Orthodontic Treatment for Underbite or Crossbite - Removing Lower 1st Premolars

This approach helps in correcting the protrusion of lower teeth, AKA underbite if surgical orthodontics is not an option.

[melanieramirez]

I just got my extractions like two weeks ago and I'm so excited!

[lserr]

hello, i see a few people replying to commenters under this video, saying they got this, and you guys would like to know how its going for them. well, i got this done for a malocclusion class 3 cross/underbite, but only one lower tooth was removed. i got my tooth extracted in march, and it is now the end of may, and the space is still closing, i will update for anyone who wants to know any changes i noticed, or if it worked for me.

[southeanehem]

3 month after getting this treatment, wishing for good result, wishing to have a great smile ahead. finger cross. I got the savior underbite.

[kristinatorosyan]

Oh thanks for this video my orthodont has said me for removing my teeth but i didnt want to lose it .now i understand that it is essential to correct my underbite

[syonizlee]

Doing this in one month now. excited and hoping for the best.
1 year of this treatment update:my gaps were nearly closed just 2 months after i got power chain but they removed it and put me on normal elastic bands, after that cross elastic behind my teeth and now they made me put 2 TADs and are pulling it with power chains again . been 3 months with power chain and the teeth gap has closed only 1 cm.
Edit: Reason:
Everyone has a different type of case and its complexity
(why they removed power chains in the begining?) the gaps were being close but the teeth were moving and bending like it was tilting.
the elastic rubber band and cross elastic were part of my doctors plan fix the bite.
2 TADs were placed because my midline was way off(a whole tooth) so they are using power chains on my teeth and TADs to correct the midline but this time its moving gradually in a slow pace.
Edit: if i don't reply comments then, send 1 more comment cuz i probably didn't got notification from it .

[julianalcantar]

I’m going to get this treatment soon. Hope the results are great.

[rickyyang]

What it's doesn't say is that during the process of closing the gaps you aren't able to eat properly because your molars will not touch because they will put a build up on your 4 front, top and bottom teeth, and will only be able to nibble with your front teeth or swallow whole.

Disclaimer: I am going through this stage and it sucks I barely eat once a day because of the struggle of eating

[Justt_reveuse]

I've an underbite and my dentist has recommended me this, im getting my Extractions next week im m so nervous but wish me luck 🤞🏻

[m.yaameen]

Do not recommend this if your have maxillary hypoplasia (recessed upper jaw), what it does is basically constrict your normally sized lower jaw to fit an already too small upper jaw. This treatment may create a 'nice smile', but functionally it has a host of issues, from reduced tongue space to speech issues and reduced mastication capacity.
The unfortunate reality is that orthodontists are tunnel visioned in achieving a perfect smile and don't take much into account functionality and overall facial size and ratios.

This treatment when done if you have a small maxilla, also gives the sensation of a claustrophobic mouth and sunken mesolabial area. A sunken mesolabial area gives the impression of a jutting chin.

Retracting teeth, depending on how much, causes over stimulation of saliva, which makes you spit and speak and generally feel exceptionally uncomfortable.

You should always visit a maxiofacial surgeon and ENT before committing to any sort of dental retraction and arch reduction. If the maxiofacial surgeon and ENT can confidently say that you wont have any of the above issues based on the amount of retraction, then yes go ahead with it.

I made the mistake of not Consulting with an ENT and maxiofacial surgeon first. I only realised I had an issue once my sleep apnea became severe.

The maxiofacial surgeon then assessed me, done thorough scan, and advised me that for long term comfort, health and functionality, I should reverse what I can of the retraction and do orthognathic surgery to advance my maxilla.

The ENT agreed.

If an orthodontist ever tells you that 'your tongue will adapt you need not worry', do not take their word. They are specialist in tooth movement and not mouth and throat function.

Always get multiple opinions from various medical disciplines before committing to any sort of body altering procedure.

In my opinion though, making a mandibular arch even smaller to accommodate an already small maxillary arch does not make any sense and does not address the problem on a functional level.

Do your research

[benluu]

I did this, I have a class 3 underbite also! I think the results are quite good.

[kmjr]

I just had both of my teeth extracted and am waiting for the results! Hopefully it will turn out the way it should be... fingers crossed

[alexandermilne]

wish i could find an ortho near me that would do this for me.

[jewelmyeon]

My dentist told me that I will have this on March 30th hoping for the best!

[itstony]

Waited 16 months for my class 3 underbite to close, did not work so i just had my bottom molars removed 2 months ago, Making sure im wearing my elastic bands everyday. Hope Im Satisfied with the results....

[clarine]

How long does the process usually take after the teeth extraction?

[lizette]

I just got my extractions done I have a class 3 underbite

[nikolas]

Hello, I have a question about this procedure, what instruments do you use to accomplish this movement? power chains or other type of rubber bands? Thanks in advance

[lserr]

hello!! for anyone who would like to see human example of this procedure, i made another comment, the thread is somewhere under this post. I’ve posted a video on my page with pictures and timestamps of how this went for me with a class ||| under/crossbite. feel free to check it out!

[Bigtay]

I have a underbite but my jaw isn’t the problem it’s from tongue thrusting. I was recommended to get this or surgery

[mmoon]

Great video! Quick question. I am 23 Female, so there for my jaw is already fully grown. I have Class 3 Malocclusion (skeletal) would this work for me? I don't want jaw surgery as because it is very expensive in BC, Canada. I also have 5 lower front incisors. Perhaps i should extract the extra one out?