Doctor, can I correct my teeth without pulling out my teeth?
Will there be “braces face”?
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Some orthodontic patients need to pull teeth bothered a lot of people, and even some people are afraid of orthodontic, miss the opportunity to become beautiful.
In addition, “braces face” is also a problem that many patients will worry about before orthodontic treatment.
In this article, please visit orthodontic professionals to “orthodontic extraction” and “braces face” to do a detailed explanation, hoping to relieve the concerns of everyone.
Doctor, I feel my teeth are too ugly, before the orthodontic department saw, the doctor said I have to pull teeth, you see I must pull teeth?
Before determining the orthodontic treatment plan, it is necessary to collect some basic data, including dental model, intraoral photos, facial photos, X-ray films, etc., and then it takes some time to conduct measurement and analysis, and finally decide whether to pull the tooth.
You can’t just look at my tooth and know if I need to pull a tooth…
Yes ah.
Let me make an appointment with you so we can confirm the treatment plan next time I come.
Doctor, have you decided on my orthodontic plan?
Do I need a tooth extraction?
In this case, you can be treated with tooth extraction or not.
If you choose to pull a tooth, you need to remove the upper and lower four first premolars, which is the tooth behind the tiger.
You don’t have to pull teeth, do you?
Then why did the doctor recommend it?
There are patients who fall somewhere between pulling and not pulling, which we call “borderline cases.”
For such patients, the difficulty of treatment will be reduced if the extraction treatment scheme is chosen.
But with some other methods, the non-extraction plan is possible, but the end result may not be perfect.
Doctor Science time: Who needs tooth extraction correction?
Generally speaking, tooth extraction is used to solve two kinds of problems: tooth congestion and tooth protrusion.
Both the alignment of a crowded tooth and the return of protruding incisors to their normal position require additional space in the dental arch.
¢Ù For patients with mild dental crowding and tooth protrusion, less arch space is required. In this case, additional arch space can be obtained by expanding the width of the arch, pushing the final molar backward, and grinding a small number of teeth.
¢Ú, for patients with severe dentition crowding or tooth protrusion, the above methods may not get enough space, at this time, it is necessary to remove some teeth to obtain satisfactory results.
Doctor, the four teeth that need to be pulled out are all good teeth, won’t it make any difference?
The four teeth removed are called premolars. There are two premolars in each area above and below, left and right. They are so similar in shape and function that removing one set of these teeth has no effect.
That unplug tooth orthodontic, can a big gap be left after complete tooth?
The gap between the extracted teeth can be used to solve the problem of crowded and unattractive teeth, and after the final treatment, the gap will be completely closed by the movement of the adjacent teeth, without leaving a gap between the teeth.
Doctor, I feel my tiger tooth is too ugly, can you pull out tiger tooth directly?
Tiger tooth also called “fangs”, its position in the mouth is irreplaceable.
In addition to biting tough food (such as ribs) play a role, but also shoulder the function of facial beauty, without tiger teeth, the mouth will collapse, resulting in an old face.
In addition, the root of the fangs is the longest among all the teeth, and it is also the last tooth to lose in the elderly. It can be used as abutment teeth to make dentures for the elderly.
Therefore, healthy fangs cannot be easily removed.
Doctor popular science time: tooth extraction correction general extraction of teeth?
In addition to the subjective problems such as tooth crowding and tooth protrusion, the determination of orthodontic tooth extraction plan should also ensure that the remaining teeth can maintain a good occlusal state and chewing function after tooth extraction.
Typically, one can choose from one of the eight premolars mentioned above, and considering the anastomosis between the midline of the tooth and the midline of the face, a symmetrical extraction is generally required.
The upper and lower arch premolars generally need to be removed at the same time, but in some cases only the upper or lower premolars can be removed.
Above tooth extraction choose not immutable, in principle, if patients with mouth with teeth (dental caries, tooth broken, after root canal treatment, the residual roots and deformity teeth and maxillary wisdom teeth, etc.), the priority for these disease out, even if this will increase the difficulty of the treatment, or make the treatments of the final result is not very perfect, but to preserve health premolars is worth it.
These questions need to be negotiated with the patient, taking into account the patient’s subjective wishes.
Doctor, I’m really only unhappy with my front teeth and a few nearby teeth. Can we just fix these?
Can NOT YO, WHOLE TOOTH IS TO PASS THE MUTUAL FORCE BETWEEN THE TEETH TO COMPLETE, TO MAKE WHOLE MOUTH TOOTH HAS GOOD occlUSAL CONDITION, ALL TEETH NEED TO WEAR TOOTH COVER YO ~ DOCTOR, I listen TO OTHERS SAY THAT THE WHOLE TOOTH IS easy to have AFTER PULLING TEETH ESPECIALLY “TOOTH COVER FACE”, THE FACE IS CONCAVE, I COMPLETE CAN HAVE?
The whole tooth does move through the teeth, changing the alveolar bone and facial soft tissue accordingly, but the “braces face” has no absolute relationship with the whole tooth, and is more directly related to some of the patient’s own conditions.
For the vast majority of patients, as long as the treatment is appropriate, the whole tooth can definitely improve the level of appearance.
The people who complain about “braces face” are mainly adult women, and the main characteristics are: concave cheeks and protrusion of cheekbones.
Studies have linked these changes to loss of cheek muscle and fat loss, which is more common in some middle-aged people.
However, there was no significant difference in buccal fullness between extractive and non-extractive orthodontic patients.
Orthodontic treatment itself will not affect facial muscles and fat, but during the period of braces due to tooth movement, pain and other reasons, food hardness decreased, chewing movement weakened, naturally lead to the atrophy of chewing muscles.
Some originally thin face, due to less fat, chewing muscle atrophy will make the cheek concave more obvious, and appear to highlight the cheekbones, forming the so-called “braces face”.
Braces face is more accurately described as an aging change.
Orthodontic “braces face” is a “small probability event”, in the proportion of patients I contact is not more than 10%, if the face has “baby fat”, it will not form a “braces face”.
After identifying the cause of the “braces face”, there is no need to worry: lean people can chew normal foods rather than soft and liquid foods moderately during and after braces are removed, and increase their fat intake to combat the “braces face” caused by muscle atrophy and fat loss.
