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The balance of the face and the airway are respected
with straight teeth being a small part of the overall
treatment goal.
Primary (baby) teeth are not extracted to alleviate
crowding - jaws are developed to accommodate the teeth.
Permanent teeth are not extracted to alleviate crowding
for children and adolescents and only in very rare cases
for adults. Instead, space is made for the teeth. (Wisdom
teeth are a separate, unrelated issue.) We believe a
broad smile is more attractive, and treatment to accommodate
the teeth helps keep the airway from being compromised.
Headgears are NEVER used
to push the upper teeth back - upper teeth are almost
never too far forward relative to the rest of the face!
It's the lower jaw that is too far back making the upper
teeth appear to be too far forward!
Treatment for children and adolescents is done as early
as possible to achieve the best result in the shortest
amount of time. Parents are busy and kids don't want
or need to be in braces longer than necessary!
Malocclusions (crooked teeth) and unfavorable facial
development are caused by altered oral posture (the
way the tongue, teeth, and lips are held at rest). Because
breathing through the mouth rather than the nose is
frequently the cause of altered oral posture, we try
to find the reason someone is a mouthbreather and change
the pattern to nosebreathing. In turn, this supports
proper dental and facial development and stability of
the orthodontic result.
Based on the research Dr. Hang has done, impacted cuspids
(eye teeth that are in the roof of the mouth and do
not erupt) can usually be prevented. Impacted cuspids
naturally occur in 2-3% of the population - including
Shaquille O'Neal! It is critical to see children long
before all the permanent teeth are in if we are to prevent
this serious problem. (Canine
Impaction Identified Early with Panoramic Radiographs
- American Dental Association Journal, March, 1982)
Adults who had extractions for orthodontics can often
have improved facial balance and an improved airway
by orthodontically reopening the spaces and replacing
the extracted teeth. This often also helps reduce or
eliminate headaches and/or TMJ symptoms.
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