Deciding to Continue or Discontinue Orthodontic Treatment: Risks, Options, and Considerations

When considering whether to continue orthodontic treatment after having undergone a significant procedure such as the removal of four teeth (two upper and two lower), it is crucial to understand the potential risks and benefits of each option. This article aims to provide a comprehensive overview to help you make an informed decision.

Understanding the Process and Risks

After having braces for just two months post-tooth extraction, the process of orthodontic treatment can still have ongoing effects on your mouth. The braces with wires and elastics are actively working to close the gaps left by the extracted teeth. As a result, the dental arch may continue to shrink, and your bone structure may start to resorb. This means that several months later, when the tissues have stabilized, you might not have enough space to fit dental implants. Moreover, while an orthodontist can artificially flare out the front teeth to "find space," this may not be an ideal outcome.

Options for Discontinuing Treatment

If you decide to discontinue orthodontic treatment, it is critical to do so as soon as possible. Cutting the wires and elastics will immediately halt the closing of the extraction gaps, preventing further shrinkage of the dental arch and potential loss of space. However, it is important to consult with an orthodontist first to ensure that you understand the full implications of this decision.

Alternatives to Considering

Artificial Teeth: If you opt to discontinue the orthodontic treatment, you have the option of placing artificial teeth, such as dental implants, to replace the missing teeth. However, it is essential to note that after dental implants are placed, you will not be able to undergo traditional orthodontic treatment as the implants are fixed and cannot be moved. Implants: Dental implants can be a viable option, especially if you have significant crowding. In such cases, mesialization (moving molars forward) can be used to close some of the extraction spaces. However, it is crucial to have a comprehensive evaluation by your orthodontist to determine the best course of action before opting for implants. Consulting Another Orthodontist: It is highly recommended to seek a second opinion from another orthodontist. This can provide you with different perspectives and insights that may influence your decision regarding the continuation of your treatment.

Health Risks and Considerations

The decision to discontinue orthodontic treatment, particularly involving tooth extraction, comes with associated health risks. These include potential gum issues, temporomandibular joint (TMJ) disorders, and other complications. It is advisable to weigh these risks against the potential benefits of your chosen course of action.

Conclusion

No one can force you to continue with orthodontic treatment if you are not a minor. However, it is important to have a thorough understanding of the potential outcomes and to consult with experienced professionals before making a decision. Seeking a second opinion and discussing your options with your orthodontist will help you make the best decision for your oral health and well-being.

Related Orthodontists to Avoid Tooth Extractions

Below is a list of orthodontists who focus on avoiding tooth extraction to reduce potential health risks. This list is not exhaustive, and there are many other orthodontists who avoid using premolar extractions these days.

Dr. Jane Doe Dr. John Smith Dr. Lisa Davis Dr. Michael Wilson

Remember, the choice is yours, but it should be informed by a clear understanding of the options and their potential impacts on your oral health.