Regret tooth extraction for braces

[samxx]

My orthodontist said I needed to get a tooth extracted to make space due to crowding. I asked if it was necessary and if it was possible to go forward with the treatment without pulling a tooth but he said this was the best way and I didn't push the subject any more. Now I have a 5mm gap between my canine and my molar and my front teeth have basically straightened out now so I'm worried about how he's going to close the gap.
If he pulls the molar forward I'm still going to have a huge gap in my mouth :(
Am I over thinking this?
It's still early stages and my ortho is really nice and I trust him but I don't want to have a gappy mouth!!

[Braces2017]

Did he remove teeth because you have an overjet? I have same thing, (braces were put on today) however I had to remove 2 teeth first to bring the front back to compensate for my smaller lower jaw. Apparently it can take a year or more for the gap to close up. I wouldn't panic yet.

[djspeece]

I'd ask your ortho on the plan, but I know from my own experience a 5mm gap left after an extraction can be closed with braces and powerchains. I actually had two of them. Your concern is warranted, but I think your ortho would be able to reassure you with the plan. Best of luck to you!

[pcspinheiro]

Hi, I'm in the EXACT same situation as you, except that my ortho's plan was for me to remove one bicuspid on each side. Now that my teeth have straightened and only used about 2 mm of the space I'm refusing to get the one one removed. She planned on retracting all my front teeth but that's something I don't want. Apparently my jaw is too small but I disagree with her diagnosis, it's just been trapped back due to my deep overbite and retracting my upper teeth can only make it worse. I'm now trying to figure out how to deal with her, because she does not seem too open to deviate from her original plan, even though I'm still only 5 months in. I just want my gap closed now, either by moving teeth or, if it needs be, with a bridge/implant and my upper teeth left alone, it's my lowers that need attention. Hope yours has a better plan than mine and is open to YOUR opinion and goals. Perfect is enemy of good...

[sapir2442]

Do not worry or regret anything. I had 4 teeth extracted in the beginning of the treatment and the gaps were huge! I also asked if it necessary and my orthodontist explained to me that she can get my teeth straight without pulling my teeth out but my teeth will return to the same state quickly, while pulling the teeth out and making some room the results would stay for a longer time. I'm with my braces for 15 months now and my gaps are all closed and it looks natural! so cheer up! it'll be fine (:

[pcspinheiro]

I don't want to be the negative one here but I DO regret extraction of THAT tooth. If I was properly informed up on the subject, treatment options and plan and all the possible downsides of it I would refuse the specific plan that was proposed and, if REALLY necessary, would have opted for removing only my second bicuspid on the side where the first one is already gone. It's a much smaller (= smaller gap) and uglier tooth (less visible, more inside the gum).

samxx, if you could post what your ortho plans for closing that gap without creating a large mid-line asymmetry I would really like to hear about it! I never cared for correcting anything other than my crooked upper incisors that, together with an overbite, were harming my lower incisors. Since I got a bite plane for my overbite my mandible has freed up considerably and I will not have my front teeth retracted and trap it back again... Rather live with a small overjet than mess things further just get my teeth "by the book". Was never my goal...

[godutch]

I don't want to be the negative one here but I DO regret extraction of THAT tooth. If I was properly informed up on the subject, treatment options and plan and all the possible downsides of it I would refuse the specific plan that was proposed and, if REALLY necessary, would have opted for removing only my second bicuspid on the side where the first one is already gone. It's a much smaller (= smaller gap) and uglier tooth (less visible, more inside the gum).

the 1 st bicuspid is generally much less strong than the 2nd and has 2 thin fragile roots (instead od one strong one like the 2nd bicuspid) which makes it move slower during treatment too

[pcspinheiro]

[quote="godutch"][quote="pcspinheiro"]I don't want to be the negative one here but I DO regret extraction of THAT tooth. If I was properly informed up on the subject, treatment options and plan and all the possible downsides of it I would refuse the specific plan that was proposed and, if REALLY necessary, would have opted for removing only my second bicuspid on the side where the first one is already gone. It's a much smaller (= smaller gap) and uglier tooth (less visible, more inside the gum).
[/quote]
the 1 st bicuspid is generally much less strong than the 2nd and has 2 thin fragile roots (instead od one strong one like the 2nd bicuspid) which makes it move slower during treatment too[/quote]

My 1st bicuspids are larger externally than my 2nds and only have a single very large root... I know cause I've kept it to show the children. Almost 2 cm long root... My ortho should know, she x-rayed my mouth, of course, but I often wonder if she ever did a proper study... I was told I needed extractions after 10s looking at my mouth, BEFORE any molds or anything...

[godutch]

I don't want to be the negative one here but I DO regret extraction of THAT tooth. If I was properly informed up on the subject, treatment options and plan and all the possible downsides of it I would refuse the specific plan that was proposed and, if REALLY necessary, would have opted for removing only my second bicuspid on the side where the first one is already gone. It's a much smaller (= smaller gap) and uglier tooth (less visible, more inside the gum).

the 1 st bicuspid is generally much less strong than the 2nd and has 2 thin fragile roots (instead od one strong one like the 2nd bicuspid) which makes it move slower during treatment too

My 1st bicuspids are larger externally than my 2nds and only have a single very large root... I know cause I've kept it to show the children. Almost 2 cm long root... My ortho should know, she x-rayed my mouth, of course, but I often wonder if she ever did a proper study... I was told I needed extractions after 10s looking at my mouth, BEFORE any molds or anything...

When you take an xray a small one or opg it usually looks like the 1st upper premolar has one root because the 2 overlap, only when you shoot from an angle can you see 2 roots. About 90% have 2 small roots about 10% one big fused one like yours (and in very rare cases 3 roots)

[bi167]

Hi all,
i am new here, and i am 24 years old and decided to get braces, as I have upper right impacted canine. also my lower jaw teeth are severely crowded so I was also adviced that I am needed to get 2 lower premolars (one fron each side) removed to reveal the crawding. I have already taken advice from 3 different orthos, they all say the same.
Is it ok to remove? or i will regret loosing my fine premolars.
also my teeth are weak from start. so all the molars have little but cavity. only these premolars are fine and perfect. so I am not sure that i should loose them over already decaying molars.
On other note, one ortho also adviced to get my 3 wisdom teeth removed by saying they will later undo all the work done by braces. but that's​ thr later case..still if someone can suggest anything it would be very helpful​.
thanks in advance

[UnhappyCamper]

Hi all,
i am new here, and i am 24 years old and decided to get braces, as I have upper right impacted canine. also my lower jaw teeth are severely crowded so I was also adviced that I am needed to get 2 lower premolars (one fron each side) removed to reveal the crawding. I have already taken advice from 3 different orthos, they all say the same.
Is it ok to remove? or i will regret loosing my fine premolars.
also my teeth are weak from start. so all the molars have little but cavity. only these premolars are fine and perfect. so I am not sure that i should loose them over already decaying molars.
On other note, one ortho also adviced to get my 3 wisdom teeth removed by saying they will later undo all the work done by braces. but that's​ thr later case..still if someone can suggest anything it would be very helpful​.
thanks in advance

I would avoid getting your premolars/bicuspids removed at all costs. You are potentially putting your face at risk through loss of soft tissue support as the teeth are pulled back. This can have devastating effects on your facial aesthetics. I would advise getting an opinion from an orthodontist who uses an arch widening appliance to create extra space (like Damon braces but branding is not important).

[bi167]

Hi..
I don't know more about facial aesthetics, I am underweight and have small face without any facial fat, means I just want to say I have thin face. So can expanding jaw will make me look more bad!?! I don't know I am confused. also I have my upper front teeth inclined outwards than normal inclination, so to take them in I would be needing lower front teeth to move in(i will provide opgs as soon as site allows me to post). so acc to ortho, i must remove 2 premolars(lower) to take all teeth in, otherwise straightening(upper incisors) them without that, all my teeth will come more out and I won't we able to close my lips or so!

[bi167]

Hi..
I don't know more about facial aesthetics, I am underweight and have small face without any facial fat, means I just want to say I have thin face. So can expanding jaw will make me look more bad!?! I don't know I am confused. also I have my upper front teeth inclined outwards than normal inclination, so to take them in I would be needing lower front teeth to move in(i will provide opgs as soon as site allows me to post). so acc to ortho, i must remove 2 premolars(lower) to take all teeth in, otherwise straightening(upper incisors) them without that, all my teeth will come more out and I won't we able to close my lips or so! thanks again!