06/12/2023
🚨🚨A severe crowding and protruded incisors: 8 years after the end of treatment the result is still stable.🚨🚨
Extraction of first bicuspids in a severe crowding case with a thin biotype, front teeth protrusion, midline shift, and a deep bite can have several advantages on biological, functional, and esthetic levels.
Biological Advantages:
1. Improved periodontal health: brushing effectively for the patient becomes easier, reducing the risk of periodontal problems.
2. Preservation of bone and gum tissues: Extraction and subsequent alignment distribute forces more evenly and can help preserve periodontal structures.
3. Reduced risk of dental trauma: Protruding front teeth are more susceptible to damage during facial trauma. By treating them accordingly, the risk of trauma to the protruded teeth is minimized, increasing their longevity.
Functional Advantages:
1. Improved bite function: A deep bite can lead to problems such as difficulty in chewing, speech issues, and excessive pressure over the front teeth due to improper distribution of forces. By correcting the deep bite, extraction and subsequent orthodontic treatment can significantly improve overall bite function.
2. Enhanced jaw joint health: A deep bite can cause excessive stress on the jaw joints leading to jaw pain, and discomfort while eating or speaking. By achieving a more balanced bite through extraction and alignment, the risk of temporomandibular joint disorders can be reduced.
Esthetic Advantages:
1. Improved facial harmony: By extracting the bicuspids and repositioning the anterior teeth backward, a more balanced and aesthetically pleasing facial appearance can be achieved.
2. Enhanced smile aesthetics: By creating space through extraction and aligning the teeth, the smile can be greatly improved by achieving proper tooth alignment.
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