TOOTH EXTRACTIONS : WHY YOU SHOULD AVOID THEM PRESENTED WITH DATA

Basically shorthand for the dental arch. It holds your teeth. It doesnt affect the real life jaw aesthetics. But the alveolar ridge does since there is where the bone resorption happens first and it is connected to jaw aesthetics
Alright thanks bud :Comfy:

btw I've seen alot of people on this forum hate on braces for some reason, what do you think about that? Good or bad?
 
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Alright thanks bud :Comfy:

btw I've seen alot of people on this forum hate on braces for some reason, what do you think about that? Good or bad?
As long they are done early and dont involve retraction or extraction they are fine. But they dont change the root cause of the malocclusion which is why jaw surgery is preferred
 
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As long they are done early and dont involve retraction or extraction they are fine. But they dont change the root cause of the malocclusion which is why jaw surgery is preferred
alr alr I agree

not my picture but this is why I got braces:
1744896768710


basically it was crowded and there was one tooth of mine (The left tooth if you look at the picture) that wouldn't come down naturally because of crowding, so I got braces and then the tooth came down and now I have perfectely symmetrical teeth :feelshah:
 
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alr alr I agree

not my picture but this is why I got braces:
View attachment 3655452

basically it was crowded and there was one tooth of mine (The left tooth if you look at the picture) that wouldn't come down naturally because of crowding, so I got braces and then the tooth came down and now I have perfectely symmetrical teeth :feelshah:
This is Class 1 occlusion with crowding. Lucky guy thank your luck, you didnt need anything severe with this. Really braces are made for problems like that since they dont have to change anything significant
 
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Any thoughts on extractions as a solution for people with Bimaxillary Protrusion?
 
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This is Class 1 occlusion with crowding. Lucky guy thank your luck, you didnt need anything severe with this. Really braces are made for problems like that since they dont have to change anything significant
Why am I lucky lol, my parents have straight teeth and they didn't even need to use braces :soy:

Btw, it really fucking hurt the first 2 weeks, especially the first week... Because of CONSTANT pressure, my teeth were moving.

I could only eat soft foods, then after maybe 2 months, I didn't even feel the braces anymore.

I do miss my fang tooth tho, it looked cool when I smiled :feelskek:
 
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This is Class 1 occlusion with crowding. Lucky guy thank your luck, you didnt need anything severe with this. Really braces are made for problems like that since they dont have to change anything significant
Braces are largely sticking a bandaid on the real problem - jaw retrusion or a narrow palate.

Someone with healthy cranio-facial development won't need any orthodontic treatment whatsoever.

That's why shitting on orthos is a bit like blaming a fireman for a fire.
Not they're just trying to put out the flames!
 
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Great thread, I was born missing 1 tooth in my lower jaw which I feel like had an affect on my mandable, however, very happy that I didn't get any extractions when I got my braces.
 
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Why am I lucky lol, my parents have straight teeth and they didn't even need to use braces :soy:

Btw, it really fucking hurt the first 2 weeks, especially the first week... Because of CONSTANT pressure, my teeth were moving.

I could only eat soft foods, then after maybe 2 months, I didn't even feel the braces anymore.

I do miss my fang tooth tho, it looked cool when I smiled :feelskek:
Because you had the mildest case possible that is why. Could have ended up worse you know
 
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Braces are largely sticking a bandaid on the real problem - jaw retrusion or a narrow palate.

Someone with healthy cranio-facial development won't need any orthodontic treatment whatsoever.

That's why shitting on orthos is a bit like blaming a fireman for a fire.
Not they're just trying to put out the flames!
I didn't have jaw retrusion or a narrow palate though.

I had overcrowding and one tooth of mine wouldn't move down naturally
 
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Braces are largely sticking a bandaid on the real problem - jaw retrusion or a narrow palate.

Someone with healthy cranio-facial development won't need any orthodontic treatment whatsoever.

That's why shitting on orthos is a bit like blaming a fireman for a fire.
Not they're just trying to put out the flames!
That is correct. They get a lot of flak from people because people expect miracles. But in rare cases some of the extreme measures are required to offset other downsides
 
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Great thread, I was born missing 1 tooth in my lower jaw which I feel like had an affect on my mandable, however, very happy that I didn't get any extractions when I got my braces.
I hoped it was worth your time and you enjoyed reading it
 
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i have all 40 teeth
 
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It was, I will be entering dental school after summer, hopefully I won't get bluepilled into extractions
Things are changing now. Extractions are a lot less common than it was in the 60s
 
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Damn, was her case extreme ?
Not extreme but she was already recessed before, so I do think this was a horrible mistake, especially after reading this

Probably would have been better even not to do anything in comparison
 
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Braces are largely sticking a bandaid on the real problem - jaw retrusion or a narrow palate.

Someone with healthy cranio-facial development won't need any orthodontic treatment whatsoever.

That's why shitting on orthos is a bit like blaming a fireman for a fire.
Not they're just trying to put out the flames!
Extractions with braces is like pouring gasoline on a fire. Orthos do this to kids with slightly crooked teeth and give them an uglier face by recessing them, root resorption, sleep apnea and basically ruining their lives. Forcing them to spend thousands on jaw surgery later on just to reverse the effects and get their health back. Any ortho who does this to people knowing the effects and not telling their patients about them should be publicly executed.
 
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Extractions with braces is like pouring gasoline on a fire.
When did I say extractions were inherently a good thing?
Orthos do this to kids with slightly crooked teeth and give them an uglier face by recessing them, root resorption, sleep apnea and basically ruining their lives.
Most patients of orthodontists have jaw malformations of some kind.
Orthos just treat the symptoms of jaw malformations by inclining, reclining and straightening the teeth to get the optimal bite.
The underlying cause is not usually their fault - at least for patients over the age of 12.
Any ortho who does this to people knowing the effects and not telling their patients about them should be publicly executed.
Edgy .org bullshit.
 
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When did I say extractions were inherently a good thing?

Most patients of orthodontists have jaw malformations of some kind.
Orthos just treat the symptoms of jaw malformations by inclining, reclining and straightening the teeth to get the optimal bite.
The underlying cause is not usually their fault - at least for patients over the age of 12.

Edgy .org bullshit.
I didn’t say that you claimed that extractions are good I just said that orthos who are responsible for extracting teeth and retracting patients jaws should take more shit since they ruined alot of peoples lives. They also never inform their patients about the possible sideeffects.

Most people getting braces have crowding. Orthos in most countries then extract teeth, push the whole shit back and make the palate even smaller. Making a problem way worse than it was. Also making them ugly and give them airway issues. This has literally happened to millions of people including me. Orthos treat the symptoms and completely ignore the jaw and face which is really fucking ignorant.

And wanting someone who ruined your life to be executed is a natural reaction but I get that youre brainwashed and think that all violence is bad.

The only reason you don't agree is because you don’t understand how badly they’ve affected people.
 
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I didn’t say that you claimed that extractions are good I just said that orthos who are responsible for extracting teeth and retracting patients jaws should take more shit since they ruined alot of peoples lives. They also never inform their patients about the possible sideeffects.

Most people getting braces have crowding. Orthos in most countries then extract teeth, push the whole shit back and make the palate even smaller. Making a problem way worse than it was. Also making them ugly and give them airway issues. This has literally happened to millions of people including me. Orthos treat the symptoms and completely ignore the jaw and face which is really fucking ignorant.

And wanting someone who ruined your life to be executed is a natural reaction but I get that youre brainwashed and think that all violence is bad.

The only reason you don't agree is because you don’t understand how badly they’ve affected people.
I think you're overstating the extent of damage done by orthodontists.

They can move the teeth but not address the underlying jaw malformations that caused the issues in the first place - unless you're very young (<12).

It's not within the remit of an orthodontist to deal with wider craniofacial problems; that's not their purpose - they move teeth, not jaws.

Not everyone who disagrees with you is brainwashed or ignorant on these issues.

I could have avoided jaw surgery had I been treated with reverse head gear as a child so, respectfully, you don't know anything about me.

I agree that expanders can be used to address airway issues but there's no evidence that it's going to significantly change your facial structure after early childhood.

Too many here blame their shitty genetics on orthodontists when they're not miracle workers.
They often do the best they can with what they have.
 
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Very water but high effort thread bump
 
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I think you're overstating the extent of damage done by orthodontists.

They can move the teeth but not address the underlying jaw malformations that caused the issues in the first place - unless you're very young (<12).

It's not within the remit of an orthodontist to deal with wider craniofacial problems; that's not their purpose - they move teeth, not jaws.

Not everyone who disagrees with you is brainwashed or ignorant on these issues.

I could have avoided jaw surgery had I been treated with reverse head gear as a child so, respectfully, you don't know anything about me.

I agree that expanders can be used to address airway issues but there's no evidence that it's going to significantly change your facial structure after early childhood.

Too many here blame their shitty genetics on orthodontists when they're not miracle workers.
They often do the best they can with what they have.
My point is that they nowadays ruin jaws by extracting due to them only thinking about teeth and not the whole face and jaw. And if its ”not their job” to care about the face then the whole job is fucking stupid since the whole body is connected. Teeth are connected to the jaw and you cant extract teeth here and there not caring about the jaw. Its common sense. Thats why they back then like mentioned by ts cared about the whole face and expanded instead of extracting.

Theres so many people that that have gotten sleep apnea after getting this shit and it literally ruins them even taking years off their lives, also becoming uglier so im not exaggerating.

https://www.psychforums.com/grief-loss/topic94806.html Just read this for example
 
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My point is that they nowadays ruin jaws by extracting due to them only thinking about teeth and not the whole face and jaw. And if its ”not their job” to care about the face then the whole job is fucking stupid since the whole body is connected. Teeth are connected to the jaw and you cant extract teeth here and there not caring about the jaw. Its common sense. Thats why they back then like mentioned by ts cared about the whole face and expanded instead of extracting.

Theres so many people that that have gotten sleep apnea after getting this shit and it literally ruins them even taking years off their lives, also becoming uglier so im not exaggerating.

https://www.psychforums.com/grief-loss/topic94806.html Just read this for example
You do this thing that a lot of users do and that’s completely strawman me.

I agree extractions are generally bad and expansion is good. Sleep apnea is a treatable problem that orthodontists can somewhat address. Agreed. It was tangential to what I was saying anyway.

But I don’t agree with your the premise that orthodontists are β€œruining faces”.

I set out very clearly what the constraints of orthodontists are. If you’re past early childhood, there’s not much they can do about the jaws anymore.

So unfortunately, it’s not their job after a certain point. You go to a maxillofacial surgeon.

I don’t see what reading self selecting edge cases on the internet tells me.

I think there’s a happy medium between β€œorthos don’t get anything wrong” and β€œall orthos are negligent scumbags” - it’s far too skewed to the latter right now.

I stand by that.
 
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My point is that they nowadays ruin jaws by extracting due to them only thinking about teeth and not the whole face and jaw. And if its ”not their job” to care about the face then the whole job is fucking stupid since the whole body is connected. Teeth are connected to the jaw and you cant extract teeth here and there not caring about the jaw. Its common sense. Thats why they back then like mentioned by ts cared about the whole face and expanded instead of extracting.

Theres so many people that that have gotten sleep apnea after getting this shit and it literally ruins them even taking years off their lives, also becoming uglier so im not exaggerating.

https://www.psychforums.com/grief-loss/topic94806.html Just read this for example
I should also clarify that while I believe epigenetics is a very real thing, I don’t subscribe to the Mew point of view that you can completely change your entire facial structure with good tongue posture and mouth sealing.

I think you can mitigate and influence your facial development but I don’t see class 3s becoming forward grown class 1s without a massive genetic component too.

Even in young children, early face-mask intervention addresses retrusion of the jaws but the midface remains pretty much untouched unfortunately.
 
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Around here, β€œOrtho fucked me” is like β€œlawyer fucked me” in Shawshank Redemption.

Your genetic base was probably not the best to begin with.
 
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If you need to get them removed no harm it doing so. I had 3 extra teeth and one of them was preventing my pre molar from coming out so I had to get it and a molar removed
 
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If you need to get them removed no harm it doing so. I had 3 extra teeth and one of them was preventing my pre molar from coming out so I had to get it and a molar removed
That would be an extreme case. Your case is rare and I have mentioned about how they should be done in such rare cases
 
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Around here, β€œOrtho fucked me” is like β€œlawyer fucked me” in Shawshank Redemption.

Your genetic base was probably not the best to begin with and I say this with a father who had no orthodontic treatment and is a forward grown class 1 and a mother with a class 3 skeletal base.

Guess I turned up the short straw.
It’s not just people with bad genetics who get affectedβ€”plenty with good facial structure have been harmed by extractions and retraction. Blaming genetics doesn’t hold up.

Crooked teeth alone don’t justify pulling healthy ones and collapsing someone’s face. In most cases, doing nothing would’ve been way better than causing sleep apnea, recessed jaws, and long-term health issues.

And let’s be realβ€”patients are rarely told about these side effects. No warning about facial changes, breathing problems, or how it can impact their entire life. That’s not treatmentβ€”it’s damage disguised as care.

Arent the pictures in the op enough to show that orthos ruin people in alot of cases?
 
It’s not just people with bad genetics who get affectedβ€”plenty with good facial structure have been harmed by extractions and retraction. Blaming genetics doesn’t hold up.
When did I say otherwise? You keep doing this.
Crooked teeth alone don’t justify pulling healthy ones and collapsing someone’s face. In most cases, doing nothing would’ve been way better than causing sleep apnea, recessed jaws, and long-term health issues.

And let’s be realβ€”patients are rarely told about these side effects. No warning about facial changes, breathing problems, or how it can impact their entire life. That’s not treatmentβ€”it’s damage disguised as care.

Arent the pictures in the op enough to show that orthos ruin people in alot of cases?
I’m not going to defend things that I’ve never said
 
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When did I say otherwise? You keep doing this.
Your genetic base was probably not the best to begin with.
Lmao you did right here. What has my genetic base to do with orthos recessing jaws?
I’m not going to defend things that I’ve never said
But I don’t agree with your the premise that orthodontists are β€œruining faces”.
You clearly said that they dont ruin faces and I just explained how they do. Whats it that you dont understand?
 
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Lmao you did right here. What has my genetic base to do with orthos recessing jaws?
If you take the post out of context, then sure. If you read all the other posts it was pretty obvious what I was saying.
You clearly said that they dont ruin faces and I just explained how they do. Whats it that you dont understand?
Orthodontists are far from infallible but also get a lot of unfair shit as well.
The vast majority of the time, they don't ruin faces - doesn't mean it never happens. Never said that.

Most who go to orthos already have jaw deformations of some kind, which is why they're there in the first place.

In very young patients, they can accomplish similar results to orthognathic surgery but after a certain age, there's not much you can do anymore.

How many times do I have to make the same fucking point, over and over again over multiple posts for you to understand?
 
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How many times do I have to make the same fucking point, over and over again over multiple posts for you to understand
I clearly fucking explained in the first post you quoted that I was talking about orthos that extract and know about the side effects you fucking retard.
Most who go to orthos already have jaw deformations of some kind, which is why they're there in the first place.
Wtf does it matter if some have slight deformations(usually narrow palates). Your point is??
Just because you have deformations doesnt mean they should get fucked even more by their ortho.
Most of the time, they don't ruin faces - doesn't mean it never happens. Never said that.
And you dont seem to understand that its a big part of orthos do this ive literally seen this happen to so many people even in my school so its not some rare phenomenon.

Point is: A big part of orthos ruin faces and they should take way more shit for it.
 
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I clearly fucking explained in the first post you quoted that I was talking about orthos that extract and know about the side effects you fucking retard.
And I told you that I agreed with that point over multiple posts.
Wtf does it matter if some have slight deformations(usually narrow palates). Your point is??
Just because you have deformations doesnt mean they should get fucked even more by their ortho.
We're not talking slight deformations here. We're talking about retruded jaws that need to be physically moved into the right occlusal plane. Post 12 years old, an ortho can't do this anymore. Only a surgeon can. Orthos move teeth, surgeons move jaws.
Point is: A big part of orthos ruin faces and they should take way more shit for it.
No most who who go to orthos already have jaw deformations and blame the orthodontists for it.
Orthos are like firemen trying to put out a fire - as a general rule.
Do they fuck up? Yes.
Do they get a lot of unfair shit as well? Yes.
 
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I clearly fucking explained in the first post you quoted that I was talking about orthos that extract and know about the side effects you fucking retard.

Wtf does it matter if some have slight deformations(usually narrow palates). Your point is??
Just because you have deformations doesnt mean they should get fucked even more by their ortho.

And you dont seem to understand that its a big part of orthos do this ive literally seen this happen to so many people even in my school so its not some rare phenomenon.

Point is: A big part of orthos ruin faces and they should take way more shit for it.
Your "slight deformations" point betrays a misunderstand of what orthodontists actually do.

In many cases, they have to effectively stamp a bandaid on a skeletal problem - insufficient sagittal and transverse growth of the jaws.

Palatal expansion and jaw movements become far more difficult when the sutures start sealing at 12.

Your window for major change is very small during the formative years of your life.

Unfortunately, parents don't understand this and take their kids to orthos by the onset of puberty - far too late - when the problem becomes noticeable and the sutures start sealing.

As a general rule, by the time you notice a problem, you've likely left it too late.
Even mandatory ortho appointments from the age of 5 or 6 would be a big game changer imo.
 
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Wisdom teeth extractions don’t do shit. Just don’t remove anything else.
 
TLDR : TOOTH EXTRACTIONS SHOULD BE AVOIDED AT ALL COSTS


INTRODUCTION
View attachment 3655011

  • 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
View attachment 3655016

  • 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
  • View attachment 3655044
  • 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
  • View attachment 3655065
  • View attachment 3655069
  • View attachment 3655070
  • 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
  • View attachment 3655076
  • 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 ?
  • View attachment 3655079


WHY EXTRACTIONS MATTER TO LOOKSMAXXING AND HEALTHMAXXING
View attachment 3655080

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

View attachment 3655081

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.

View attachment 3655083

3. The zygomatic bones may flatten. Study referenced credit to @juju06

4. The condoyle position may be changed which can lead to TMJ


View attachment 3655085

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


View attachment 3655127


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
Would this apply for wisdom teeth, my bottom right wisdom tooth is causing my pain and i'm thinking about removing it but am unsure if it will change my face shape.
 
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Would this apply for wisdom teeth, my bottom right wisdom tooth is causing my pain and i'm thinking about removing it but am unsure if it will change my face shape.
No wisdom teeth are fine to extract
 

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