I had an an appliance (an expander) put in by the orthodontic dentist about a month ago to make room to fix other teeth.
The dentist said they have maxed out the amount they have expanded it and now said I have to have 4 teeth pulled, 2 on the top and 2 on the bottom.
Is it true that this can cause many other problems like facial deformaties? Is there any other treatment? ...Visitor from TX
Extraction orthodontics is a controversial procedure.
Many orthodontists never recommend it unless it is restricted to molar extractions only. Your assumptions about possible facial changes are valid.
Some patients who have undergone extraction orthodontics, later reverse the treatment to re-establish the normal count of teeth with the use of dental implants. Depending upon which teeth have been extracted, the cosmetic expectations can be disappointing for some patients because elements of what is "expected" in a normal smile (certain tooth structures and size appropriate to a specific location) are missing.
Get several consults. You will quickly discover that no two dentists/orthdontists see things the same way nor do they recommend the same procedures.
Review some of the more common concerns about extraction orthodontics that appear in this link: