【Chris Chang Ortho】CC442.

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  • Опубликовано: 30 сен 2024
  • Bimaxillary Protrusion Treated with Insignia® System Customized Brackets and Archwires
    Abstract
    Correction of moderate-to-severe bimaxillary protrusion is challenging, particularly without orthognathic surgery and/or temporary anchorage devices(TAD). This case presents a 4-first-premolar extraction treatment of a 12-year-old boy with a chief complaint of lip protrusion. The diagnostic evaluation revealed a convex profile, steep mandibular plane angle, bimaxillary flared incisors and protrusive lips, deep bite, and deep curve of Spee.
    The orthodontic treatment was accomplished with a customized appliance (Insignia® system), including the self-ligating brackets and progressive archwires, constructed by reverse engineering from a 3D digital set-up. Extraction spaces were successfully closed in all four quadrants in 13 appointments over 19 months without using TAD supplemented anchorage. The facial profile and occlusion have been significantly improved.
    The 3 keys to success of bimaxillary protrusion treatment with digitally engineered mechanics are precise estimation of anterior torque compensations, appropriate use of auxiliaries, and careful adherence to the recommended archwire sequence. With correct treatment planning, the outcomes are enhanced by minimal treatment adjustments, and decreased treatment time.
    摘要
    治療中重度的雙顎前突極具挑戰性,如果不採用手術及暫時性錨定裝置的情況下,難度更高。本案例是一位主訴上下唇突出的12歲男孩,以拔除四顆第一小臼齒的方式來治療雙顎前突。診斷評估為側面輪廓突出,mandibular plane 角度偏大,上下門牙角度過度唇傾,上下唇突出,深咬,且具有明顯的curve of Spee。本案例使用客製化的矯正裝置系統 Insignia® 進行治療,此系統是經過3D數位設定確立治療計劃後,再特製的自鎖式矯正器及序列性矯正線。經過13次診療,歷時19個月,本案例成功將4個拔牙空間關閉,且治療過程中沒有使用暫時性錨定裝置。病人原本突出的側面輪廓及咬合,皆獲得明顯的改善。
    使用數位化矯正裝置成功治療雙顎前突有三個關鍵:1. 精準預測前牙矯正所需的torque補償,2. 在適當時機使用輔助裝置,3. 依循系統建議的矯正換線順序。在正確的治療計劃設定下,使用數位化矯正裝置能減少矯正過程中需要調整的次數,縮短整體治療時間,更有效率的達到理想治療效果。

Комментарии • 951

  • @7dhruti
    @7dhruti 2 года назад +91

    This video, by far has the best explanation. No other video is so explicit. I really enjoyed watching it. Very helpful. My dentist sadly didn't explain it so well.

  • @Christina-bp6qg
    @Christina-bp6qg 2 года назад +275

    I did this yesterday! Overall they're not painful, just a bit uncomfortable. I hope I will get the desired result because I've been really insecure about my side profile.

  • @kavyachowdary8774
    @kavyachowdary8774 6 лет назад +2

    Can braces work effectively after 20 yrs of age

    • @mahamarif9852
      @mahamarif9852 6 лет назад

      kavya chowdary yes it does m.21 and 7mnth passed only.5 left 70% accurcy complted

  • @anandandrews1049
    @anandandrews1049 4 года назад +5

    Sir in the beginning of the video it is stated that " Always unfavorable in asian people especially for males" what did you mean is the condition unfavorable or that the treatment is unfavorable??

    • @TwoLeggedTriceratops
      @TwoLeggedTriceratops 3 года назад

      The condition of course. Unfavorable as in western media used to more commonly make fun of Asians by stereotyping this kind of teeth.

    • @adnaaar6782
      @adnaaar6782 3 года назад

      @@TwoLeggedTriceratops not make fun It’s just more common for people of Asian and East African/North American decent to have that and usually narrow palate.

    • @TwoLeggedTriceratops
      @TwoLeggedTriceratops 3 года назад

      @@adnaaar6782 Look at old racist cartoons of Asians they make the top teeth jut out.

  • @jaydahdelarosa9846
    @jaydahdelarosa9846 6 лет назад +541

    Wow I’m getting those same teeth extracted in like 10 mins... And I have braces to fix my over bite. I think me and him have the same problem with our teeth. Wish me luck!

    • @reem-rm7nd
      @reem-rm7nd 6 лет назад +11

      Jaydah Delarosa how are your teeth now?

    • @Hifirrrr
      @Hifirrrr 6 лет назад +6

      Yeah how is it

    • @viviyang8531
      @viviyang8531 5 лет назад +2

      Did it work? And how old were you?

    • @tacks9115
      @tacks9115 5 лет назад +2

      Can you update us?

    • @realayush599
      @realayush599 5 лет назад

      Fuck sorry luck

  • @laurag2572
    @laurag2572 3 года назад +98

    That soundtrack gave me anxiety.

  • @thelibragamine
    @thelibragamine 2 года назад +47

    Really hoping to get this done someday, most of my facial insecurities deal with the lower third of my face. The profile looks horrible and my philtrum is already longer than it needs to be with my small lips. I feel like this would be beyond helpful to my self-esteem

    • @alyssa3243
      @alyssa3243 Год назад +1

      Same here ❤

    • @elvespresley2282
      @elvespresley2282 Год назад +1

      Girlll let me tell you this...... it's life changing!!! For for it!!!!!

    • @vandamme5895
      @vandamme5895 10 месяцев назад

      Same girlll

    • @JeyKie-fs5eb
      @JeyKie-fs5eb 9 месяцев назад

      ​@@elvespresley2282any updates? please

  • @jujuwel6780
    @jujuwel6780 2 года назад +58

    i was little skeptical when i was told my 4 premolar teeth were to be extracted. this video helped me understand the why i need to undergo that procedure. its been a week since i had my teeth extracted. hoping for the best results.

    • @PremeDex
      @PremeDex 2 года назад +22

      Im with you here bud. I think it’s best we stop ourselves from continued research from what can’t be undone. I’m trusting the process.

    • @trushalihinge2866
      @trushalihinge2866 2 года назад +1

      Sm here

    • @user77777rr
      @user77777rr 2 года назад +7

      bro same i was hella sceptical. but seeing your comment reassured me

    • @ittodakimasu4814
      @ittodakimasu4814 2 года назад

      @@user77777rr seeing yours reassured me

    • @sdotbk
      @sdotbk 2 года назад +1

      I have todo the same… that’s why I’m watching too… how you making out with your process?

  • @mhathungmurry212
    @mhathungmurry212 4 года назад +40

    forget the video. Hi, i am also a classical guitarist :-D

  • @AshishHekre
    @AshishHekre 4 года назад +2

    This is the worst fucking treatment ruins lives

  • @SK-ch7ik
    @SK-ch7ik 4 года назад +53

    HE HAS THE SAME PROBLEM AS ME, EVEN THE CHIN, I RLLY HOPE MY DENTIST DID ALL THIS WORK FOR MY CASE😂

    • @SK-ch7ik
      @SK-ch7ik 3 года назад +2

      @Singhal et al I hope that everything goes well in your treatment, I am sorry that your previous dentist was a bad professional

    • @mse312
      @mse312 3 года назад

      @@SK-ch7ik how did your treatment go? I am thinking of removing premolars too

    • @SK-ch7ik
      @SK-ch7ik 3 года назад

      @@mse312 it's going well. My dentist said that I needed to extract 4 tooths for my braces to move. I removed my premolars a year ago. Now my smile is more beautiful, my face changed for the better too. the treatment is going very good

    • @mse312
      @mse312 3 года назад

      @@SK-ch7ik thanks for replying. I needed to hear this

    • @SK-ch7ik
      @SK-ch7ik 3 года назад

      @@mse312 no problem😊

  • @ashishchand8055
    @ashishchand8055 9 месяцев назад +2

    do not go with extractions it will ruined your face go with jaw surgery that will be good option

  • @venusdeguzman8299
    @venusdeguzman8299 5 лет назад +41

    I hope my dentist is like you :(

  • @jamepi6761
    @jamepi6761 Год назад +2

    Expanding and braces would have been better

  • @calechannel7181
    @calechannel7181 3 года назад +58

    Very informative content. But the music was too annoying.

  • @jayafron5067
    @jayafron5067 6 лет назад +72

    All my doubts were clarified! Thank you!

    • @ChrisChangOrtho
      @ChrisChangOrtho  6 лет назад +5

      Thank you, my friend!

    • @ashleybangbang6807
      @ashleybangbang6807 2 года назад +1

      Sane goes here

    • @annababyxx
      @annababyxx 8 месяцев назад

      ​​@@ChrisChangOrtho can a 34 yr person obtain the perfect results? It's been 3 yrs of braces with extractions for an overbite for my friend, now he's a deep bite that the orthodontist doesn't see💀 still bracing..

  • @rx0788
    @rx0788 6 лет назад +91

    If my dr was this brilliant today I would have a nice bite but nope we have sucky dr's and nurses in orthodontistry

    • @tanvirhayer4869
      @tanvirhayer4869 5 лет назад +3

      True

    • @moodsmoody4936
      @moodsmoody4936 4 года назад +9

      Exactly :( I took my braces and my teeth look flared

    • @sabrinasharif6729
      @sabrinasharif6729 4 года назад +2

      Same my dentist extracted my lower premolars and it's been 2 years still waiting when she will my upper premolar.

    • @shennyrusli
      @shennyrusli 4 года назад

      True

    • @x0aei
      @x0aei 4 года назад

      @@sabrinasharif6729 updates?

  • @pengkia
    @pengkia 5 лет назад +11

    This is totally wrong thing to do. How about the tongue space?

  • @stevenharyanto2824
    @stevenharyanto2824 7 лет назад +20

    Doctor i still confuse about stopper placement even after u make a video about that. Any futher explaination please? Thanks

  • @SudeepKs-ps3ix
    @SudeepKs-ps3ix 5 месяцев назад +2

    My orthodontist straightly extracted my upper premolars and ruined my face 😢😭😭💔

  • @pratimamahobe6006
    @pratimamahobe6006 4 года назад +22

    This must be the best orthopaedic clinic 👍🏻👌🏻

  • @kikiartsy1338
    @kikiartsy1338 6 месяцев назад +2

    Why extraction arch expansion will work right!

  • @lanalirain210
    @lanalirain210 3 года назад +7

    I'm 26.
    I have the same dental condition and just started wearing braces. But l only have it for upper teeth. Can it work well??
    I'm so nervous!😪
    I'm just keep praying and praying.🙏

  • @Chorith77
    @Chorith77 3 года назад +14

    I notice the airway is smaller post treatment. Anyways great result doc.

    • @luisgonzalez5374
      @luisgonzalez5374 3 года назад

      You should be breathing with your nose

    • @insomniax.2394
      @insomniax.2394 3 года назад +1

      @@luisgonzalez5374 i kinda can't lol

    • @luisgonzalez5374
      @luisgonzalez5374 3 года назад

      @@insomniax.2394 nah, do it

    • @Chorith77
      @Chorith77 Год назад

      @@luisgonzalez5374 Don't you need the airway to breath through your nose?

  • @TheVikasV3
    @TheVikasV3 6 лет назад +16

    What about tongue space ???

    • @ss2553313
      @ss2553313 5 лет назад +1

      The right position of tongue is in the top of your mouth known as mewing chick out dr.mike mew channel on RUclips

  • @machinegunkely4417
    @machinegunkely4417 5 лет назад +6

    Braces causes sleep apnea because of the pulling of the teeth backwards you won't have space for resting the tongue this will cause you breathing problems

    • @Sariine436
      @Sariine436 5 лет назад +2

      11:19

    • @swarnabhshekhar1837
      @swarnabhshekhar1837 3 года назад +1

      You know someone who had braces and teeth pulled but later developed sleep apnea. Please tell me in detail. I'll go through same procedure in few days.

    • @ayaanahmed2961
      @ayaanahmed2961 Год назад

      @@swarnabhshekhar1837 you started your treatment?

  • @bonedee4859
    @bonedee4859 2 года назад +5

    My ortho waited a whole year and 2 months to have the extractions done. And even after 8 months now (I got the extractions back in feb 22) the gaps are still there. Like you could literally still fit an entire tooth in each of the gaps. And I’m so frustrated because I was supposed to get my braces off this October, but it looks likes it going to be a bit longer. Probably much longer at this rate… 🙃🙃🙃

    • @thepotato1824
      @thepotato1824 Год назад

      How is it now??

    • @bonedee4859
      @bonedee4859 Год назад +3

      @@thepotato1824 Gaps have started to close just a little bit, but they're still very wide. 🙃

    • @nanwijanarko1969
      @nanwijanarko1969 Год назад +1

      Why did your Ortho wait so long? Were your teeth really crooked? To my knowledge, yes, you need to align and level your teeth first before you can close any gaps, but still that's pretty long...
      Did they thought it could be fixed without extraction, then changed their mind after a year or was extraction always in the plan?
      For me, I have bimaxillary protrusion, but my teeth are not crooked, only slight overcrowding in my lower incisors. My ortho extracted my top premolars within the first week and installed the top brace few days after that. Two months later the lower teeth and jaw followed. She needed the space for the teeth to wiggle around and aligned themselves, before finally closing the gap. The levelling and aligning she predicted 6-8 months.
      I wish you the very best of luck! I sure hole the result will be amazing seeing how patient you had been.

  • @roseabdullah9078
    @roseabdullah9078 4 года назад +5

    Reading all the comments gives me mix feelings about taking four teeth out :( this guy has the same problem as me looking at it I think it makes sense when u have a small arch and his lips do stick out a lot he looks normal after it would be scary to take teeth out and u have like that sunken mouth look it would be horrible

    • @ChrisChangOrtho
      @ChrisChangOrtho  4 года назад +1

      Please go to consult your dentist. Thank you!

    • @ancientmariner6463
      @ancientmariner6463 4 года назад +1

      @@ChrisChangOrtho fucking guys.... Same comments again & Again.

  • @louubriones
    @louubriones 5 лет назад +15

    Exactly what they’re gonna do to me! I just got 2 of my teeth extracted and I will have another 2 next week!

    • @_onlyjuniorr
      @_onlyjuniorr 5 лет назад

      Does it hurt? What did you feel?

    • @louubriones
      @louubriones 5 лет назад +4

      Onlyjuniorr ' It stopped hurting 6 hours after and bleeding stopped 4 hours after the extraction. I just don’t feel confident when I smile cause it’s so visible 😣

    • @nishitadas6306
      @nishitadas6306 5 лет назад

      @@louubriones even i am going to extract tomorrow the other two..

    • @simplepleasures3568
      @simplepleasures3568 4 года назад

      May I know ur age

    • @jagritimishra4303
      @jagritimishra4303 4 года назад +1

      How did you bear the pain?😫

  • @Flyerbeklol
    @Flyerbeklol 4 года назад +14

    Dont ever extract, go with Orthotropics. Just expand the palate.

    • @hi-nq5mm
      @hi-nq5mm 4 года назад +13

      i agree with orthotropics but extractions always isn't a bad choice

    • @christineotp
      @christineotp 3 года назад

      I mean true but I think I’m too old for that I’m 12 and my ortho told me I need to extract

    • @pepperminteu
      @pepperminteu 3 года назад +1

      Sometimes the only option is extractions. I got four teeth pulled because there simply wasnt enough space for my teeth to move, and my upper teeth were still so protruded :/
      I was given the choice to just have my teeth aligned, but the end result would be more protrusion, which ofc I didn't want
      Im also 21 already so the expander wouldn't have worked so well
      In cases like mine extractions is the only way to fix the profile

    • @TheYoungAchiever
      @TheYoungAchiever 3 года назад

      no.

  • @andreearoxana5989
    @andreearoxana5989 4 года назад +6

    Are your lips changing dramaticaly after this?? I have thin lips already and i got 4 extractions im so scared 😭😭 can someone tell me how much the face changes after this???

    • @grimmy6121
      @grimmy6121 4 года назад +4

      Yes, I have thick pouty lips before extraction and braces, after like a year I noticed that my face became wider and my lips are like moved backward and smaller, my chin is more forwarded now and im happy with that, but i wish my lips remained the same :(

    • @ChrisChangOrtho
      @ChrisChangOrtho  4 года назад

      Please go to consult your dentist. Thank you!

    • @ChrisChangOrtho
      @ChrisChangOrtho  4 года назад

      Please go to consult your dentist. Thank you!

    • @muskaanchelani5959
      @muskaanchelani5959 4 года назад

      Same i have really thin upper lip and fat hanging lower lip, dont know what will happen

    • @dantan1249
      @dantan1249 3 года назад

      @@grimmy6121 I have full lips but with my braces currently on the top one looks bigger than it used to. I like the balance actually. Makes me sad that it will be smaller after. ☹️. No teeth removed though. I went the expansion route.

  • @joegh8453
    @joegh8453 2 года назад +5

    I have overbite with crowded teeth just got 4 extractions it was painful but u get used to it with time it’s been a week and I can’t wait for final results

    • @Natagay123
      @Natagay123 Год назад

      I have braces for the same reason, how is your process?

    • @JeyKie-fs5eb
      @JeyKie-fs5eb 9 месяцев назад

      how is it?😊

  • @abinatienza6654
    @abinatienza6654 3 года назад +5

    Can this narrow the airway and lead to sleep apnea?

  • @mitanirala8611
    @mitanirala8611 Год назад +1

    4 teeth extraction for braces is...really ruin facial structure

  • @randompersonlol7519
    @randompersonlol7519 4 года назад +11

    I had the same teeth extracted but only on my right side. Now I have braces, my treatment time is 24 months, but I'm already on my 3rd month!! I have some power chains on my canines and a coil spring on my left side (which hurts a lot).

    • @yomomgay7170
      @yomomgay7170 3 года назад

      Hi, i have a premolar on my top jaw that is severly broken so i need to get extracted, can i have braces afterwards to close the gap? I can't really afford an doctor to ask about this so if you know please answer

    • @randompersonlol7519
      @randompersonlol7519 3 года назад

      @@yomomgay7170 Yes you can get braces after having the tooth extracted. I had to get 2 of my canine teeth taken out on my right side, top and bottom teeth, before I got my braces. Hopefully that helps you

    • @justyourshubh
      @justyourshubh 2 года назад

      How is it now? Any updates brother?

    • @randompersonlol7519
      @randompersonlol7519 2 года назад

      @@justyourshubh It’s good, I ended up getting the same teeth extracted on my left side to straighten my midline (then my wisdom teeth last month). No more power chains or coil springs for me.
      Sometime next month I’ll be getting my braces off finally :))

    • @justyourshubh
      @justyourshubh 2 года назад

      @@randompersonlol7519 u had 5mm overjet?

  • @spootnik00
    @spootnik00 2 года назад +1

    Extraction for just a 5mm overjet when a an average overjet is 3mm... seems a little extreme.. maybe they could have just shave is teeth instead of extraction

  • @je32132
    @je32132 6 лет назад +49

    He looks more attractive now 😁

    • @314SSplurge
      @314SSplurge 4 года назад

      😂🤣😭😂😂😭😂🤣😭

    • @resulsanane4506
      @resulsanane4506 4 года назад +6

      Orthotropics is the real way, this is crime on humanity

    • @theivans90
      @theivans90 4 года назад +7

      FBI open the fckng door!!

  • @theboyjames3065
    @theboyjames3065 3 года назад +2

    This is barbaric. There should only ever be forward growth. Not retractive. The negative health consequences will be catastrophic.

    • @grangerxborg4216
      @grangerxborg4216 2 года назад +1

      Yes like not enough room for tongue for you to breath because of extraction

  • @blackjaguar3401
    @blackjaguar3401 4 года назад +4

    I don't see any problem in protrusive teeth. It is at least better than having severely crooked/crowded teeth

    • @evanh9301
      @evanh9301 2 года назад +2

      the lips and muscle can't relax to close, it is also aesthetic

  • @lat.k3189
    @lat.k3189 4 года назад +4

    Wouldnt this make tongue resting position (mewing) smaller?

    • @grangerxborg4216
      @grangerxborg4216 2 года назад +1

      Yes you will have breathing difficulties because the jaw became small due to extractions

  • @priyanshi310
    @priyanshi310 3 года назад +2

    My dentist removed only one teeth from the upper side,he will remove the second teeth after a month.Will it make my face ugly😭😭😭😭

  • @아름나는
    @아름나는 5 лет назад +18

    This is kinda similar to mine, but I have a gap infront of my teeth so I’m waiting for the result which means 2 yrs from now.😌❤️

    • @ChrisChangOrtho
      @ChrisChangOrtho  5 лет назад +3

      Wish you have a good treatment. Good luck!

    • @leecw2445
      @leecw2445 5 лет назад

      아름나는 woah can you update me your result

    • @diasroshi4097
      @diasroshi4097 3 года назад

      I have the exact same problem with a gap infront teeth. Did you do it? Please tell if theres any progess? Please

    • @rukmanisoren3446
      @rukmanisoren3446 2 года назад

      So how is it, been 2 years

    • @davidkhow88
      @davidkhow88 2 года назад

      @@deepshikhakumari9681 it's sunken if you don't have protrusion

  • @уяѕмєѕиєє
    @уяѕмєѕиєє 3 года назад +2

    Hello doctor... If we don't put our retainers after the extraction... Does it leave the gap open again?
    I got four of my teeth removed..

  • @Faithmay96
    @Faithmay96 2 года назад +5

    I used to have an open bite (5mm) and most orthodontists had suggested extractions since I couldn't afford surgery. So I opted for a camouflage technique instead, osseous genioplasty to fix my protruding chin, 4 premolar extractions (wisdom teeth had already been extracted), lingual braces with tads for 2 years. I now have wire attachments behind my front teeth and wear a retainer for 12 hours a day and a tongue crib to better help me position my tongue. It has been worth it.

    • @Faithmay96
      @Faithmay96 Год назад

      @@jazmin2111 it's a bit difficult to say! It has become a bit slimmer but that was from the genioplasty and masseter Botox injections but im not sure about the premolars themsleves. it loiks better now tho!

    • @m_shae9657
      @m_shae9657 Год назад

      @@Faithmay96 does wearing braces after extraction change our face shape in a good or bad way ?

    • @Faithmay96
      @Faithmay96 Год назад

      @@m_shae9657 i don't see a particular difference to be honest, looks slightly slimmer but overall pretty much the same

    • @JeyKie-fs5eb
      @JeyKie-fs5eb 9 месяцев назад

      how are you now? is it good?

  • @vinceocaya6101
    @vinceocaya6101 5 лет назад +10

    This is very genius explanation

  • @cokesacamuelas
    @cokesacamuelas 7 лет назад +9

    Excelente Dr.. Chang. Ojalá pueda venir a Chile a algún Congreso

    • @ChrisChangOrtho
      @ChrisChangOrtho  7 лет назад

      Thank you, my friend! Welcome to join us! Please go to orthobonescrew.com to get more information! Please send your schedule to my manager to arrange "thhuang@newtonsa.com.tw"

  • @Brucee_97
    @Brucee_97 11 месяцев назад +1

    9:28 amazing

  • @ashleybangbang6807
    @ashleybangbang6807 2 года назад +12

    My smile is already fine but i am very insecure about my side profile and my overbite so i was planning to get braces but my new dentist (since the last dentist just scammed me) informed me that I'd need to sacrifice my perfectly fine pre-molars first, i was very hesitant at first but thanks to this video and bunch of research I am now able to trust my new dentist, thanks!!

    • @Christina-bp6qg
      @Christina-bp6qg 2 года назад +2

      I also had 4 of my perfectly fine teeth extracted due to my mouth being a little protruding.

    • @awembaweawembawe6116
      @awembaweawembawe6116 2 года назад

      @@Christina-bp6qg did you experience any pain in the jawfterwards?

    • @Christina-bp6qg
      @Christina-bp6qg 2 года назад +1

      @@awembaweawembawe6116 For me, no. Just a bit uncomfy for a couple of hours after the procedure was done.

    • @ashleybangbang6807
      @ashleybangbang6807 2 года назад

      @@Christina-bp6qg they only removed the upper set of premolars since i already had my molar teeth on lower set extracted! I'm currently at the healing stage and trying to trust the process since my parents doesn't trust my decision on this one 😂😂 hopefully I'll get that perfect smile after!

    • @nanwijanarko1969
      @nanwijanarko1969 2 года назад +2

      @@ashleybangbang6807 Hey! I'm on the verge of doing the same treatment too with yours, with the almost exactly the same case. Thank you for sharing! I'd like to know how you're doing if that's alright!
      For me, I'm actually happy with my smile, and my teeth alignment are considered fine, it's just the protrusion really bothered me and the fact that I can't close my lips properly. It's rather scary having to go extract healthy teeth and having the empty spaces while the treatment is going. Do the empty spaces bother you much? How long till they close?

  • @resulsanane4506
    @resulsanane4506 4 года назад +2

    Orthotropics is real, orthodontics is a crime on humanity

  • @annubi19
    @annubi19 5 лет назад +33

    My daughter had her upper premolars removed last night. I look forwards to her results, and so does she. This video is lovely! Great job, this kid had amazing orthodontic care :)

    • @Yayhooray
      @Yayhooray 4 года назад +2

      How did it go? share your experience plzz

    • @myrizfernandez9049
      @myrizfernandez9049 4 года назад

      Yes please. Can you post the update?

    • @diasroshi4097
      @diasroshi4097 3 года назад

      Please tell us how its going?

    • @annubi19
      @annubi19 3 года назад +8

      Hi everyone! My daughter's teeth moved into place so quickly after extractions. And she will take off her braces just before Christmas 🎄. I can't believe how quickly time passed by. Her treatment will be 2 years total because she had upper jaw expanders 2 months before braces. I wish you all the best and hope you all will smile big always 😁😁😁😁😉

  • @yaritoko_
    @yaritoko_ 2 года назад +2

    I'm also very insecure about my side profile. I'm on braces before extraction but I don't know when will doctor do the extraction.

  • @ilovetaehyungbuthelovesjun6637
    @ilovetaehyungbuthelovesjun6637 4 года назад +6

    0:12 im a female and i have this 😂

    • @eadt7120
      @eadt7120 4 года назад

      Tienes eso ? Amiga xd?

    • @Qwinnnbee
      @Qwinnnbee 4 года назад

      Taehyung loves army more than jungkook 😌 this means he loves you too

  • @patanmobile6557
    @patanmobile6557 Год назад +1

    Dont pullout teeth

  • @samiribrahim6992
    @samiribrahim6992 5 лет назад +13

    What about tongue space ???
    What about tongue space ???
    What about tongue space ???

    • @Sariine436
      @Sariine436 5 лет назад +3

      OMG FINALLY SOMEONE UNDERSTOOD MEEEEE I DIDN'T BLNOW THIS WAS GOING TO HAPPEN NOW SINCE I DID IT IM HAVING ODD PROBLEMS AND MY TONGUE DOESENT FIT AND IT'S AFFECTING MY BREATHING

    • @jovita1709
      @jovita1709 5 лет назад

      @@Sariine436 omg me too

  • @missvida6251
    @missvida6251 2 года назад +2

    If my teeth don’t look like this after my braces come off, I’m going to give my orthodontist hell!

    • @corn10
      @corn10 Год назад

      Hey! How's your braces progressing?

  • @anizoohang5408
    @anizoohang5408 4 года назад +3

    Can someone tell me how much will i spend for this? I have same teeth position, i think from my personal pov. Otherwise, from dentists pov. 🙋🏻‍♂🙏🏻 .

    • @GearheadENG
      @GearheadENG 4 года назад

      Going to depend a lot on what country you are in. For the US, I would expect $7-10,000

    • @AdityaaaSinghhh
      @AdityaaaSinghhh 4 года назад

      Depends where you live... In India braces cost hardly $500-$700...

  • @shifa3284
    @shifa3284 2 года назад +1

    My case is exactly same and it's been 2months I got braces and extracted my 4 teeths. let's hope whether I get this drastic change Or not

  • @vinaykamble8588
    @vinaykamble8588 6 лет назад +5

    Mine is Same case ...what an amazing video made by you ..... ! Well done

    • @sushmitarai8173
      @sushmitarai8173 4 года назад +1

      Same here 😂😂 have to take out 4 teeth

    • @kamal-km1lx
      @kamal-km1lx 4 года назад

      @@sushmitarai8173 same here ....my orthodontist extracted 4 teeth

    • @vinjapuridivyasree8709
      @vinjapuridivyasree8709 4 года назад

      Will the lower teeth gaps will be closed?

  • @04__DIA
    @04__DIA Год назад +1

    does getting teeth extracted not cause facial collapse?

  • @zubayrali1220
    @zubayrali1220 2 года назад +14

    I had 4 premolars removed and will be getting my braces tomorrow! This video was very informative. Thank you

    • @SzAkos04
      @SzAkos04 2 года назад

      I'm getting 2 premolars extracted next week please share your experiences about the pulling

    • @mangolover6039
      @mangolover6039 Год назад

      UPDAAAATE

    • @m_shae9657
      @m_shae9657 Год назад

      update plssss

    • @zubayrali1220
      @zubayrali1220 Год назад

      Update:
      I’ve had my braces for 6 months now and the gaps in my lower teeth are semi closed but the upper ones are still there but on their way to close too! The gaps don’t bother me tbh and they’re not noticeable unless you open your mouth wide open.

    • @zubayrali1220
      @zubayrali1220 Год назад

      @@m_shae9657 done

  • @renatafalcao5996
    @renatafalcao5996 2 года назад +1

    Would orthognathic jaw surgery be applicable in this case?

  • @machinegunkely4417
    @machinegunkely4417 5 лет назад +4

    Don't extract tooth for straight teeth u can achieve it without extraction as well

    • @ilovetaehyungbuthelovesjun6637
      @ilovetaehyungbuthelovesjun6637 4 года назад

      how can u explain cuz i dont want to get extractions

    • @machinegunkely4417
      @machinegunkely4417 4 года назад

      @@ilovetaehyungbuthelovesjun6637 what do you mean?

    • @grimmy6121
      @grimmy6121 4 года назад +8

      Not if you have a protruding teeth, there are no spaces left for the teeth to move and to eventually straight up. So extraction is a must

    • @sundyinnocent7014
      @sundyinnocent7014 4 года назад

      How?

    • @jared3970
      @jared3970 4 года назад +1

      Not necessarily. There are techniques where the orthodontist can expand the arch non-surgically and allow the mandible to come forward which is what should have been done in this case rather than extractions. This child will likely grow up to have further breathing issues now that the extractions have occurred and there will be less space for the tongue once the spaces are closed (his airway is already noticeably small even for his age)

  • @jayduh_
    @jayduh_ 25 дней назад

    My first dentist only removed 3 teeth 2 premolar on upper teeth each side and 1 premolar tooth only in the bottom idk why, the middle line of my teeth upper and bottom doesn't even align lol anyways i was 18 now 24 got braces again bcuz I didn't wear my retainer and i still have minor protuding w/ my bottom lip, which is my insecurity now I'm very vocal to my dentist about what I want to achieve. We did some stripping of some teeth cuz I guess I only need a bit of gap to move my bottom teeth inside. I just wish all dentist would also be vocal about procedures and explain it not just do it. Also if you got some teeth extracted make sure to wear ur retainer After braces because it will shift back and you'll see the bone loss where the teeth was extracted, food gets in there which led to inflammation or infection so wear ur retainer.

  • @liyanafauzi5036
    @liyanafauzi5036 4 года назад +3

    may i know , how long the time lapse did it take to close the teeth gap ? i will extract my 4 premolar teeth on this april too. 😭 hope to get a respond from other patient whom in the same case with me 😭😭

    • @briannar6412
      @briannar6412 4 года назад +3

      I just got my 4 premolars removed. And the dentist said that Change in body is a very slow process and bone resorption and deposition rate varies from person to person. It may take 3-6 months for the gap closure but depends on the position of the jaw,bone,teeth, and your regular follow ups

    • @ChrisChangOrtho
      @ChrisChangOrtho  4 года назад

      Thank you, my friend!

    • @ChrisChangOrtho
      @ChrisChangOrtho  4 года назад

      Please go to consult your dentist. Thank you!

    • @liyanafauzi5036
      @liyanafauzi5036 4 года назад +1

      @@briannar6412 aww thanks for your response my dear ❤️😇 noted. thanks too for making this video @newtonsa0301 ^^

    • @jyoleya3671
      @jyoleya3671 4 года назад

      How many months wear to braces on the teeths

  • @surajsubedi4425
    @surajsubedi4425 4 года назад +2

    similar to my problem.bt here in uae my dentist suggest different.

  • @ShakeemGuzman
    @ShakeemGuzman 4 года назад +12

    I’m getting my two top and one lower removed. Got my 4 wisdom teeth removed a while back. Not I’m like 3 more teeth need to go? Imagine my surprise. This video explained why I need my upper and lower removed. Thank you for this useful information, now I can make sense of loosing more teeth haha.

    • @Yayhooray
      @Yayhooray 4 года назад

      how did it go broo ?

    • @lenalee5516
      @lenalee5516 4 года назад +3

      Yo same here!!! I got my 4 wisdom teeth removed, it was hell lol. Now i have another mission to remove my 4 premolars, i hope it wont affect my jaw or anything

    • @diasroshi4097
      @diasroshi4097 3 года назад

      Hey how is it? Are you happy with the result?

    • @lenalee5516
      @lenalee5516 3 года назад +1

      @@deepshikhakumari9681 honestly, extracting 4 teeth is risky, but u gotta discuss it with ur orthodentist

    • @m_shae9657
      @m_shae9657 Год назад

      @@Brotried97 in a good or bad way ? because some people said in a good way so im not really sure about that

  • @abelalbujar3324
    @abelalbujar3324 Год назад +2

    A fantastic case, greetings dr. Chris

  • @hadeelbafaqeeh6153
    @hadeelbafaqeeh6153 6 лет назад +9

    very nice work and presentation doctor,
    what's the program for moving teeth photos like video ?

  • @ME-FluorineNizamul
    @ME-FluorineNizamul 2 года назад +1

    Hello sir,
    I need your help
    Where are you from?

  • @lordy7933
    @lordy7933 5 лет назад +8

    Excellent Work/video. Wow the weapon does work. Thank you doctors😃

  • @dreamer4124
    @dreamer4124 4 года назад +1

    I am 21 yrs. And i have the same problem as the boy has in Video. Can i get braces and how much time will it take??

    • @dantan1249
      @dantan1249 3 года назад

      I think you can always reduce size but it’s harder to make it bigger as you age. So yes but the retraction May be less drastic since your bones are fused. My sister did it at that age and it worked

  • @palak-ue7wi
    @palak-ue7wi 4 года назад +4

    I have my 4 premolars extracted today!!😩😩🥺 gosh I’m scared

    • @behappy9498
      @behappy9498 4 года назад +4

      For me 7 teeths are going to extract

    • @palak-ue7wi
      @palak-ue7wi 4 года назад

      @@behappy9498 what! Oh my gosh! 😭😭 Best of luck!! 😂

    • @lenalee5516
      @lenalee5516 4 года назад +2

      In my case i have 8 extractions. I already got 4 wisdom teeth extracted last month, later i will get my 4 premolar extracted 😔

    • @palak-ue7wi
      @palak-ue7wi 4 года назад

      Lena Lee oh god! 😂

    • @palak-ue7wi
      @palak-ue7wi 4 года назад

      Deepshikha Kumari tbh you should get braces! And extraction of teeth doesn’t hurt at all ! Dentist will numb your gums and you won’t feel anything! Don’t be scared! It’s been a month since my teeth were extracted and it’s fine! If you want a perfect smile you must get braces! And best of luck for your treatment! :)

  • @allaboutsandisa2305
    @allaboutsandisa2305 11 месяцев назад +1

    Now am confident to extract my 4 teeth I was worried…. Thank you for this video

    • @Lapulga20-kick
      @Lapulga20-kick 11 месяцев назад +1

      Just extracted 2 teeth yesterday, I feel like it's okay, the feel is like the same after my teeth extracted, not uncomfortable but just feel a bit weird because there's a big gap. But braces will fix it I believe.

    • @JeyKie-fs5eb
      @JeyKie-fs5eb 9 месяцев назад

      ​@@Lapulga20-kickhow is it??😊

    • @Lapulga20-kick
      @Lapulga20-kick 9 месяцев назад

      @@JeyKie-fs5eb it's great now, feeling a bit weird but I kinda slowly get used to it. Honestly, no regrets!

  • @chittygong4290
    @chittygong4290 6 лет назад +3

    Could you use the same wire sequence with damon brackets without the insignia system Dr. Chang?

  • @jackespinozaflores
    @jackespinozaflores 2 года назад +1

    Please to those who already haved this process tell us your story, you can help someone to decide you were wish you knew this before start this treatment but help other to know about that.

    • @sarmishthatiwari8951
      @sarmishthatiwari8951 2 года назад +1

      For me it addressed the TMJ headaches i was having prior to treatment, i had ovejet and overbite with crowding on lower arch, had 4 extracted. Gaps are closed now but my arch is narrow so i feel my tongue with teeth while talking. My profile looks great though. My dentist will use dental expanders to address my narrow arch if i continue to have same arch problem after removal. He says molars will get back to prior position once forces are removed so would have no tongue issue. Let's see. Some people face none of these problem, like one of my friend. If your jaw and palate is fully developed as adult ortho may consider extraction, or he'll expand palate if it's underdeveloped or if one is minor.

  • @rabychichakly
    @rabychichakly 7 лет назад +4

    thank you doctor .... but is this trtmnt possible without Insignia Brackets ?

    • @ChrisChangOrtho
      @ChrisChangOrtho  7 лет назад +1

      Maybe we can try. I just share my knowledge and treatment. Thank you! Welcome to join us! Please go to orthobonescrew.com to get more information!

  • @Twiti47
    @Twiti47 3 года назад

    I have a similar problem but you're not souposed to extract teeth so what the fuck do you do, how can the face come upwards?

  • @kaylahkent1864
    @kaylahkent1864 3 года назад +16

    This was very helpful. I didn’t understand all of the medical terms, but it helped me understand what could happen when I get my extractions.

  • @dr.ashrafelmessery3382
    @dr.ashrafelmessery3382 5 лет назад +2

    Very nice as usual dr.
    My question. Correction of U1/sn from 118 to 103.
    And L1/Mp from 92 to 82.
    Which is more than 5 degree. Will not make relapse as dr .profit stayed. Thank you million

  • @ilovetaehyungbuthelovesjun6637
    @ilovetaehyungbuthelovesjun6637 4 года назад +4

    he looks so nice afterrrrrr^^

  • @dogukanegeatalar1745
    @dogukanegeatalar1745 2 года назад +2

    Perfect explanation, thank you.

  • @ryanchristianbayuta7109
    @ryanchristianbayuta7109 4 года назад +11

    I just had my last premolar extraction yesterday and my Dr. said that after 3 weeks, we will start the pulling so the 4 spaces will start to close. I'm excited!

    • @ChrisChangOrtho
      @ChrisChangOrtho  4 года назад +3

      Good luck! Thank you!

    • @ducxandy9889
      @ducxandy9889 4 года назад +4

      You will regret on that extractions. Because you'll age faster. Say you're now 25. By the time you'll turn 28, you'll look like 40 year old man

    • @ashutoshsegekar8144
      @ashutoshsegekar8144 4 года назад +1

      @@ducxandy9889 it is scientific?

    • @tropicaldimitri7374
      @tropicaldimitri7374 4 года назад +3

      @@ashutoshsegekar8144 You can see at 8:50 his protrusion is fixed but at the same time his chin (and his facial profile in general) has shifted down a little bit. You are not supposed to have a long face while you are still young.
      Unlike orthodontics, orthotropics is all about forward and upward growth, pushing your upper and lower jaws forward and upward.

    • @arlyn6310
      @arlyn6310 4 года назад +1

      Ailar Kma imagine the exhaustion in our jaw and chin when we can’t properly close our mouth. I think your face slimming down isn’t a bad thing.

  • @La_Mavimbela
    @La_Mavimbela 3 года назад +1

    I extracted same teeth. Getting braces soon🥺

  • @chhatrabhadurkatwal6110
    @chhatrabhadurkatwal6110 6 лет назад +4

    Does this extraction affect our health??

  • @anniesapna7229
    @anniesapna7229 4 года назад +1

    I have the same problem..so I am going to put braces now....

  • @dansky03
    @dansky03 6 лет назад +2

    We have the same case. My 2 upper teeth was already extracted. The lower 2 will be extracted next week. Wish me luck.

  • @riverbionic
    @riverbionic 4 года назад +2

    Is it possible without removing the premolars?

    • @Pranay471
      @Pranay471 4 года назад

      Depending on your teeths

  • @medhataly5143
    @medhataly5143 7 лет назад +7

    Nice work. Can you share you experience using fixed functional appliances ?

  • @ilovetaehyungbuthelovesjun6637
    @ilovetaehyungbuthelovesjun6637 4 года назад +2

    i dont want my vampire teeth to get extracted lol

    • @rowenakizito4958
      @rowenakizito4958 4 года назад +1

      I Love Taehyung But he Loves Jungkook I felt the exact same. But one of mine was a baby tooth and had two other teeth underneath. What they did remove the baby tooth and extra teeth and extract premolars for the rest. See if they can remove your premolars instead.

    • @myrizfernandez9049
      @myrizfernandez9049 4 года назад

      Rowena Kizito hi! Can you share your update for your braces now? I am skeptical about removing my premolars

  • @norules7805
    @norules7805 4 года назад +4

    We have the same situation. But my ortho doesnt recommend extraction.

    • @ChrisChangOrtho
      @ChrisChangOrtho  4 года назад +1

      It depends your choice. Thank you, my friend!

    • @squirrel8397
      @squirrel8397 3 года назад

      If your orthodontist doesn’t recommend extractions what did you do for treatment? A response would be appreciated but I am aware this comment is a year old.

    • @norules7805
      @norules7805 3 года назад

      @@squirrel8397 I just went with my orthos recommendation, my teeth are still protruded a bit now, but not as much as before. And my friend seems to think that it's cute since it looks like a bunny

    • @squirrel8397
      @squirrel8397 3 года назад

      @@norules7805 I see. Do you know how much your teeth protrude now? I also have protrusive teeth and I want to avoid extractions but my orthodontist said my teeth will protrude more if I don’t get extractions. :/

    • @norules7805
      @norules7805 3 года назад

      @@squirrel8397 Do you know Jungkook from BTS? Kind of like that. If you dont, try searching "Bts Jungkook bunny teeth"

  • @sundayconde
    @sundayconde Год назад

    How I wish I can afford that surgery for my teeth here in Philippines.

  • @aida9414
    @aida9414 4 года назад +11

    this is my 3rd year using braces, I've already extracted 4 teeth and still have overbite
    and i have a new problem, my tongue gets bitten often because my jaw is narrowed T^T

    • @toffee6262
      @toffee6262 4 года назад +1

      One of my tooth was damaged and didnt grow which affected my backer teeth. The dentist told me that I have a small jawline so 4 teeth extractions is okay, so i agreed and now im going to get braces in a few days. Im a bit worried tho cuz i wonder how I'd look afterwards

    • @thequietkid2643
      @thequietkid2643 4 года назад +1

      Oops

    • @aida9414
      @aida9414 4 года назад +4

      I hope everything goes well, it will look weird at first but you will get used to it after a few weeks ^^ cheer up!!!

    • @swarnabhshekhar1837
      @swarnabhshekhar1837 3 года назад +1

      Do you feel any difficulty in placing your toungue in mouth... Or any difficulty in breathing

    • @aiueo6389
      @aiueo6389 3 года назад

      then ask your dentist to extract your tongue too

  • @vinaykamble8588
    @vinaykamble8588 6 лет назад +1

    Please I have one question.... I am very very confused that whether I should go with experience ortho or I should go with young orthodontist , these young once have franchise and they have all the new equipments and Demon braces as well and are knowledgeable also.... but on the other side one is very experienced , please suggest me, I am very depressed with my decision making , which one I should go for experienced or equipments ? I rely need your suggestion and it will be my final decision .... Waiting

  • @gergisalkhouri3936
    @gergisalkhouri3936 7 лет назад +5

    Muy bien. Excelente presentación.

    • @ChrisChangOrtho
      @ChrisChangOrtho  7 лет назад +1

      Thank you, my friend! Welcome to join us! Please go to orthobonescrew.com to get more information!

  • @SwayTheBeast
    @SwayTheBeast 6 лет назад +4

    Do you have an email I can contact

  • @yoloop93
    @yoloop93 4 года назад +3

    I have the exactly same misalignments, and got the same teeth extracted, been on braces for 3 months now

    • @diasroshi4097
      @diasroshi4097 3 года назад

      How is it? Any progress?

    • @yoloop93
      @yoloop93 3 года назад +1

      @@diasroshi4097 going good, I had a tooth that was pointing at 45 degrees incline and surprisingly took only about 3 weeks to align it straight.

    • @mse312
      @mse312 3 года назад

      @@yoloop93 did the gaps close? did your face change?

    • @yoloop93
      @yoloop93 3 года назад

      @@mse312 not yet. Still more to go

    • @mse312
      @mse312 3 года назад

      @@yoloop93 are the gaps in process to close?

  • @RM-ox2sl
    @RM-ox2sl 4 года назад +2

    How many years the treatment of this case?

    • @ChrisChangOrtho
      @ChrisChangOrtho  4 года назад +2

      19 month. Thank you, my friend!

    • @RM-ox2sl
      @RM-ox2sl 4 года назад

      @@ChrisChangOrtho thanks for reaponse friend.. 😉

    • @nurulhijrah2244
      @nurulhijrah2244 4 года назад

      The case is same with me. I have to do extraction. My dentist said the same too within 24 months.

  • @izrulhafiz9053
    @izrulhafiz9053 5 лет назад +9

    I used to have the same teeth condition like him. Even the same shape of teeth..and after braces..I also get the same result as him..this reminds me of myself..good memories..😂😂

  • @leo-jp8ru
    @leo-jp8ru 4 года назад +2

    Is this possible without extractions ?

    • @ChrisChangOrtho
      @ChrisChangOrtho  4 года назад

      Please go to consult your dentist. Thank you!

  • @vlogasapisces4865
    @vlogasapisces4865 7 лет назад +3

    EXCELLENT