Is it OK to extract premolars?

Premolar extraction may be a necessary step to take during a preparation for an orthodontic procedure. Namely, removing premolars may be necessary and even inevitable in order to preserve and optimize the overall function of a patient’s teeth and jaw.

How much space is created from expansion or premolar extraction?

… Expansion is known to create space, where 0.5-0.7 mm of space is gained for every 1 mm of posterior arch expansion.

How long does it take for premolar extraction gaps to close?

It can take anywhere from a few months to a year to close extraction gaps. Gaps in teeth on the lower jaw tend to close slower than ones on the upper jaw.

Why do we extract premolars?

Conventionally, premolar extraction is aimed to resolve the tooth size arch size discrepancy, to permit correction of axial inclination of anterior teeth, or to reduce vertical height of the face.

How common are premolar extractions?

From 2003 to 2007, the rate of type of premolar extractions as reported by Janson G [14] in his study was, first premolar extractions (All 4) at 7.47%, upper first premolars and lower second premolar at 1.3%, all second premolar extraction rates at 1.95% and Asymmetric extractions at 6.82% In 2019 to 2020, the present …

What are the side effects of premolar extraction?

The procedure of premolar extraction and retract on of teeth is purported to cause structural changes in the facial form, namely the retrusion of the maxilla and mandible, loss of vertical dimension and reduction of the oral cavity, and health issues consequent to these structural changes, specifically.

How much space is gained by maxillary expansion?

CLICK TO ENLARGE PHOTO. As noted above, using the factor determined by Adkins et al., 0.7 times 14 mm of maxillary dental and skeletal expansion provides approximately 10 mm of space to aid with resolving the 12 mm of maxillary arch length deficiency.

How do I get more space in my dental arch?

Various mechanics have been used for space gaining in the arch, for example, multiple loops, open coil springs, molar uprighting springs,[1,2,3,4] and orthodontic separators for mild space creation. [5] The most common used mechanics for space opening/gaining is the use of nickel–titanium open/compression coil springs.

How do orthodontists close extraction gaps?

Braces work by pulling teeth into place with brackets, wire and elastic chain. Small elastic bands linked in a chain can move teeth together and close gaps. The coloured elastic chain fits over the brackets attached to teeth. Elastic chains can close gaps in as little as six weeks to six months.

Does removing premolars change face shape?

Removing permanent teeth can affect the face Can having permanent teeth removed as part of orthodontic treatment really change your face? The answer is yes. Having teeth extracted along with your braces, can change your face for better or worse. In most cases however, there will be no perceivable change at all.

Does removing premolars hurt?

Yes, getting a tooth pulled can hurt. However, your dentist will typically give you local anesthesia during the procedure to eliminate the pain. Also, following the procedure, dentists usually recommend over-the-counter (OTC) or prescription pain medication to help you manage the pain.

How long does it take to recover from premolar extraction?

Typically, your oral surgeon will ask that you at least take about 48-72 hours to relax afterward so the treatment area is allowed to clot. After that, a patient should be able to return to normal physical activity. The soft tissue will usually fully heal in about 3-4 weeks.

When do you use maxillary expansion?

This procedure is also called “maxillary expansion”. Expansion is indicated when the upper jaw is too narrow compared to the lower jaw. This often causes an abnormal dental relationship and/or deviation of the lower jaw (see pictures).

Can adults expand palate?

All About Palate Expanders. Palate expanders are oral devices used to remedy several common dental conditions. They’re also called palatal expanders or orthodontic expanders. These devices are most commonly used in pre-adolescent children, but can also be used in teens and adults.

How do you close out extraction spaces?

Two basic biomechanical strategies can be used to close extraction spaces: two-step retraction (TSR) or en masse retraction (ER). In the first step of TSR, only the canine in each quadrant is retracted. In the second step, all the incisors are retracted until the residual spaces are closed.

How long does it take for gap to close after tooth extraction?

Tissues and bone are cut underneath the gum line during surgical extractions. In the case of surgical extraction, your tooth hole will be fully or almost fully closed by 6 weeks after surgery. It may take several more months before the indentation fills in and the healing is complete.

When is premolar extraction necessary?

Premolar extraction may be a necessary step to take during a preparation for an orthodontic procedure. Namely, removing premolars may be necessary and even inevitable in order to preserve and optimize the overall function of a patient’s teeth and jaw.

Which premolars are extracted for orthodontic reasons?

Which premolars are extracted for orthodontic reasons? The first premolar teeth are most frequently removed for orthodontic reasons. Namely, both first and second premolars are located between the canine teeth and the molars, which means these teeth can be removed without sacrificing function or cosmetics.

Is second premolar extraction always a second choice?

Second premolar extraction: Not always a second choice Rohan Mascarenhas,Parag Majithia,and Shahista Parveen Rohan Mascarenhas Department of Orthodontics and Dentofacial Orthopaedics, Yenepoya Dental College, Mangalore, Karnataka, India Find articles by Rohan Mascarenhas Parag Majithia

Does extraction of premolars change the shape of your face?

It is a common concern among patients that extraction of premolars may impact the shape of their face. Facial profile and soft tissue considerations truly do play an important part in the diagnosis and treatment planning of orthodontic cases, as one of the goals of the procedure is creating a pleasing appearance.