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FAQ:  Adult Orthodontics

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Orthodontics Ask The Dentist Richard Winter Question:
Orthodontics causing facial deformities? Have you ever heard of a disfiguring facial condition that can happen to orthodontic patients who have extra teeth (4 more molars than most people)?

Apparently, this condition happens because the orthodontist didn't put brackets on the extra teeth. Left untreated, this condition eventually deforms the face. I am unable to find any information about this condition, but I know that it does exist.

I personally do not have extra teeth, but my orthodontist removed the brackets from my rear molars. I am concerned that this thing is now happening to my face. Please help me if you can, my face is becoming more and more deformed as time goes on. ....Visitor from NM

I am unfamiliar with the conditon you describe. If your orthodontist took brackets off of molars they would relapse or go back to where they started.

I don't know of any cases where they would move on their own in a fashion that would cause facial deformity. I did orthodontics for 8 years and still keep up on the field of study regarding orthodontics.

There are diseases of the jaw and skeleton that can cause deformity but they do not involve just teeth. Diseases such as Pagets disease or Acromegaly can result in skeletal changes but none of these would cause facial deformity from lack of bands on brackets.

You should consult your orthodontist for explanation of any problems you are having so an appropriate referral can be made if needed.

Wisconsin Reconstructive Implant Dentistry
Wisconsin Prosthodontics
Richard Winter, DDS MAGD
Winter Dental Associates
Hampton Dental Associates
5323 W. Hampton Avenue
Milwaukee Wisconsin WI 53218
(414) 464-9021

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