ORTHODONTIC TREATMENT 5- CROWDING- DR. DEAN A. CESA

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  • Опубликовано: 5 окт 2024

Комментарии • 152

  • @mohsenganji4923
    @mohsenganji4923 5 лет назад +22

    extraction of four second molars and a lower incisor is an aggressive approach in my opinion.

  • @OrthoAnchorage
    @OrthoAnchorage 10 лет назад +5

    Wow! What you did with this case is a wonderful job, Doc!

  • @rikoshini
    @rikoshini 11 лет назад +22

    after seeing this video, im so excited for the outcome of my treatment.

    • @abdiazizaweys7340
      @abdiazizaweys7340 4 года назад +1

      Good outcome! If you are the patient. I need some information for you. Ready?

  • @juanmakabayan4580
    @juanmakabayan4580 8 лет назад +9

    As I see the treatment procedure, I have seen some certain mistakes and some good treatment plan implemented. In my opinion first the removal of the 2nd molars is a choice which puts most of the orthodontic practitioners in a delima. Either to remove the 2nd molars or 1st premolars. But always considerations must be put into mind with regards to the patients age and the erupting 3rd molars. Since the patient, as I see it is in a growing stage therefore it is to be expected that the bone is still in its growing or expansion stage therefore the removal of the 1st premolars will cause more harm than good and eventually would cause an iatrogenic diastema cause by the extraction of the 1st premolars. So that leaves the next option of removing the 2nd molars. Since the child and the radiograph might had revealed an erupting 3rd molar then removing the 2nd molar would be the next best thing to align the anteriors by retracting the other dental elements posteriorly. And taking into consideration the growing stage of the patient, therefore any further bone expansion will not result to any diastema later on.
    Now with the extraction of the anterior incisor, in my opinion and true to the fact, it is a big no-no in orthodontics. Firstly, due to the removal of the said anterior tooth, there will be a tendency to cause a collapse in anterior bone segment since the patient is still in a growing state eventually it will cause an anterior overjet. Secondly, with the extraction of the anterior tooth, the midline is compromise. Thirdly, it is unesthetic considering that only 3 anteriors are left compared to the 4 anteriors on the upper.
    For these reasons, it is always a good thing to have in your practice the knowledge of all areas of dental practice such as esthetic dentistry and prosthodontics.

    • @lindashila
      @lindashila 8 лет назад +1

      +Juan Makabayan The extraction of one of the lower incisors is a no-no? Since when? Because, if you check there are a few cases that are solved that way. It is not the classic way, but one cannot say it is forbidden. Of course, the patient must be informed about the midline off. It is exactly for this reason that we have the Bolton index, which means deviations exist prior to ortho treatment, which means the six upper anteriors do not correlate with the six lower ones. It is not a "no-no", it is a "maybe" in a few cases....have knowledge of all areas of dental practice, such as esthetic dentistry and prosthodontics...... good one! Are these all the areas of dental practice? Or are they the only ones with impact on orthodontics? Are you sure? :)

  • @raytemoa
    @raytemoa 10 лет назад +17

    Lot of minor issues with this case
    1. Poor finish of the upper front teeth , they are not aligned properly , this is a bracket error(orthodontist) at the start.
    2. Ditto lowers just did not get the brackets in the right spot at the start and also the Upper right canine rotated still.
    3. Because you removed a lower incisor you created a boltons discrepancy , that normally would have given you a large overjet (difference between upper front teeth and lower teeth) , but you extracted upper molars which helped (Sort of) you have ended up giving the patient actually a really poor bite, all the back teeth meet incorrectly.
    4. Sure the teeth are reasonably aligned but not up to normal standards.
    5. Those who have said TMJ issues blah blah, you dont know what your talking about, show one scrap of actual scientific evidence that proves that if you extract teeth??? What about all the patients that have TMJD issues bite issues etc etc who have 32 teeth?? Against logic there is no armor like ignorance.
    6. Your comment about retainers and barely never using them is a poor comment teeth move throughout life regardless of extracions non extracion etc etc . Stop pretending your orthodontic does not relapse, you give real Orthodontists a bad name pal

  • @sejalchauhan783
    @sejalchauhan783 4 года назад +1

    I m so happy, looking the change in the face,it looks superb after the treatment and mature enough

    • @meghali_55
      @meghali_55 4 года назад

      I want to braces but I'm so scared to tell my parents ..😧😞

    • @niellii8718
      @niellii8718 4 года назад

      Why?

    • @meghali_55
      @meghali_55 4 года назад

      @@niellii8718 I am very shy to tell my parents 😢😭

  • @DeanCesa
    @DeanCesa  11 лет назад +2

    I used to do that kind of treatment before and i stopped because it retrude the premaxilla that can cause TMJ disorder, and it can also decreased the arch length. So i stopped doing bicuspid extraction ,besides u don't have stability in the end.

  • @sonicfish3827
    @sonicfish3827 9 лет назад +28

    extraction of 2on molars¿?¿? crime

  • @lindashila
    @lindashila 10 лет назад +3

    of course the classic method is ext of 4 bi-s, but if one does not ext them, I think the extraction of one of the lower incisors is a smart choice, because it doesn't change the lower intercanine width, which in turn prevents the relapse. The extraction of the 2nd molars... I cannot agree with that! But no matter what you do, doc, teeth will always move, which means.. rotations, relapse etc MAY OCCUR

    • @BarSa807
      @BarSa807 9 лет назад

      I agree with you

    • @jessicahannah9380
      @jessicahannah9380 8 лет назад +1

      Good thinking..but what there another alternative....The doctor used alot of technique with are great, but there another alternative....Orthodontic so many possibility,but got to choose the best and most efficiency

  • @stevenrizzo1094
    @stevenrizzo1094 8 лет назад +1

    muy buen cambio ese procedimiento lo llevo y es súper rápido el cambio

  • @schmearcampain
    @schmearcampain 11 лет назад +1

    Why would you extract a central incisor? The end result is either a class I molar with an excess overjet and overbite, or a class III molar and normal OJ/OB. Four first bicuspids is clearly a better choice.

  • @mariemolina7556
    @mariemolina7556 11 лет назад +24

    I cnt wait to get my braces on...

  • @Ameen559
    @Ameen559 8 лет назад +24

    in my point of view it is wrong Tx, removal of molars is a crime in dentistry, also a unilateral extraction..

    • @eleo_b
      @eleo_b 8 лет назад +1

      I agree. These days there are other ways to make room. Like expanders for example.

    • @MaxDoesFitness
      @MaxDoesFitness 7 лет назад +2

      I have one on right now, the orthodontist wants to fix my smile without pulling any teeth and I am greatfull for that:)

    • @shmixirshmix1459
      @shmixirshmix1459 7 лет назад

      Eleonore Bon
      But when you get older your jaw is unable to move with an expander. So you would need to break your jaw

    • @rezajahanbakhsh983
      @rezajahanbakhsh983 6 лет назад

      Ameen559 i agree with u about molar extraction . especially in this case hyrax expansion could,ve been a better alternative . but disagree about unilateral ext. i have treated many cases without any problem

    • @carlosperes8165
      @carlosperes8165 5 лет назад

      Es erróneo hacer exodoncia en incisivos centrales
      No entiendo por que hizo eso ! Y donde queda la linea media ??

  • @jessicabutts4248
    @jessicabutts4248 8 лет назад +3

    Not bad, They look like my teeth before he started. But I REALLY dislike the look of having 3 middle teeth between the K9s. To me it doesn't look as clean as 4 teeth.

  • @eleo_b
    @eleo_b 8 лет назад +1

    as a viewer, I'd recommend to speed this video up in the settings. Still slow enough.

  • @elliotwong748
    @elliotwong748 11 лет назад +1

    nice work! it's amazing that you managed to prevent relapse without using retainers. do you always not use them?

  • @anandshenoy4558
    @anandshenoy4558 11 лет назад +3

    cant understand why the need to extract a incisor its the most likely cause of the tmj developing problems

  • @oki_elli7523
    @oki_elli7523 4 года назад +1

    My teeth are like that but only on one side. I cant wait to get braces

  • @nombrepredeterminado2291
    @nombrepredeterminado2291 10 лет назад +12

    Awfull. We dont do it to extract a incisiv.

  • @rawezhazizi7460
    @rawezhazizi7460 11 лет назад +1

    should of extracted all of the first pre-molars, put on a fixed brace with springs attatched between hes upper lateral inscisors and 2nd premolar to create space then attatched the archwire to the canine to bring them into line along with all the other teeth. class 2 elastics should of then been used on one side to correct hes midline then class 2 elastics on both sides to correct hes overbite and overjet!!

  • @shmixirshmix1459
    @shmixirshmix1459 7 лет назад +3

    Everybody saying pulling teeth is wrong well so far I had four baby teeth pulled and four adult teeth pulled and my smile is improving currently with braces.

  • @ks506soton
    @ks506soton 11 лет назад +1

    Always use retainers after treatment! Teeth have and will relaps back on themselves it happened to me, it happened to my best friend, it happened to my sister, it happens to anyone who didn't get are retainer after treatment believe me, it helps the teeth to settle after all that movement. What is the point of going through all that pain to get the same result you started off with? Beside when you fet older your teeth edge closer together not good news for some one with overcrowded teeth.

  • @spikefivefivefive
    @spikefivefivefive 5 лет назад +4

    It's bad enough that viable molars were removed.
    But to remove an incisor?
    What parent consented to this "treatment"?
    This is malpractice.

    • @markjens9046
      @markjens9046 5 лет назад +2

      If you know about orthotropics, this kid's face is already damaged for the rest of his life.
      In traditional orthodontic extractions are straight up prohibited.

  • @oliversmart1344
    @oliversmart1344 11 лет назад +1

    4 bicuspid extractons wuld take 18 months min, not 10. Why bother with a lower incisor extraction anyway? The distalizing of the upper molars will be where the TMJ/masseter problems come from. Nice outcome though, we're all critics on here.....

  • @jonrichey4330
    @jonrichey4330 11 лет назад +1

    upper and lower midlines are off. Hopefully the wisdom tooth will come in and not be impacted because than the patient will loose 8 molars. 4 first bicuspids would have been so much better and would have taken the same amount of time.

  • @imaginary9974
    @imaginary9974 4 года назад

    I am watching this in 2020 because corona got y going crazy

  • @hannakathlynpadilla5165
    @hannakathlynpadilla5165 11 лет назад +1

    I have a very similar case as mine but i had 4 teeth extracted at age 13 and i think thats a bad idea but my ortho said there are no more choice but to remove because of protrusion and a big possibility of having impacted wisdom teeth because of crowding

  • @aditypatil1512
    @aditypatil1512 3 года назад +1

    My dentist said I had seviere crowding that's how I'm here!

  • @mihaela-andradafita2831
    @mihaela-andradafita2831 6 лет назад +1

    Where is the midline?

  • @wariouswarious9364
    @wariouswarious9364 5 лет назад +1

    wtf??
    how does RUclips not shuts this video down for human race crimes

  • @DS-vo3dp
    @DS-vo3dp 7 лет назад +2

    Do some dentist remove teeth just for money?because ive seen people with really bad teeth in braces and don't need extractions.

    • @igormorari380
      @igormorari380 6 лет назад

      Kiana 134 No, that depends of the patients face. To align, crowded teeth tend to protude when theres no space. In some cases can be ok. Also, the results are generally faster and more stable after treatment when correct extractions are done.

  • @Alona936
    @Alona936 10 лет назад +1

    I'm scared if I have to take teeth out. I would be cryin. Cuz I HATE the anaesthetic.

  • @amielawson9130
    @amielawson9130 9 лет назад +5

    Why not expand the palette versus removing teeth?

    • @ockertoustesizem1234
      @ockertoustesizem1234 8 лет назад +2

      orthodontists remove teeth to make their job easier. well in some cases removing teeth is the only choice but in most cases the palette could have been expanded.

    • @mpscats360
      @mpscats360 8 лет назад

      It's also about ur jaw structure. If your jaw is small to start with then there is misplace for the teeth to go at all

    • @radojkasvircic3981
      @radojkasvircic3981 6 лет назад +2

      Check ortotropic treatments.

  • @gunnet
    @gunnet 11 лет назад +7

    admiro el valor para mostrar este trabajo dr . . . es malisimo

  • @tearyraindrop
    @tearyraindrop 8 лет назад +1

    How long did it take for the teeth to be aligned ?

  • @rogeliozaragosa6045
    @rogeliozaragosa6045 8 лет назад +13

    ihavethisteeth 😭😂

    • @Moon-qu2uy
      @Moon-qu2uy 3 года назад

      Did you got your bracesn

  • @bihralista8543
    @bihralista8543 5 лет назад +1

    I have similar situation .with wish to do same. How long can it take with the braces on and how much does it cost? Plz reply

  • @anstroz23
    @anstroz23 8 лет назад +2

    yo no estoy de acuerdo en la exodoncia de la pieza 41,automáticamente pierde la estética y el canino superior no articula normalmente.

  • @TroubleMakerH
    @TroubleMakerH 7 лет назад +1

    case of 4 4 s extraction not molars or incisor

  • @athalmis
    @athalmis 9 лет назад +4

    Why 2nd molar??? Not 1st premolar

    • @truesecular9159
      @truesecular9159 9 лет назад

      Athalmi Sani hi canine was just plaed under the lip allmost impacted ..moved with orthodontic wire but onside is expanding whatt to do please help dr..

  • @keyzials6397
    @keyzials6397 10 лет назад +1

    How many years did it take that?

  • @tarekmytube
    @tarekmytube 10 лет назад

    good work and nice extraction choice, but way you didn't use retainers.

  • @utbuff6073
    @utbuff6073 4 года назад +1

    im getting my top canines pulled down and it’s a pain in the ass

    • @jessxoxo7229
      @jessxoxo7229 4 года назад

      UTBuff does it hurt

    • @utbuff6073
      @utbuff6073 4 года назад

      Jess xoxo yes. cause then you whole back teeth are getting shifted it’s stupid

    • @jessxoxo7229
      @jessxoxo7229 4 года назад

      UTBuff does it hurt when they put the braces on or the working progress of it coz I need it doing ahah

  • @amg2290
    @amg2290 8 лет назад

    the background music is so good

  • @stephaniealvarez6759
    @stephaniealvarez6759 7 лет назад +1

    ¿Y la línea media?

  • @7300Marlo
    @7300Marlo 9 лет назад +3

    What the hell did this person's parents mate with. Wow he was like part arachnid

    • @kittythecat1839
      @kittythecat1839 8 лет назад +1

      Lol this made me laugh way more than I should have, now I feel bad. At lease this teeth are better now, though!

  • @shahzadbhutta8004
    @shahzadbhutta8004 6 лет назад

    Excellent job

  • @juanfv1748
    @juanfv1748 8 лет назад +6

    por que quitarias un central ? esto es tonto

  • @joodyj2368
    @joodyj2368 8 лет назад

    can we do that for young people like 22 years old ? or just the chields?

  • @drwaheednasr3265
    @drwaheednasr3265 10 лет назад

    Knowledges of fix orthodency

  • @hossamsamir1438
    @hossamsamir1438 5 лет назад +1

    Extraction of 2nd molars and an incisor tooth?!!!! WTF is that

  • @DeanCesa
    @DeanCesa  11 лет назад +1

    10 months to 1 yr. And most of the time i don't use retainers.

    • @francojay2862
      @francojay2862 4 года назад

      Hello doc, saan po ba pwede ireklamo ang dentist? Sinira lang lalo ng dentist ko yung teeth ko nung nagpabraces ako sa kanya. 3years na hindi pa rin nya naayos, nagkacrossbite lang ako and nadislocate facial features ko. Then last year july 2019 i decided na ipatanggal na lang kasi di naman nya naaayos at sinisingil lang ako ng sinisingil kahit fully paid na ako. Mas malala pa nga case nyan sa vid kesa sakin. Hays, sayang binayad ko sa dentist.

  • @rafmol3108
    @rafmol3108 7 лет назад +4

    pesimo resultado. el caso pedia a gritos extracciones

  • @nevaehrylander6907
    @nevaehrylander6907 4 года назад

    Omg I just got my braces but my teeth are like SEVERELY crowded my canines are next to my two top front teeth and the other tooth is behind it. It looks like I have two rows of teeth😟💀

  • @THEVITTORIO600
    @THEVITTORIO600 8 лет назад

    You work magic.

  • @rakan550
    @rakan550 5 лет назад

    Why don't you just extract all first premolars and call it a day, but 2nd molars and incisor common 😩

  • @kelly8689
    @kelly8689 Год назад

    Damn I'm not profesional at all but that look really bad.. Why does the incisors removed? This is unestethic with 3 first tooth and the molar doesn't match, as I say I'm not pro but I don't like the end.

  • @OrthoHenderson
    @OrthoHenderson 11 лет назад +1

    was the extraction needed?

  • @sathish.malkapuram4344
    @sathish.malkapuram4344 4 года назад

    How long should we use braces?

  • @claudeenwolf1382
    @claudeenwolf1382 9 лет назад

    WTF! D: parece magia dios

  • @Anbu8366
    @Anbu8366 11 лет назад

    i have severe crowding and kids make fun of me all the time i cant wait to get straight teeth

  • @designbydora1896
    @designbydora1896 3 года назад

    This is what my Ortho suggested we do for my 11 year old son, thanks god I Refused! Shame on all the doctors that are still pulling healthy teeth!!! This is the easiest and worst treatment done! It is really harmful on the long run. It also makes the face and cheeks flat, and caused TMJ problems and airway narrowing later in life! Go to an airway focus or Orthotropic doctor and see what they’ are doing.

  • @fernandacarmo7914
    @fernandacarmo7914 8 лет назад

    quanto tempo será que ele usou o aparelho '-'

  • @KikkyRodriguez
    @KikkyRodriguez 11 лет назад

    How many years did u have it o

  • @aishuaishwarya8999
    @aishuaishwarya8999 3 года назад

    What is the treatment time

  • @dbence25
    @dbence25 9 лет назад +1

    MUITA CORAGEM EM MOSTRAR UM TRATAMENTO LAMBÃO DESSES. PACIENTE CLASSE I, LINHA MEDIA COINCIDENTE E AINDA MAIS SENDO CRIANÇA. o CORRETO SERIA DISJUNÇÃO DE MAXILA E EXPANSÃO DE MANDÍBULA DEPENDENDO DO PERFIL DO PACIENTE. SE ESTIVESSE PROTRUÍDO, AS EXTRAÇÕES INDICADAS SERIAM DE PREMOLARES PARA NÃO PERDER LINHA MÉDIA, GUIA CANINA E CLASSE I MOLAR.

  • @captainamerica7042
    @captainamerica7042 11 лет назад

    Nice work doc

  • @loveforever1846
    @loveforever1846 5 лет назад

    Algiuen puede explicarme porque esto esta mal?

  • @abdullahmezel6929
    @abdullahmezel6929 8 лет назад +16

    you remove a second molaasaaars!!!!??? crime .... and u kill the dental midline ????!!!! ... sorry but dislike

  • @tylerlong7625
    @tylerlong7625 10 лет назад

    I think he could have done a better job and people with severe crowding should get retainers if the problem is not as bad then don't give them a, retainer

  • @nikbinaz
    @nikbinaz 3 года назад +1

    RIP Midline

  • @bakidundar6961
    @bakidundar6961 8 лет назад

    Merhaba ben 21 yaşindayim dişlerim çok yamuk duruyor bana siz nsıl yardimci olabilirsiniz?

  • @lexycastillo751
    @lexycastillo751 10 лет назад

    Wooooh you really neded braziz

  • @dr3bbadi
    @dr3bbadi 8 лет назад +1

    Proclined and protrude upper incisors with no overjet seems the patient doesn't have class I molar relationship and the arches aren't coordinated.
    On the other hand, Bonding wasn't that good. especially the incisors. prefer tp extract 4 1st premolars with conventional braces and if the patient was old enough I would destalize with mini screws by extraction of 2 molars

    • @sasukeuchiha-ji4gq
      @sasukeuchiha-ji4gq 7 лет назад

      I have the same issue, I have/had a crowded teeth before. What my dentist did was to put them all together without extracting any tooth. What bothers me is the way I smile, it seems that my upper teeth pushed forward, same goes to my lower teeth. I've already talked about this to my dentist and what they want me to do is to remove my two upper wisdom tooth but on my own research wisdom tooth has nothing to do with my crowded teeth and giving more room spaces for my teeth. I want to ask if it's really true that removing my two upper wisdom tooth will make room for my teeth or should I prefer splicing of my teeth? I'm thinking of splicing my two upper lateral incisor since it's kinda too big for the size of common lateral incisor... what do you think? PLEASE HELP..... P.S I'm still wearing a traditional braces for almost 2 years... THANK YOU

    • @WetPig
      @WetPig 7 лет назад

      Honestly removing teeth is pretty bad, if your teeth look kinda OK you should have no problem, people wll not judge you if your teeth are 5 degrees forward,nor should you, on the other hand if they are leaning to the front a lot, your orthodontist dint do their job correctly.

  • @milagritosmercedesleonvall6185
    @milagritosmercedesleonvall6185 5 лет назад

    Para mí estuvo bien.

  • @JustinBryanStaAna-pi6lr
    @JustinBryanStaAna-pi6lr 9 лет назад +1

    Pilipino!

  • @robinjamecale2491
    @robinjamecale2491 8 лет назад +1

    well, it looks like my sister's teeth

  • @MettalicA9865
    @MettalicA9865 11 лет назад

    His teeth got exponents!

  • @thegoal89
    @thegoal89 9 лет назад +2

    ????????? SACRIFICO UN 7 EN LUGAR DE UN 4....!!!!!!!
    DONDE QUEDO LA LINEA MEDIA??????
    FAIIIIIIIIIL.....................!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

  • @brianagill6404
    @brianagill6404 11 лет назад

    Spider teeth cool

  • @259Giselle
    @259Giselle 11 лет назад

    that top comment. smh. dont come on here and make fun of someones teeth, im sure youre here bc your probably arent lookin that great either.

  • @missqueen23
    @missqueen23 8 лет назад +1

    wow. good job

    • @Obaid90
      @Obaid90 8 лет назад

      yeah that's really good result.

    • @علاءالدينموسى-و3ض
      @علاءالدينموسى-و3ض 5 лет назад

      so bad it crime to ext.2nd molar if possible ext 3 and distlization or non ext orthodontic can be done

  • @leticiasoaresdm506
    @leticiasoaresdm506 8 лет назад

    😲😲😲😲😲

  • @calflf8394
    @calflf8394 5 лет назад

    Linha média ficou péssima!

  • @Meg4mushr00m
    @Meg4mushr00m 11 лет назад

    This is worse than my teeth, so happy hahaha))

  • @Luciana-dg6sp
    @Luciana-dg6sp 8 лет назад +2

    Esse prodissional não pode ser especialista em Ortodontia! Péssimo planejamento, execução ruim desde a colagem dos bráquetes e, como não poderia deixar de ser, resultado sofrível. Parece que ele inventou um tratamento sem base científica e isso é inadmisssível!

  • @sheryla54
    @sheryla54 Год назад

    Never extract!!!!!

  • @TheChewbie
    @TheChewbie 9 лет назад

    Tengo esperanzas :´(

  • @mohammedhikmat9602
    @mohammedhikmat9602 Год назад

    The music is very annoying!

  • @-xelo-6534
    @-xelo-6534 7 лет назад

    honestly mine look worse

  • @علاءالدينموسى-و3ض
    @علاءالدينموسى-و3ض 5 лет назад

    crime done

  • @DeAquipaPuertoRico
    @DeAquipaPuertoRico 9 лет назад +2

    que clase porqueria le hicieron! Demandalo!

  • @AboFiSaL9929
    @AboFiSaL9929 9 лет назад

    ياربي دخلكك يولد هذا وشو اعوذ بالله ^^

  • @andresfelipeacerosuarez7970
    @andresfelipeacerosuarez7970 9 лет назад

    Es draculaaa!!! XDD

  • @AmberRatcil
    @AmberRatcil 11 лет назад

    Ugh that is discussing