Bad Bite from Extractions
by Christine in New York
turned out disastrous because the orthodontist pulled too
many teeth and now my mouth is too small. I bite the outside
of my tongue when I chew, and my face has collapsed.
I believe the
reason this happened is because I chose a very formulaic
orthodontist who followed a treatment plan instead of treating
me like an individual.
Be very very
careful of tooth extraction and lobby hard for one tooth vs. two
teeth. Better yet, ask your ortho if they can do the procedure
in where they shave bulk off adjoining teeth instead of
extractions. It's a newer process, but I have heard it works
very well. Also, explore cosmetic fixes thoroughly before you go
into braces. Many problems can be solved that way.
Also, do not
believe your ortho if they tell you that your face will not
change. Everyone I talked to who had braces told me that in fact
their face did change, especially their smile, and not always
for the better due to the relationship between the teeth and the
muscles of the face. Smiles are about more than teeth.
I agree with
Christine, and I'm sorry to hear that she had such an
unfortunate outcome. Braces can change the way your face looks
(usually for the better). But when it comes to extractions, you
must be careful. Your facial aesthetics must be carefully taken
into consideration when you are extracting or having any type of
jaw surgery. Christine is right -- smiles are about more than
just teeth. Your teeth are part of the infrastructure that
supports your facial tissues.
I have heard
many stories about "sunken faces" after extractions. It is best
to always get several opinions before proceeding with any
irreversible procedure. Sometimes extraction is the only way to
correct a problem, and it does not always result in a sunken
face or bad facial aesthetics. But those outcomes can be
possibilities when you are changing the underlying structure of
your face. In many cases, other methods can be explored first.
children: As I state in our
web page about extractions, you should get several opinions
before extracting teeth in children. Their faces are still
growing, and aggressive extraction can cause their faces to grow
"flatter" than normal.