EXTRACTION OF MANDIBULAR PREMOLARS - ORTHODONTIC TIPS #Shorts

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In cases of dental class III, or even with small skeletal involvement, we may need to extract lower teeth to allow adequate compensation with a better incisal relationship.

This commonly used option can bring with it a small trap: the upper second molars may lose antagonistic contact. This is because, when placing canines in class I, the lower teeth, which in class I have a mesial step, have this step increased by 6 to 8 mm (the size of a premolar). This may exclude the upper second molar from occlusion with the lower arch.

The best way to assess whether or not this will occur is doing a diagnostic set up, which can be either physical (in plaster models) or digital (using specific software such as 3 shape's OrthoAnalyzer).

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[luecrazy]

​ I hope you receive this message in time and take some time reading my experience. I was supposed to get 4 premolar extracted today, instead I only got 2. The right lower and upper. They gave me 10 cartridges of local anesthesia which is more than necessary and keep in mind this is only one side of my teeth. It was so painful and stressfulI, the dentist didn’t want to give me more anesthesia after the already overwhelming amount. As she started, I couldn’t feel her pry my gums but as she clamped and pulled my teeth left and right was when the pain subtly make itself known. The thing is I have 3 roots that are longer, and thinner than normal. First 15 sways left and right didn’t feel that bad but that was no where near enough to pull my teeth. I’m not joking when I say this, It took maybe 100 sways left and right to pull out one tooth. It was a grueling experience, I felt very lightheaded from the pain, and pressure. Once the dentist knew it wouldn’t go out easily, I felt her frustration as she gripped harder with her metal pliers. She grabbed the tooth from a higher position, I felt it on a portion of my gums as she continuously squeezed and yanked left and right. Imagine the sharp roots ripping and poking the sensitive nerves and tissue inside that socket. In my head as I watched them fumble with my mouth how much they don’t care whether the tooth come out in one piece or not. There is no technique with the pliers I thought, something so simple but oh so painful, If only they knew what I was feeling in the heat of that moment. In the end they recommended me to a specialist because they are nervous of pulling the last 2 pre-molars. I could tell something was off with them as the general dentist spoke she stuttered and uttered her sentences. Perhaps she ruptured more tissue than good I thought or maybe she should’ve done a thorough inspection of x-ray before pulling my teeth. Now I’m laying in bed as I write this. Why do we have to put ourselves through this unnecessary drama and trauma to look a certain way. I think if I told my ortho I won’t do business with them if they want my pre-molars pulled they would’ve agreed. All in all dentists, ortho are business people who want money. Don’t be fooled by “We just want best for you” They recommend you to other known oral practitioners who don’t give a damn just as much as they for reputation or to close a relationship. I want to share this message as a chance to give others I wish someone gave me to doubt and rethink your decision before the day come. You won’t know whether it was worth it or not until after the whole ordeal. You must know whats best for you.

[alisonbecker]

I really, really hope you receive this message in time. DO NOT extract healthy adult teeth for braces. There are other options, expansion, DNA appliance (for adults) and other expansion options for kids. Crowded teeth are a symptom that your mouth is too small. So they take out teeth and shrink it (and you nasal passages, mouth, airway, tongue space, face smaller. Really smart huh? Do you research and see a real full face orthodontist and not a teeth beautician for $profit$.

[stevethepie]

Should have just moved the maxilla forward

[jwzzhdz]

نبيل سبانيا و لا ياسمين اه هشام مولودية " عاون بالبارود أمين