Teeth pushed too far back

[Ladnib]

I got adult braces when I was 29years old. I had them on for 28 months. But after spending a lot of money and time, my results are not satisfactory. I had an overbite and my ortho recommended pre-molar extractions. He extracted the upper bicuspids. He then aligned my teeth but now my teeth are pulled too in. Both my upper and lower teeth have a backward slant. My face looks as if I do not have teeth and I am wearing dentures. My smile is very unnatural. All my friends and family agree that I looked better before. I am meeting my ortho next week but I need advise on how to deal with this issue. I removed my braces two weeks ago and I have been very depressed since then.

[Ladnib]

I can post pictures if that would help.
@Admin, could you please allow me to post pictures.

[almost40]

I am sorry to hear this :( I recently asked a question about exactly your situation. I am due to have retraction and I am worried about that tucked in look. How big was your overjet? I read somewhere that there is a limit the bone can move so maybe that’s what causes that. Hopefully someone has more advice and can help.

[pcspinheiro]

Well, I've been on the forums for a while now, asking a lot of questions but lately just warning people about extractions. Although admittedly in some cases there may be no other way, I now believe that many extraction cases are just to "make things easier", at the cost of unsatisfactory patient outcomes when it comes to their faces. Small overjets and overcrowding can be solved in other ways, without sacrificing what are mostly healthy teeth and good faces (or at least faces that people like because they've grown accustomed to them). If no extreme overcrowding, protrusion or overjet is present I always tell people to go the conservative way; refuse extractions and decide later on. Better to "waste" a few months more in treatment than to regret a permanent procedure and spend even more time and money trying to fix it back. If you are not happy with the non-extraction route or if it's not working for you, THEN decide on extractions. At a time when I was completely uneducated about orthodontics, I was literally bullied down the extraction route, with lies of how all my teeth could never fit in my mouth, how bad it would look and how I would wast time because I would regret it. Having heard this from a medical specialist I went with it just to see all my teeth straighten up nicely and use only 2 mm of the almost 8mm left by losing one premolar. Needless to say, I got extremely mad at my ortho for her attitude and complete disregard for my goals, when all I wanted was to get my upper front teeth away from my lowers to stop wear AND refused further extractions, which could be accomplished with some overjet. Now I have a 5 mm gap to close on one side, which I hope will be done by moving both back and front teeth to meet halfway. I now see I could happily live with the non-extraction results, and without the TMD, lisp and other problems that came from her overzealous and poorly thought out plan, for that matter, but I was robbed of that chance... I cannot even imagine how my face /smile (which she also ruined BTW, by leveling all my front teeth) would look like if I had extracted 2 premolars and be left with 14mm of space to close! Unfortunately, when people arrive at these forums it's mostly because they've already regretted their decisions and there is already little that can be done to help them now. Each case is a case, but don't just settle for one opinion and be sure to be firm about your goals. If you're only bothered by one problem get that fixed and don't be fooled into wasting time, money and happiness with things you probably couldn't care less about. If I could go back in time I would never follow this stupid plan and would go out of my way to find an ortho willing to fix ONLY what bothered me.
Hope you can get your problem sorted though... there are lots of people undoing extraction orthodontics, but that comes at a high cost and is not possible in all cases... maybe you can try to change the torque of your teeth to make them vertical or slant slightly out, together with some extrusion of the upper teeth, to give you "more smile"? Without photos it's hard to picture your end result, maybe you can post a link to google photos?

[EmilyTravels]

I can post pictures if that would help.
@Admin, could you please allow me to post pictures.

You have to have ten posts here before you can post photos, so keep on posting!

[pcspinheiro]

Or post an external link

[Ladnib]

Thank you for the replies. In the beginning, I was hell bent on getting invisalign but my ortho told me that it would only give me, at most, 60% of the desired result at 100% of the cost. Given what I know now, I would have been more than happy with 60% of the results. I wouldn't have lost two teeth, my facial structure would have changed so as to look old and toothless, and I would have a smile which was aligned albeit with slight overbite. I will see him later this week to discuss if he can push my teeth out a couple of millimeters so that I can close my mouth without hurting my jaws and have a decent smile.

[Ladnib]

Here are the pre and post photos. Does anyone have experience with pushing teeth out?

https://photos.app.stuff.gl/zIB3WoAFui1roytg1

[bubba3000]

i cant see the photo

[EmilyTravels]

i cant see the photo

Ditto.

[Ladnib]

I don't know why the previous link didn't work. Hopefully, this one does: https://photos.app.stuff.gl/zIB3WoAFui1roytg1

[Ladnib]

Never mind, the new link doesn't work either. I don't know why Google is not allowing me to share the photos. Regret any inconvenience caused.

[Ladnib]

Does anyone have experience with pushing teeth out after braces have been removed? I was looking through my pictures and I realized that my facial profile was good in December of 2017. In fact, in January 2017 I told my ortho that I think my teeth are going too in and he dismissed my concerns. Then 2-3 months later he said that we have pulled the teeth too in. I should have told him then and there to fix it, but I thought he knew best. So, I didn't argue with him when he said that its fine, it will all work out eventually. So, if I can go back in braces and push my teeth out by 2mm or so, I think my profile will be much better. I don't know if braces can push teeth out. Does anyone know?

[almost40]

At a consult yesterday the ortho said for some patients who come in to fix that slanted look there is a wire he places that helps rotate the teeth back forward. I forgot what the name of it. He went on to say that at that point he places dental implants so maybe that also opens any spaces.

[bubba3000]

yes i had braces also and it completed destroyed my profile when i see my old photos before the braces I cry. The changes I noticed was my teeth were also pushed too far back and i have black spaces(buccal corridors) after the extraction where as before i never had this also my face got narrow and my cheekbones went flat..i am still looking for a orthadontist to reverse the braces and open the gaps but im having trouble finding one as the orthodontics i have spoken too don't understand why i would want to reverse extraction or don't know how to do it.