TMJ Problems after Premolar Extractions for braces? Facial Change?

Question

I'm thirteen and I had braces since the fourth grade. But after getting braces off last summer, I found that my teeth aren't completely straight. Since i've already had braces before, I asked my ortho about it. He said if I want it completely straight, I'd have to have 4 premolars extracted.He said i wouldn't need my wisdom teeth removed if I have 4 premolars extracted. I was pretty pumped about it but i don't know anymore. Tooth975 answered all of the premolar extraction questions, but really that person is the only extremely negative person. I don't know what to do! My ortho said that if I get my premolars extracted, my braces for the second time would be free and that a ton of people has done it before! I heard it will cause TMJ problems and pain in the longterm. I don't want to pay again to another ortho when I have already paid this ortho. Plus, he said that there is no other way

Anonymous · Accepted Answer

You have multiple issues. First, i've been treating TMJ for 20 years and have found 60-65% of patients we treat have had orthodontic treatment prior to any symptoms. Second, I don't believe in bicuspid extractions because to create space. If you do some research and check into the DNA appliance, you'll  find that dentist are able to expand and grow the upper jaw and create space to make room for all the teeth.  Several reasons exist for why people have small upper jaws while people in native areas do  not. As a side note, many people with small upper jaws also have sleep, breathing, airway and even ADHD issues. I can be contacted at mgormandds@aol.com. Best of luck , Matin Gorman, DDS

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TMJ Problems after Premolar Extractions for braces? Facial Change?

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