2nd premolar extraction braces

In some cases premolar teeth can be removed without sacrificing future cosmetics or function. Premolar Extraction Timeline.

Images 5 and 6 added showing patient in braces as well as the upper dental arch after braces were placed on the teeth.

2nd premolar extraction braces. Premolar extraction is commonly used to create space to pull the teeth back into a more normal position and reduce lip strain. Second premolar extraction usually creates less space than first premolar extraction and my orthodontist gave me both options. REMOVAL OF SECOND PREMOLARS 687 Fig.

-Case presenting with congenital absence of mandibular left second premolar. Maxillary left second premolar and mandibular left second deciduous molar extracted and spaces closed. 2 and 3 -Same case as shown in Fig.

1 with extracted teeth attached to model by means of wax. If you are talking about getting both 1st and 2nd premolars removed then absolutely no. But if you are talking about 1st or 2nd premolar extractions then its very common in people who get braces and it depends on the amount of crowding you have or if your teeth positioned far forward on your face.

My second upper right premolar broke above the gum line. Dentist said I could a get an implant. However Id need to have some gum removed at the back of area titanium screw full crown.

Or b remove premolar braces could close the gap. The space will be closed by wires. The second premolar and front teeth will take its space.

Extraction due to decay or gum problems. During your full smile a vacant space might be visible. So it will be better to get the tooth replaced by a dental implant or a bridge.

Extractions of the first or second premolars are the most commonly considered procedures for the treatment of anterior open bites associated with crowding andor overjet. The mechanics are easier when the anterior teeth are flared as is usually the case with this type of occlusal plane divergence. I had my premolars extracted because of severe crowding issues and it did nothing but improve my face shape.

I went from a face like a grain of rice to more of a rounder jaw. I had palate expanders as well and braces. I did have TMJ for a few years but like the previous poster it all straightened out in the end.

1-OPEN BITE. Case Example 3. An open bite case treated with upper 1st and lower 2nd premolar extraction.

In this case the upper incisor were composite build up and all the brackets from 2nd premolar in upper and 1st premolar lower arch were bonded 05mm more gingival while the 1 and 2 molar tube were bonded 05 mm more occlusal in accordance. Im a 34 yo and been to a few consults for braces. 1st Ortho said it can be done without extractions.

But 2nd Ortho said I need 4 premolars 4 wisdom teeth extracted wisdom are impacted but no issues yet. I have concerns of flaring protrusion if I dont do it but also concerned my facial. So yes extractions will help your face.

If youre looking to fix the bite nothing will really change except for a couple teeth mainly lower 2nd molars uprighting. So braces arent that necessary from a bite standpoint based on these records. You can reduce the protrusion some with IPR spread across your PM Canine and Incisor region.

I am now in my second round of braces to prepare my teeth for orthognathic surgery to bring both my maxilla and mandible forward to open my airways and create a better aesthetic appearance. Sovanna age 31 Cambodia. Response by poster.

The doctor did give me the option of going ahead with braces without extracting teeth but says that if my teeth need to go down say 30 degrees with extraction I would only get 10 degrees keeping my teeth. In his words if you were my sister Id tell you to go ahead with the extraction. As I said the doctor has a good reputation but he did seem a bit pushy to me.

Premolar Extraction Timeline. Apologies for the bloodiness but here it is. Some days I forgot to take a picture but I think this sums it up.

About a month in the extractions were pretty much closed. The last picture with my blue ligs is a month into my braces. It was so difficult to eat with these blood pits in my gums and my paranoia of.

She had the 1st molar extracted and we moved the 2nd molar into the 3rd molars position and the 3rd molar will likely erupt into the 2nd molar position. We saved her from needing an implant or bridge. Look at how we closed upper space where she only has 1 premolar and on the other side were able to rotate the premolars straight.

Which teeth are usually removed for braces and why. First premolars are commonly removed for braces and wisdom teeth arent removed for orthodontic treatment purpose solely. Second premolars are also removed sometimes.

Orthodontists rarely extract other teeth for orthodontic treatment. Some orthodontics suggest the first prermolars taken out while others think it would be better with the second pre-molars extractionThose saying the first bi-cupid extraction think that it will create a better harmony relationship between upper and lower jaws the upper jaw usually covers up 2mm to the lower jaw. The teeth most frequently removed for orthodontic reasons are the first bicuspid premolar teeth.

These are the teeth right between the cuspid or eyeteeth under the eyes and the molar teeth the biggest back teeth. In some cases premolar teeth can be removed without sacrificing future cosmetics or function. The potential for premolar extractions to produce adverse facial effects after orthodontic treatment is still controversial.

Detailed documentation of the predictability or otherwise of various soft tissue treatment effects would obviously be of assistance to clinical orthodontists in day-to-day treatment planning by potentially refining the criteria for appropriate selection of various. However a definite diagnosis of aplasia of the second mandibular premolar in patients under 9 years of age can rarely be made4544 Other proposals have included extraction of a premolar in the opposing arch with or without active orthodontic treatment26 or. Surgical removal compromised bone for implant impact magnified with growth early ankylosisworse than late infraocclusion worse when absent premolar than if premolar present Retained Second Deciduous Molar Problems.

Infraocclusion Kurol1981 CommDent Oral Epid9-94 Kurol1984 EurJ Ortho 6. 277-93 Kurol1984 Angle Orthod54 283-94. Almost every day I am asked by patients if bicuspid extractions are necessary before they can have braces.

My reply is always the same. Update to this blog. Images 5 and 6 added showing patient in braces as well as the upper dental arch after braces were placed on the teeth.

Final images soon to come. Many orthodontists routinely had the premolars removed to make room for the other teeth for braces many years ago. The main problem that resulted though was beautiful smiles and tmjtmd issues.

Now orthodontists are more aware of the jaw joints and often try and treat patients without the premolar extractions. If the extractions happened recently and you have limited opening of the mouth and pain in the joint that could be normal. It is probably a possible side effect of the procedure.

If it has been a while then you should go to your doctor and have it evaluated.