The comments
Dr Sylvain Chamberland, Orthodontiste says:
Usually the patients get use to it and can keep it at night. If she can, then I would recommend to wear it daytime for 12 hours.Dr Sylvain Chamberland, Orthodontiste says:
It may be normal at 12, but I would recommend that you visit an orthodontist and get a panoramic xray to assess the position of your permanent canines.Myra says:
I am 34 with 2 impacted canines. In my 20s the ortho suggested I leave them impacted and close up the space. I wore braces for about a year and the space was not fulling closed. Now my teeth that belong next to the canines are shifting, since they dont have any support. Since the space is so small, I wonder if its worth trying to get the canines exposed. Would love to upload a panoramic.Myra says:
Would love to hear how it worked out for you. I'm in the same position and wanted to know if its worth going through the surgery or not.Katie says:
I’m 12 years old and I’m wondering if it’s normal to still have my upper canine teeth?Justin Gardner says:
Dr Chamberlain,Our daughter just started with a protraction face mask (Ormco part#716-0002). She is very excited and willing to wear the mask but it WILL NOT stay on at night. Any advice on how to get it to stay in place at night? Or should we discuss a different style mask with our orthodontist.
Thank you,
The Gardners
Dr Sylvain Chamberland, Orthodontiste says:
Yes it is possible. We call it class II subdivision (on the cl II side). Class II subivision left means cl II on the left, class I on the right.Dr Sylvain Chamberland, Orthodontiste says:
You are only 18. Remove the primary teeth and get an orthodontic treatment to bring your permanent canine in.Dr Sylvain Chamberland, Orthodontiste says:
1/ I don't discuss the cost of treatment on the website.2/ A non extraction approach does NOT reduce the bimax protrusion
3/ There will be chance in lip protrusion (reduction) chin contour (better contour)
4/ Acceledent is now proven to be NON EFFECTIVE.
5/ According to your description, chances are that extraction of the 1st premolar could be more effective for you.
Dr Sylvain Chamberland, Orthodontiste says:
Extraction of 2 maxillary premolar can be a viable treatment option.Non extraction approach with fixed functional appliance can be an option too.
I can't say what I would do without a consultation and xrays.
Dr Sylvain Chamberland, Orthodontiste says:
Maybe get a 2nd opinion for your treatment.Dr Sylvain Chamberland, Orthodontiste says:
You should get your milk tooth removed and have an orthodotnic treatment to bring your impacted canine in. You are only 23 and your permanent canine will last for your life.Dr Sylvain Chamberland, Orthodontiste says:
I can't believe that you had braces for 3 years and that your orthodontists did not attempt to bring the canine in occlusion or informed you of the different possibilities.When you were 14, this would have been a not so difficult thing to do and in 3 years of treatment, this is a realistic treatment time to bring such canine into the mouth.
You can send me the xray via my professional facebook page (facebook.com/drsylvainchamberland/).
I am departing for a sicentific meeting today. May take some time to reply.
Best regards
Georgi says:
Dear Dr. Chamberland,I am writing to you with a concern of a tooth of mine. I am almost 17 now and about four years ago I discovered that I have an impacted mandibular canine (left). The tooth is completely horizontal outside of the root canal and does not show any signs to interfere with the incisors soon. (If you give me your e-mail I will be able to send you an X-Ray and Panoramic images to see my case in more detail)
I had braces for 3 years now which were taken off few months ago. Now I have a transparent retainer with a filling on the space of the missing tooth, so that the space can be kept if an implant or a teeth bridge needs to be placed.
My questions are:
Should extraction be considered? (Is the location of the Marginal Mandibular Branch nerve problematic for extraction)
If the tooth does not cause any problems should it be extracted or I can leave it there hoping that it will stay still without causing any problems in the future?
Which is better an Implant or a teeth bridge placement on the missing tooth?
Thank you in advance,
Best Regards,
Georgi Dimitrov
Daphne T says:
Hello Dr Sylvain ChamberlandAm 23 years old and I still have my milk tooth which wasn't replaced by the canine tooth when I was little . I have been having a swell over my milk tooth for some good months now. When I went to the dentist he told me I should extract the milk tooth and see if my canine tooth is the one in the swell or not, I was afraid of staying with a gap so I didn't remove it.
After reading your content, I have realised I can remove it since the real canine may errupt out. My milk tooth feels weak sometimes and when i over press the swell I feel little pain in my gum.
Should I remove my milk tooth out?
If I do so will my canine tooth come out from the swell?
Thank you so much.
M Salhi says:
Hi Dr,I started my orthodontics treatment based on wrong consultation to close premolaire space and I finished by having deep overlape with midline deviation and malocclusion.
would you please tell me what is the best solution to correct this problems ?
my age is now 34
Thank you
Tanya says:
12 year old girl with Class II Div I malocclusion and 12mm overjet - orthodontist recommends braces with extractions of the two maxillary premolars as well as release of tongue tie and top lip frenum. Would it be possible to treat without extracton, do you think? Should she also use a functional appliance?Cindy Nguyen says:
Hello Dr,I have bimaxillary protrusion, incisor proclination edge to edge, dental midline is deviated to the right and crowding on the upper jaw with one canine is very high
1/I would like to know the cost for the treatment plan in about 2 year with the choice of metal braces and ceramic braces?
2/ Without teeth extraction (usually first or second pre- molars), is there any way to reduce the lip protrusion?
3/Is there any effects of teeth extraction such as narrow airway, speech matter, tongue thrust, extruding lips or chin or drastic changes in facial support?
4/Is there any way to reduce the length of treatment to 1.5 years? I have heard that people going with Invisalign use Acceledent technology to reduce the treatment length. Can it also apply to traditional braces?
5/ Would the outcome be so different from the first and second pre-molars extraction treatment plan? Some orthodontics suggest the first prermolars taken out while others think it would be better with the second pre-molars extraction.Those saying the first bi-cupid extraction think that it will create a better harmony relationship between upper and lower jaws (the upper jaw usually covers up 2mm to the lower jaw).