Is it neccesary to get a front tooth removed to treat class II division 2 malocclusion?

Hello,

Welcome to icliniq.com.

I can understand your concern.

Removing one tooth from the lower arch according to the orthodontist may correct the problem. But, it can only get worse. The patient has a condition called class II division 2 malocclusion where her upper front teeth are inclined towards the inside. This causes a restriction for the lower arch to grow to its potential. As the jaw is not developing, the teeth get less space and they erupt in other places causing crowding in the arch. I advise you to follow the below-mentioned instructions.

1. Do not extract any teeth for now and do not make any changes in the lower arch at all.
2. Start the treatment on the upper arch and procline the upper front two teeth.
3. Once they come a bit forward, we will have space to adjust the teeth next to them, called lateral incisors and the lower arch will not have any obstruction to grow forward.
4. Once you get sufficient proclination and lower jaw growth, a re-assessment would be done to assess the actual space required and the need for extracting the teeth.
5. This whole process should take about three to five months with sufficiently proclined upper teeth and the treatment can be started on the lower arch.
6. Upper teeth can be proclined by the following methods:
   1. 2x4 appliance.
   2. Protraction utility arch.
   3. Reversing the brackets.

Kindly consult a specialist, talk to them, and follow the advice.

I hope this information will help you.

Thank you.