Do adult orthodontic treatment take more time to show progress?

Hello doctor,

I am on orthodontic treatment for both upper and lower teeth. My left upper wisdom tooth was extracted seven months ago. As I had my left first premolar impacted, my milk molar was removed. I consulted a dentist and an oral surgeon as I had an extra tooth present adjacent to the right first premolar. They both opined it to be a supernumerary tooth and recommended having an OPG (OPG is now not available). Later that supernumerary tooth was extracted. Now I doubt the tooth extracted by the oral surgeon had extracted was permanent tooth instead of milk tooth, as I still have the impacted left first molar. And it is located on the inner side of the milk tooth. Before the application of braces, the left side milk tooth was extracted. Now I doubt that the right first premolar is a milk tooth, and the braces are put on that tooth (lower right first premolar). I noticed the color change in my tooth, it does not appear as white as the permanent teeth, so I doubt it is a milk tooth (lower right first premolar). I have been undergoing the braces treatment for the past five months, and I want your view on the progress of my treatment as I do not feel any significant improvement. Also, I am enclosing the pictures for clarification. I do not have my old OPG. I have attached the X-ray, which was taken before the braces treatment. Please give me your advice and opinion.

Thank you.

Hello doctor,

Thank you for your reply.

I extracted the left lower and upper wisdom tooth six months back, but my right lower and lower wisdom teeth are intact. Currently, I am undergoing braces treatment which started six months ago. I have a history of trismus on the right side that occurred one month after my left lower wisdom tooth was extracted. So I used to chew only from the right side, so the oral surgeon prescribed muscle relaxants, and it subsided within two weeks, but now I am experiencing clicking sounds on the right side. Before the left wisdom tooth removal, there was no problem chewing except for the cheek bite on the left side. Also, my lower tooth was extracted after two weeks as it was infected after the filling was done. My jaw function has been hampered since the left wisdom tooth was removed. Because of this, I have only eaten soft foods for the past eight months. Now I have a doubt regarding the clicking sound on the right side while opening and closing the mouth. Is this a TMJ problem? Should I extract the right wisdom tooth also? Is this problem because of my right wisdom tooth? The upper right wisdom tooth and the lower right wisdom tooth are aligned straight, with no pain, cavity, or sensitivity. Are there any other treatment options instead of tooth extraction? My orthodontist suggested that there is no need to remove the wisdom tooth. I had IPR on the right premolar last month. I have heard that TMJ disorder is non-treatable. Which doctor should I consult? Please give me your opinion and advice.

Thank you.