Extraction Orthodontics Escondido

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Extraction Orthodontics

Extraction Orthodontics: A Precursor To TMD?

It has been my experience that a lot of extraction orthodontic patients have TMD symptoms ranging from mild headache 1-2 times a week to full-blown, all-day everyday headaches and other symptoms. Extraction orthodontic technique requires the removal of 2 bi-cuspids on each arch. It is often called “4-bi” extraction technique (i.e. 2 bi-cuspids on the top arch, 2 bi-cuspids on the bottom arch).

Dental schools only train their students to keep the bite the same.

The main reason for teeth to grow in crooked is usually due to lack of space. The average extra space that must be created in order to make all teeth in the arch straight is 4 mm. The average width of a bi-cuspid is 6 mm. Extraction of 2 bi-cuspids in the maxilla will result in 12 mm. But since only 4 mm is needed for the alignment of the teeth, there is 8 mm of space left over from the extractions. The left over space is then closed using closing techniques (i.e. power chain, closing springs, etc…). Pulling teeth together to close the space will result in a smaller and narrower maxilla. Now the mandible must occlude into a maxilla that is narrower than before. It usually has to move posteriorly to make that happen. The end result is a retruded mandible.



Dear Familycare Dental,

My thanks to your full staff for the courtesy and honesty shown to me in replacing my cap.

Enjoy your morning!

Linda Nelson


Josh and I wanted to personally thank you for assisting us with our dental care. We really appreciate it. Hope you enjoy.

Chanel and Josh

Dear Dr. Tran,

I would like to give my thanks to Dr. Tran and assistant Rose for being so understanding and caring while trying to make me more comfortable. Thank you also, Mr. Levin, for making sure we were taken care of.

Thank you

Amy and Derek Berg

Dear Robert,

Thank you very much Rob, for helping me out. That meant a lot to me, and I just wanted you to know that I am very greatful. Hope you have a nice day.

Andrea Alvarez


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