loyolaxavvierretard
𝕯𝖝𝕯 𝖈𝖗𝖊𝖜 . Alonso
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TLDR : TOOTH EXTRACTIONS SHOULD BE AVOIDED AT ALL COSTS
1. Premolar extractions lead to loss of jaw bone that surrounds the extracted tooth. The process begins immediately after extraction and 60% of the bone is lost after the extraction takes place. It continues to happen even after the teeth have moved in and the treatment is completed. This process is called as alveolar ridge resorption and the lost bone cannot be recovered. The dental arch is also retracted after the extraction to utlilise the space to stratghten teeth. This is shown in the image above. Due to the retraction procedure performed after extraction the palate shrinks as shown in the image below
The study referenced
2.The mandible and the maxilla may grow downward instead of forward if extractions are performed on patients who are still growing. Less teeth in a child and a shrunken alveolar ridge has been consistently shown to hinder jaw growth. The image below shows efore and after Extraction/Retraction; the patient's jaws grew down and backward. The patient's father, a medical doctor, sued the orthodontist for facial disfigurement.
3. The zygomatic bones may flatten. Study referenced credit to @juju06
4. The condoyle position may be changed which can lead to TMJ
5. The hyoid bone may change position
6.The pharyngial airway will narrow. This is the most brutal risk since narrowing the airway has many consequences of the quality of life. A narrow airway is a potential cause of severe breathing problems such as Obstructive Sleep Apnea and UARS. This finding can link OSA to extractions and be a silent health killer since it disrupts the quality of life in many ways. Brain fog, stroke, hypertension, depression, fatigue, type 2 diabetes, metabolic syndrome, fatty liver disease are all linked to sleep apnea. That is why it is so hard to diagnose the cause of other health issues in patients who have sleep apnea, because unless you do a sleep study you wont know what is wrong. The link between extractions and narrowed airway was found by scientists using a 3-D cone beam analysis and the studies are linked in a Google Sheet in this point above
7. This is not it though. The extraction of a few teeth has a domino effect on the entire body. It is so significant that it can ruin the entire posture of the body. Moreover, TMJ may be induced due to the retruded mandible, the Cervical vertebrae will compress and somatic tinnitus may develop. The shoulders will slump, neck curve will change, the lower back will sway and as a result back pain may develop. All due to removing teeth. A reference image is shown below
1. The number thing is to get multiple consultations with different orthodontists. It never hurts and the first consultation is usually free. There are many orthodontists in the Western nations who are willing to treat malocclusions without extracting healthy teeth, so never settle for a suboptimal outcome and waste your money unless it is absolutely required and not doing so would result in adverse health consequences
2. It is advisable to go to a maxillofacial surgeon first to determine whether you are clinically recessed and whether your case warrants surgery. In such cases camouflage orthodontics does not treat the cause of the issue that is the jaw. You might end up with TMJ or some other jaw related issue if your upper and lower jaws are not aligned and the treatment consists of retracting the jaws
3. Go to an orthodontist as early as possible. The faster you catch the problem the better it is since the maxillary sutures are shut by the time you turn 16. When you are growing, it is still possible to expand your jaw using myofacial appliances and undergo an expansion treatment instead of the normal retraction treatement. It not only benefits aesthetics but also prevents airway issues going into the future. A huge downside is that it is costly and it hurts a lot so patient compliance is very less due to which only a few orthodontists recommend this treatment
4. If you are above 16, there is still hope as you can still undergo maxillary expansion surgery that is provided by Dr Kasey Li. It is not at all related to aesthetics and is more of a treatment for sleep apnea caused by stunted jaw growth. Take this advice as healthmaxxing, since whatever aesthetic changes are caused, they are barely subtle
THANK YOU FOR READING IF YOU HAVE COME THIS FAR !
@sigmamogger @davidlaidisme67 @talcel @The Homelander @goyimslayer
INTRODUCTION
- There are multiple accounts of tooth extractions ruining the face i.e. they "flatten the profile" or the face seems "retracted" or it leads to recessed jaws.
- However there has been a great debate within the orthodontic community regarding the validity of these claims. Some believe that the claims are exaggerated, while others believe that we are not really paying attention to the issue of the changes of the facial profile occuring due to tooth extractions
- In this guide I will give a historical and a statiscal foundation for my argument that you should avoid tooth extractions unless and until it is absolutely required i.e. Jaw Surgery.
HISTORY OF EXTRACTIONS
- The early days of modern orthodontics featured almost no tooth extractions. Even the most crowded teeth were somehow fixed without any premolar extractions somehow using the tools and methods available at the time
- Dr Edward Angle, who is considered the father of modern orthodontics, was extremely adamant regarding his conviction that all the 32 teeth were to be kept intact for an aesthetic smile. From 1890 to 1930 orthodontists followed his philosophy of avoiding extractions at all cost in all cases related to malocclusion. Extracting healty adult teeth was considered barbaric in Edward Angle's time and was only done in barber shops
- But Angle's student Dr Charles Tweed concluded in a conference to much outrage that extractions were the preferred way to solve malocclusion. He argued that extracting premolar teeth were the only way to prevent relapse of teeth i.e. moving back into the same position they were in. He also argued that the reduced jaws and flatter lips as a result of extractions were more aesthetic than the other way round. Given photo below is the result of Tweed's case study. You be the judge of what is more aesthetic
- One of the most eminent individuals in dentistry at that time B.F. Dewel produced hundreds of case studies showing that extractions produced downgrown mandibles in children and hindered jaw growth. It was also argued that the forward head posture as a result of Tweed's method suggested something wrong with the cranial development. There were a lot of harsh words spoken towards Premolar Extractions and a lot of orthodontists warned against Tweed's methods saying that orthodontists would regret flattening American smiles
- Despite all these criticisms, Premolar Extractions became popular in America in 1960s whereby it was done in almost 70% of cases involving malocclusion. The primary reason was that Premolar Extractions indeed did prevent relapse, the method reduced treatement time and hence proved to be cheaper to patients. By 1970s it had become standard of care to remove healthy teeth just to fit the other teeth in the dental arch.
- After the 1970s terryfing results came in that showed that Premolar Extractions resulted in a "flattened profile" which was mainly because of bone resorption due to the extractions. This was further proved by twin studies that showed the stark difference
- The answer to all these aesthetic changes by the orthodontists who did extractions was that it was because of the genetic predisposition of the child not because of the extractions treatment. To the opposite they successfully tried to reduce the stigma around extractions throught this infamous advertisement
- However, while they were lying to the public the orthodontist community quietly reduced the rates of extraction treatment from 70% in the 60s to 50% in the 70s and even lesser in the 80s. In-house there was a real acknowledgement of the dangers of extraction and this historical review explains in its section dedicated to the 70s that how orthodontists were starting to understand the fact that extractions lead to "dished in" faces and a whole host of undesired aesthetic changes.
- To bring home my point, I would like to present this photo of the our very own Miss America who featured in a pro extraction ad. When does look better ? pre treatment or post treatment ?
WHY EXTRACTIONS MATTER TO LOOKSMAXXING AND HEALTHMAXXING
1. Premolar extractions lead to loss of jaw bone that surrounds the extracted tooth. The process begins immediately after extraction and 60% of the bone is lost after the extraction takes place. It continues to happen even after the teeth have moved in and the treatment is completed. This process is called as alveolar ridge resorption and the lost bone cannot be recovered. The dental arch is also retracted after the extraction to utlilise the space to stratghten teeth. This is shown in the image above. Due to the retraction procedure performed after extraction the palate shrinks as shown in the image below
The study referenced
2.The mandible and the maxilla may grow downward instead of forward if extractions are performed on patients who are still growing. Less teeth in a child and a shrunken alveolar ridge has been consistently shown to hinder jaw growth. The image below shows efore and after Extraction/Retraction; the patient's jaws grew down and backward. The patient's father, a medical doctor, sued the orthodontist for facial disfigurement.
3. The zygomatic bones may flatten. Study referenced credit to @juju06
4. The condoyle position may be changed which can lead to TMJ
5. The hyoid bone may change position
6.The pharyngial airway will narrow. This is the most brutal risk since narrowing the airway has many consequences of the quality of life. A narrow airway is a potential cause of severe breathing problems such as Obstructive Sleep Apnea and UARS. This finding can link OSA to extractions and be a silent health killer since it disrupts the quality of life in many ways. Brain fog, stroke, hypertension, depression, fatigue, type 2 diabetes, metabolic syndrome, fatty liver disease are all linked to sleep apnea. That is why it is so hard to diagnose the cause of other health issues in patients who have sleep apnea, because unless you do a sleep study you wont know what is wrong. The link between extractions and narrowed airway was found by scientists using a 3-D cone beam analysis and the studies are linked in a Google Sheet in this point above
7. This is not it though. The extraction of a few teeth has a domino effect on the entire body. It is so significant that it can ruin the entire posture of the body. Moreover, TMJ may be induced due to the retruded mandible, the Cervical vertebrae will compress and somatic tinnitus may develop. The shoulders will slump, neck curve will change, the lower back will sway and as a result back pain may develop. All due to removing teeth. A reference image is shown below
WHAT TO DO IF YOU WANT TO TREAT BAD TEETH WITHOUT EXTRACTIONS ?
1. The number thing is to get multiple consultations with different orthodontists. It never hurts and the first consultation is usually free. There are many orthodontists in the Western nations who are willing to treat malocclusions without extracting healthy teeth, so never settle for a suboptimal outcome and waste your money unless it is absolutely required and not doing so would result in adverse health consequences
2. It is advisable to go to a maxillofacial surgeon first to determine whether you are clinically recessed and whether your case warrants surgery. In such cases camouflage orthodontics does not treat the cause of the issue that is the jaw. You might end up with TMJ or some other jaw related issue if your upper and lower jaws are not aligned and the treatment consists of retracting the jaws
3. Go to an orthodontist as early as possible. The faster you catch the problem the better it is since the maxillary sutures are shut by the time you turn 16. When you are growing, it is still possible to expand your jaw using myofacial appliances and undergo an expansion treatment instead of the normal retraction treatement. It not only benefits aesthetics but also prevents airway issues going into the future. A huge downside is that it is costly and it hurts a lot so patient compliance is very less due to which only a few orthodontists recommend this treatment
4. If you are above 16, there is still hope as you can still undergo maxillary expansion surgery that is provided by Dr Kasey Li. It is not at all related to aesthetics and is more of a treatment for sleep apnea caused by stunted jaw growth. Take this advice as healthmaxxing, since whatever aesthetic changes are caused, they are barely subtle
THANK YOU FOR READING IF YOU HAVE COME THIS FAR !
@sigmamogger @davidlaidisme67 @talcel @The Homelander @goyimslayer
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