinion and they said the exact same thing- so-
Cant you just get a pallete expander
@@Twiti47 i did receive a plate expander a little over 2 weeks ago but I still need teeth extractions because I have extra teeth and crowding
@@zahrarw9985 But I dont get it, if your pallete expands there will be room for the teeth retractions arent neened
I am currently going to an orthodontist for braces treatment right now. I have had 4 expanders put in and out for the past two years, and my orthodontist claims that I do not have enough space. He even said my mouth was the "worst" case he had ever seen. I went my last visit and my orthodontist said i needed to have my first premolars extracted, and I am not happy at all with this. My face is already flat, and I do not have a big smile as it is... do you think having the extractions is a good idea?
I am not sure I would want to do that based on what you have shared. Share some before and after photos so I can better gauge of where you at now so I can give you my thoughts on your situation.
Dont make extractions.I did and after a few month i have unpleaseant changes,i look older,i have a narrow smile,and two rides wich i woke up in the morning.find someone else,read about facefocused and you will see better
Ask your Orthodontist about Damon braces they limit the chances of you getting teeth extracted.
Ijust had my extraction 4 removed now am just waiting to see result reason why cuz my teeth was so crowded and it needed space
How’s ur teeth now?
the question is how many teeth did they take out from the girl on the left
4 watch the video
It doesnt clear which teeth was extracted. I believe wisdom teeth especially if it grows impacted and always difficult to get cleaned daily is oke to be xtraxted, but the rest of the teeth, yes i agree most are dont need to be extracted
So I already have my teeth pulled and currently have braces. Is there any possible way to not have a sunken face but fuller profile?
Did u saw any face change after extraction?
Did u notice any changes??
After 4 extractions, is it possible for the ortho to align the teeth where the front row teeth stays at a normal satisfactory position where it doesn't pull back too far back towards the molars to fill the gap causing the whole teeth to be set slighty backwards creating the lip dip and facial alteration? I ask this because everyone has a different size teeth and I found out that mine are just too large to NOT be extracted and if I don't, I know it will cause flaring. I asked my ortho this and he agrees as well, he wants to save them but my situtation is just too complex. My ortho wants to remove the first premolars on the top and second premolars on the bottom. So can't the the braces be calibrated to where it won't make facial changes? maybe pulling the molars behind the extracted gap to be pulled towards the premolars?
@rocc Hey how's your teeth now...where you able to keep the front row teeth at a satisfactory level? I'm going through something similar rn I had my 4 pre molars extracted because of flared teeth and I'm worried that my teeth would move back too much 😭
Does interproximal stripping causes sensitivity in later years of life?
my mom said me the same thing now i have to decide should i get my teeth removed for braces or not
Do you think pulling the front teeth too far back could cause a sunken look beneath the cheek bones? I know it's only a couple of millimeters. But I did not have that look when the spaces closed, only after they applied the class II elastics. Now I hope to reverse it by pushing everything back to the front.
Can u give us an update did you reverse it? Mine happened after elastics too even though I only wore them more so on the right side so I don’t know how all my top teeth were pulled back and down😢
Great video and real life outcome comparison. Thanks so much for the 2nd opinion you provided!!
I have an overbite and one of my bottom canines are under my gums, I have crowding in both my top and bottom teeth, my dentist has just told me I have to get four teeth removed (the ones on the outside of my canines, two on the top and two on the bottom) but I'm scared that that will push in my top teeth in even though my lower jaw is the underdeveloped one and it moves forward naturally, the only problem is my bite (the chewing teeth, I'm very bad at proper terms) don't touch when I move my lower jaw forwards and my lower jaw when in a 'resting position' touch the gums behind my upper teeth PLEASE HELP I AM FREAKING OUT
Can you forward pictures so I can see what you are freaking about?
Hi i have just had two teeth extracted two pre molars at my top, and I never knew it could cause a sunken face.
i got my teeth extracted for the purpose of braces because I had an openbite. But my open bite was caused by another orthodontist who I went to for braces and she didn't want to remove teeth so this caused my teeth to all pull forward giving me a slight protrusion (not to the point it affected my side profile) and it gave me an open bite to the point my bottom and upper set of teeth did not touch at all so I couldn't eat properly. Now I got braces again and have to get two more teeth extracted and they recommended I get my wisdom teeth extracted so 8 in total I am sooo scared I don't want a sunken face. However I have a rare case where I have four sets of wisdom teeth on my top and bottom so 8 in general my wisdom teeth have already come through and luckily they came in straight however I have another set growing in . what do you suggest? i have already extracted two pre molars at my top set I am hesitant about my wisdom teeth I think they are unnecessary and I feel like the less teeth I have the more likely for a sunken face to occur.
hey hope ur okay now how does it feel now? what happened pls tell me lol i gotta get 4 teeth taken out
@@FantasticArsal I feel fine now I need to take out the two more I confronted my ortho he told me how much he’s taking off my jaw length so basically 2.5mm
@@whattheflip6787 what do you mean by taking off your jaw length?
Will it get smaller by 2.5 mm or otherwise? If it will get bigger then how it will happen if you get your teeth extracted? Please reply fast I am also going to get my 4 premolars extracted by the 2nd week I don't want to get a smaller jaw
@@vivekverma4780 hi I got my four pre molars extracted anyway, but decided against my wisdom I personally felt that was way too many teeth to remove , they are currently closing my gaps, I did sacrifice some jaw length supposedly but when I look in the mirror I see no difference currently. the only main difference is the size of my lips they have reduced significantly my lips poked out due to my over bite and now they don’t. How old are you u could ask your orthodontist for a expander to widen your pallet to create room for ur teeth to be pushed back rather than taking out teeth
@@vivekverma4780 your jaw length gets smaller when You remove teeth by a couple of millimetres💓 if u already have a strong jaw line don’t worry but if u have a weak jaw line u might feel like u have a double chin because since your jawline wasn’t strong to begin with reducing its length will give the appearance of a weak jawline !
Look at the thinning of the upper lip and the enlarged lower lip from the girl with teeth extracted, she is forced to use her lower lip to keep her mouth shut which causes it to get bigger
Anytime you extract 2 teeth on the top, you are going to get a thinning of the upper lip for a flattening of the facial profile. As a result, the upper lip in comparison to the lower lip would have less volume. This is because the upper teeth are retracted and there is less tooth and bone support present.
I don't follow the logic that her lower lip is bigger because the person is using the lower lip to keep the mouth shut. I have never heard that before.
well your lip is a muscle, and like any muscle, if you use it, it gets bigger. easy logic
Great explanation, thanks doc!
The right side of my face has a structured jaw because i used to chew only on my right side. This has made my face look more asymmetrical than normal ppl. Other than that my front teeth are really forward which also makes my mouth duck-like (i dont know how to explain that lol) and my side profile looks even bad. My dentist suggested for removing four of my premolars, i had a thought that it would make my facial structure better as my jaws are really broad and uneven. After watching your video im confused. So should i believe that removing premolars isnt bad for everyone and some ppl might benefit from it? Because 2/3 of my friends did and they had no negative effect on their faces or even their smiles infact they look better.
As you state in your question, in some cases extractions are necessary, but in a large majority of cases it does negatively affect facial profile. Have you seen an orthodontist? Specifically an orthodontist that specializes in Facial Driven orthodontics.
This is annoying I had 4 teeth out for braces and I have been wondering why my face changed so much
why dont you send me a few photos of your profile to dro@esorthodontics.com and ill see if there is anything that can be done.
k tyme same here! I’m so fustrated because my teeth are no longer the issue it’s my mouth and lips.
@@estefanybarrios1270 did you extract teeth because of ortho? Is it because of that? Because my ortho said the samething to extract 4 of mine
i dont recommend taking them out
your jaw looks so tiny
My orthodontist is suggesting to pull out 4 teeth and now I’m really nervous about even getting my braces. I’m 25 years old and I’m getting the Damon braces.
I’m getting my 2 premolars extracted on my next visit. I’m scared but my ortho said that we need to make space on my teeth to close my protruding teeth
Same here
But in my case
4 premolars
@@abhishekkumarboby2937 same here
@@meenakshi4887 great 👍
I'm quite Nervous about it 😅
how did it go?? i also have to get 2 removed, did it change ur face
@@rune4563 no it did not, my face still looks the same. And my teeth looks better than before :)
I have severe crowding, I have to get my premolars removed in 10 days. The crowding is pushing my front teeth forward and I have a receding gum line and pain because of it. Do you think the extraction will help me even though there will be side effects? I’m not looking forward to it but the second opinion said that it’s the only way.
Dr. I need your help PLEASE! I regret extracting 4 teeth. My face and smile is not the same. I feel horrible. I want to do everything possible to reverse it.
Did you find a way to reverse it ? I have the same problem . I was very ignorant and we trusted our orthodontist but I look so worse . And people literally just say it to my face that I’ve changed and I don’t look as good as before … so if you have any update on this please tell me
@@visionaire8553 Update ?
@@zigsaw7161 well I changed my orthodontist and there is a treatment available to pull my mandible forward again but I’ll need to get braces for two more years or so and currently I’m thinking of studying abroad so I’m not opting for that rn but later maybe … but it can be corrected only thing is you’ll get more brace time🤷🏻♀️
I have an orthodontist that suggested me an orthognathic surgery because my lower jaw was apprently a bit too small, then the girl that with her told that it was something they were forced to ask to everyone when they are adult in terms of teeths for doing an orthognathic surgery (I'm 17 y-o) So he said that I needed the 4 first premolars extracted. So I don't quite understand what they want??? I know my teeth are a bit crowded on the bottom jaw, that's all. Top jaw doesn't need to get teeth extracted as far as I know (every teeth here is at his place except two). But to be honest, I already have a dentist phobia, so I don't want to pull those teeth out, I was already crying and hyperventilating while the orthodontist was putting me the braces, I already bite him twice, so it's going to be worse for me when I'll go to the dentist on friday to get two out of the 4 teeth removed...
I was wondering if you could give me a second advice about my teeth?
Here in France there's not many orthodontist who wants to take adults for orthodontics treatments so I can go pretty much nowhere to get a second advice in real life...
I would be more than happy to provide you with some feedback, if you can email me current profile photos and a recent X-Ray to dro@esorthodontics.com i'll take a look and personally reply.
Valuable service when completed by a competent surgeon. We have patients who elect this treatment modality to correct their own particular skeletal and dental issues. The surgeon we mainly use has produced incredible life changing movements for our patients. All I can say is that it is a wonderful service you can do for people when the orthodontic and orthognathic vision are shared by the treating doctors.
Thanks you for your video! My daughter is 13 and a half, and she has an overbite. After two years of braces, her orthodontist insists there is no more progress without removing two of her top teeth. I would rather she not have extractions. Is there any orthodontist you can recommend in the Atlanta area so I can get a second opinion?
I would suggest that you go to damonbraces.com/ and use "Find A Damon Doctor" then check out reviews.
Is it reversible. I’m going through this and I hate myself for letting my ortho extract teeth
what happened?
Hello Dr. Im really worried now because it's been more than 6 months since I've braces on but for now only on my upper teeth. I had an issue of dracula teeth ( high canine) majorly in the upper teeth. There was only little space under them but they couldn't fit in there so my dentist extracted 2 teeth from my upper jaw/ teeth and now they're completely down in that space and the extra space has almost filled too due to continuous tightening of wire. But I've crowded canines in the lower jaw/ teeth like the canine in my lower jaw are crowded. Like the teeth mostly are crowded not in the proper alignment and my dentist said to me that there would be 2 extractions here too. Should I go for it.? I don't want anything bad happen to my face structure. This video got me super worried. Please reply.
U experiment depression? Ir anxiety since extractions?
@@duquearmas405 no i said i got extractions and this doc said you don't need them. This thing is stressing me out.
I feel extremely skeptical and nervous about having the final 3 adult molars out for braces. One has just been pulled surely I don't need that much space opened up at each corner! I have an overbite and my wisdom teeth haven't come through, but one tooth beside my front teeth 'underlapse' my bottom teeth. I'm beginning to correct my overbite naturally by moving my jaw towards slightly (which immediately makes my jaw look a little better) my mouths small as it is. I don't have much overcrowding, can't they perform without extracting? I don't fancy suffering more with breathing problems and I don't want my face to get any worse :( I've told my dentist about this and they're simply like 'dont believe everything you read on the internet' My dad just thinks facial structure is all down to genetics and thinks I'm talking nonsense. I have yet to ask my orthodontics but my extractions are before it!! What do you suggest I do??
I do free second opinions, all you need to do is follow the steps in this video th-cam.com/video/pBoPto7aJVU/w-d-xo.html&lc=UgwpKdM3dZQLZAZMYS54AaABAg
Well, I was given 2 options: with extraction and without. I have time to choose until 26 Nov. Dentist told me my bone is thin and my teeth are big and crowded, so doing braces without extraction will stretch my gum and I will have to wear night teeth guards/retainer to prevent them from turning crowded again. I was also told that extracting 4 of my teeth is a better option because it will give more space for other teeth to align and not have problems in the future. I am now confused as there are so many opinions on this so I cannot determine what to choose.
@Sana Mushtaq My orthodontist took another look at my teeth with another specialist and they said that damon q (no extractions) will be the better option. Im getting my braces in 3 days.
what did you end up choosing? im in your boat
@@shjr5148 Damon (no extraction). And please make sure you to discuss it with the orthodontist. Good luck.
@@2xk98 are they working i was told i needed extraction 4 premolars but i didnt see why am going to consult another dentist this comment section just proving that
@@2xk98 my orthodontist also said to remove 4 teeth...... Can you tell me your results
I had extractions 2 months ago.
Is there anyway I can reverse this?
Hey, same but i had 4, if you figured it out please tell me!
Pls tell me too
Did your face change?
If your teeths are far out and have a major crowd just go for extraction ull look beautiful later...these gals in the pic they looked fine befo dont knw why they got braces
I feel like now im about to cry- i removed 2 already other 2next week and these videos are scaring me..
look into orthotropics and find a good orthotropic specialist or myofunctional specialist near you. they will be able to help
Same here 😢😢😢😢
I wish i had seen this before . Such a negligent medical student i was ! My orthodontist pulled out 4 premolars. My tongue feels like being choked. . i want my tongue space back !My life is in despair now. Help me... Please reply sir 🙏.. I'm frm india.
Start mewing.
Any update?
@@srikanthkalvacharla924 my dentist did positive torquing and it helpled a bit.. now I'm getting my spaces reopened a bit.. small gaps will be visible but will not deter the esthetics much. Atleast I'll be comfortable.
I had my braces on before 2 weeks..nd the orthodontist had said me to remove 4 tooth at once after 2 days ..I have mild overbite & cross bite...nd I like my present face...I don't want my teeth to be extracted...the orthodontist said me that I have angles class1 bimaxillary protrusion...do I really need to extract teeth
They were different from the start. Not convincing at all. I see teeth flaring all the time and that's not better.
i had a root canal years ago on the last upper molar that ive have been told has rotted and is why it now hurts to bite on it so i have an appointment to extract it. isnt there some kind of material to put in the hole (s) so it wont shrink? thanks
Any change of face after wisdom teeth removal?
Farjana Tamanna no
I have a protrusive upper jaw and i’m thinking of extractions... but now i’m hesitant :( i hate the way my teeth look though i don’t know what to do.
I have a severe overbite my doctor said to extract two teeths from the top and put braces on the top, but my lower jaw is back in the skull and needs to be forward i want to breathe properly right now i can but i am worried if i can breathe better what treatment should i do EXTRACT RETRACT REGRET SYDROME maybe???
Don't extract! Get an expander, Biobloc or Schwarz, or Homeoblock instead. If you extract you may end up with sleep apnea and a recessed jaw!
@@jamessimpson9690 will it fix my overbite or i still need to do surgery
Great video thank you for this info! Which teeth did the girl get pulled? Was it the premolars or molars? Does pulling out certain teeth (premolars or molars) make this situation worse?
The choice of extraction is dependent on the case. If you walk into the consultation room with a non-extraction as the only option, it is not fair to the patient. My former Department Chair used to say: If it is wrong to extract when not indicated, it is equally wrong not to extract when indicated.
I think that you'll find this is what I also support here on TH-cam. Too often though, patients walk into an office and are only presented with a treatment plan that includes extractions. What I am trying to educate people on through these videos, is that in many cases extraction is not the only option. While there are cases where extractions are needed, I do believe that a lot of extractions are done unnecessarily.
I am asked to get my 4 teeths extracted i have an overbite please guide me
Is the result also applicable to extraction of wisdom teeth?
No that's normal everyone take wisdom teeth out chill
Im concerned now. Im 26 & just got braces. I have 2 baby premolars behind my canines. My orthodontist wants to pull those & then bring the rest of my teeth forward. Is it likely I would have a result like this young lady?
I'm getting my braces off in 4 months. I had extractions done. Honestly it was th best choice. I have no issues
How many teeth did you have extracted?
Did you face change??
Her case was overcrowding or overbite??
Hello! I have been to three orthodontist for a class three underbite and openbite. Two orthos have told me to get extractions. The third stated he could file down my bottom teeth and that may open up the space. He also mentioned what you did which was how much extractions could change my face. Are you able to give me an opinion on my teeth? Thank you for this.
So what you did finally
@@zigsaw7161 I went with the third Orthodontist. We’re using rubber bands to fix my bite. I have a few more months and can update you on how much it’s improved or not improved.
@@ohkay.byeeee how did it go , were u satisfied with the results
What about only two teeth from the Lower jaw
It will unbalance the bite, and in long run u will end up loosing tooth
I HAVE NO OVERCROWDING BUT THEY WANNA REMOVE MY 4 CANINES AS MY UPPER TWO CANINES ARE BABY TEETH AND I HAVE MISSING ADULT TEETH, SHOUKD I GO THRU WITH THUS? IM SCARED IT WILL IMPACT MY SMILE AS CANINES ARE NOT COMMONLY TAKEN OUT AND NO ORTHONISDT I HAVE SEEN HAVE SEEN CASES LIKE MINE.
If I already have a big lower jaw that is causing me an underbite, is it ok to get extractions at this point? 2 orthos said to either extract teeth to get a correct bite or have orthognathic surgery to have my lower jaw recess some
The outcome is going to be the same so try to avoid the surgery
same i have a underbite and they have to take put 2 teeth from the bottom so my top teeth could go in-front and stop my jaw from growing
Here bcause i don’t trust my orthodontist, she told me i need to get 4 teeth extracted bc my teeth are crowding and i have an underbite, but i have a really narrow palate on both upper and lower jaw and i never got expanders somehow, so isn’t extracting FOUR teeth gonna make my arch even smaller??
All, Dr. Kundel out of Stamford, CT is a holistic doctor and reopens extractions with device AGGA. He has photos on his instagram showing the difference. I became depressed after these extractions and looking to reopen.
What’s his insta
I already have an oval shaped face and a weak chin so I DEFINITELY don’t want to do this. My ortho said that in addition to an open bite I also have flaring of my upper teeth. I already had braces as a kid and they fixed my open bite perfectly, now I just want them again (I’m 21 now) because my open bite relapsed. I really want my it fixed because it makes it so difficult to eat but I don’t want to have any of my teeth pulled 😖 Given my facial features I KNOW I will look bad.
Hey nice video!Now im left wondering in which cases would you defenitly recommend extraction theraphy ?
there are very few scenarios where we would recommend extractions. Would you like us to give you an assessment?
E&S Orthodontics yes. That would be cool. I'm going in for a consultation on Monday and I'm curious as to what he's going to suggest to fix the overjet on my upper teeth and I feel like I'm going to be needing a secondary opinion.
Both of my upper and lower teeth kinda "jut" forward at an angle but my upper teeth are the ones that really need correcting and I'm interested in knowing how they would fix that? It's also what's causing a gap between my teeth. If you're teeth are slightly overcrowded and you also have an overjet would the extraction be a good option? I'm in my early 20's.