The comments

Dr Sylvain Chamberland, Orthodontiste says:

I would recommend that you order online via the SPEED System website at their World Wide Order desk.
I can't know the price you would pay once delivered in Egypt.

Mohamed says:

Where to buy your products in egypt?
What is Prices of self ligated braces ?
Is there online request.?

Dr Sylvain Chamberland, Orthodontiste says:

Even if you are 47 years old, it my be worthed to try orthodontic traction of your impacted canine. Of course the primary canine should be extracted at the same time of the surgicale ligature of the canine. Upon surgical exposition, the oral surgeon will know if the tooth is ankylosed or not and will have a good idea of the prognosis.
You have nothing to loose. If the orthodontist bring the canine into the dental arch, it is a win-win situation. If the canine become ankylosed during treatment, chances are that it will be extracted and a dental implant will be necessary.
I would not count on the primary canine to stay in your mouth for long term.
Of course, my comments are done without having seen the panoramic radiograph of your impacted canine. This would have help for recommendation.

Dr Sylvain Chamberland, Orthodontiste says:

I think this page is very clear on the risk associated with impacted canines: follicular cyst, root resorption of the adjacents teeth which will lead to tooth loss.

A parents that would refuse the treatment of an impacted canine of his child will have to live with the full responsibility of damage that may occur in the development of the dentition.

Like I said:

You can live without canines if you do not have them, but you should not live with an impacted canine if you have any.

Fate says:

If canines are burried in the palate and if the patient refuses the treatmet, what is the patient supposed to expect in the future regarding his/her teeth and faciual struture

Dr Sylvain Chamberland, Orthodontiste says:

You should consult an orthodontist for the crowding and the class II. There might be something to do that would help resolve the crowding. It may be serial extraction or rapid maxillary expansion and it can be done at 7 years old.

Edward says:

Thank you ver much for your reply dr Sylvan. I think I am going to wait as you recommended ting is his one of His permanent lower tooth (22) is growin behind the other one due to space that is what worries me woul Orthp would be able to fix that?

Dr Sylvain Chamberland, Orthodontiste says:

I would not recommend treatment to make the lower jaw grow at such a young age because research have shown that there no appliance that can make the lower jaw grow more than what is inherited.

I assume that your son has a class II malocclusion. You chould wait until age 11-12 and get a comprehensive orthodontic treatment at that moment.

Hope that help.

Best regards

Edward says:

My 7 years old son was seen by two orthodontics, said he needs the phase 1 treatment immediately to stimulate his lower jaw to grow and the other said we should wait at leas one or two years I really don't know what to do

Dr Sylvain Chamberland, Orthodontiste says:

Rapid palatal expansion in an adult (you are 21 years old) usually require a surgical approach.  This is describe as Surgically Rapid Palatal Expansion (SARPE).

It is unlikely that conventional RPE can make noticeable change of your face unless you loss weight because you eat less.

Dr Sylvain Chamberland, Orthodontiste says:

Extraction of 4 premolars and retraction of the incisors do not make a smile more gummy. If changes occurs, it may likely reduce the exposion of the gum on smiling.

A comprehensive orthodontic treatment with extraction of premolars usually take 20-28 months. It is almost impossible to do it in 1 year.

Dr Sylvain Chamberland, Orthodontiste says:

I will answer  with caution. You may think that your son need rapid palatal expansion but if the orthodontist that you visit in Chathan did not mention he would do palatal expansion, it does not mean he was wrong and you are right.

There are very good orthodontist in your area.  I did a quick search on the web and some names are familiar even though I don't know all of them personnally except for 1 orthodontist. In London, I would recommend Dre Paula Baby or her husband, Dr Jame Rojas. They are very good friend and they are both examiners of the Royal College of Orthodontists.

This recommendation DO NOT mean that I am in disagrement with your local orthodontist.

Maya Hill says:

Hi I also have protruding at the mouth and was wondering would this make my smile more gummy and can the braces with extractions be completed within 1year ?

colleen yee says:

hello dr chamberland, your website is very informative. we are from chatham, ontario, canada. im looking into treatment for my son's bite. our local orthodontist has mentioned braces but no further treatment. looking at the information on your site has convinced me that palate expansion is probably necessary. im thinking this orthodontist would be way too conservative with her treatment plan. i do not want my son to go through what I've endured with bite issues, facial asymmetry and jaw neck ear pain because some one is chosing for me. i am hoping that you might have names of on par colleagues that you can recommend that live in my surrounding area. chatham? windsor? london? sarnia? so i can get a second opinion. thank you for your time.

Anala Reddy says:

Hi, im 21 years old female going through an unilateral posterior crossbite treatment since 6 months. My dentist put an rapid palantile expander..im noticing changes in my face as it became sunken and narrower . I lost all the facial fat which is making me look very weak and im very worried. Is it because of the treatment? Please reply.

Dr Sylvain Chamberland, Orthodontiste says:

I recommend that you consult an orthodontist. It is very rare that we can't bring an impacted canine into the dental arch in a 12 years old kid. I hope my answer don't come too late.
For more information, read the web page Impacted teeth canine. Look at both english and french version. Read all the comments.

Dr Sylvain Chamberland, Orthodontiste says:

At 28 years old you will need surgically assisted rapid palatal expansion to widen the palate and greater arch width. See page Orthognathic surgery.

bhaskar says:

Hi doctor,
I am 28 year old my upper palatal and jaw teeth lean towards inside.
Is palatal expander will solve my problem at this age

Kay says:

Hello,
I have been told that my daughter's canine tooth needs to be extracted as there is no chance of saving it. It has a cyst around it, and is close to the sinus cavity heading in the opposite direction than the front of her mouth. The oral surgeon recommends removing it, and bone grafting for a future implant. My child is 12 years old. Any thoughts on this? Thank you very much! I can't seem to attach the X-ray.

Dr Sylvain Chamberland, Orthodontiste says:

Mandibular impacted canine

It may take up to 12 months to bring the canine into the dental arch and once it is there, it may take another year to finish its alignment. For more information read impacted mandibular canine both english and french version of the webpage.
See the case I posted on the other page