Get a Second Opinion from Another Orthodontist
- Whether the extractions were truly necessary.
- If your palate is narrow (30mm IMW is below the average of ~35-40mm for adults).
- Whether expansion (e.g., palatal expanders ,ALF appliances , or surgical options) could help.
Consider Palatal Expansion Options
Non-Surgical Expansion (if still possible)
- MSE (Maxillary Skeletal Expander) Works even in adults by opening the midpalatal suture.
- DNA/Vivos Appliance – A slower, non-surgical approach.
- If your tongue touches your teeth, it may indicate insufficient space or improper swallowing patterns.
- Myofunctional therapy can help retrain tongue posture (should rest on the palate, not teeth).
Monitor for Long-Term Effects
- Extractions + retraction can sometimes lead to:
- Reduced oral space (sleep apnea risk).
- TMJ issues.
- Flattened facial profile.
- If you notice breathing/sleep issues.
- Get a CBCT scan to assess palate structure.
- Avoid further retraction until evaluated.
Answered2025-05-02 07:15:24
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