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My cuspids and bicuspids flared after getting braces without extraction. How to correct them?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am 25 years old, and I had irregularly arranged teeth and protruded upper teeth. I had braces without extraction. Now, my first premolars and canines flared up. Should I go for extraction and then put on braces again to correct my teeth arrangement? Kindly help.

Answered by Dr. Kandi Disha Dnyanendra

Education:

MDS

Professional Bio:

Dr. Kandi Disha Dnyanendra is a Senior Lecturer in Orthodontics and a skilled Consultant Orthodontist, dedicated to advancing both clinical practice and dental education. With a strong academic foundation and hands-on expertise, she specializes in diagnosing and treating complex orthodontic cases. Passionate about creating confident smiles, she combines precision, innovation, and patient-centered care to deliver exceptional results in both teaching and clinical settings.  

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I have gone through your query and attachments (attachments removed to protect the patient’s identity). Yes, there is flaring of teeth. This is due to excess tooth material than the available space to pull the teeth into proper alignment. Space can be created by extraction, expansion, or by proximal reduction. Selection of the method of space gaining may vary depending on age, space requirements, etc. In your case, as per attachments, clinical examination, cephalometric evaluation, and model analysis are must to predict the space gaining method. If the space required is minimal, you can discuss a proximal reduction in the upper and lower arch to gain some space and reduce the flare with your orthodontist. But if you do not want to put on the braces again, and if the cost is not an issue, you can go for clear aligners for these corrections. I hope the above information has cleared your doubts. Take care.

Medically reviewed by Dr. K. Shobana
Published At September 23, 2021
Reviewed At July 14, 2023

Education:

MDS

Professional Bio:

Dr. Kandi Disha Dnyanendra is a Senior Lecturer in Orthodontics and a skilled Consultant Orthodontist, dedicated to advancing both clinical practice and dental education. With a strong academic foundation and hands-on expertise, she specializes in diagnosing and treating complex orthodontic cases. Passionate about creating confident smiles, she combines precision, innovation, and patient-centered care to deliver exceptional results in both teaching and clinical settings.  

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

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Education:

MDS

Professional Bio:

Dr. Kandi Disha Dnyanendra is a Senior Lecturer in Orthodontics and a skilled Consultant Orthodontist, dedicated to advancing both clinical practice and dental education. With a strong academic foundation and hands-on expertise, she specializes in diagnosing and treating complex orthodontic cases. Passionate about creating confident smiles, she combines precision, innovation, and patient-centered care to deliver exceptional results in both teaching and clinical settings.  

This doctor is not available for online consultations on the platform anymore.

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