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Old 11-08-2009, 12:23 AM   #1
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Is x4 pre-molar extraction a TMD risk factor?

Is there a connection between x4 pre-molar extraction for orthodontics and developing TMJ dysfunction later in life?

I'm having my repositioning splint adjusted by a specialist who told me that the VAST majority of his TMD patients are those like me who had the extractions. The remainder are whiplash cases.

I mentioned this in a forum and got totally rubbished with my view being dismissed as 'anecdotal' . The replies were obviously from dentists. I recognised the language / terminology.

I know there are different schools / approaches in orthodontics and they are not exactly on best terms with each other but I never expected to experience the aggro personally.

Are there others here who suspect that extractions with orthodontics caused their problems?

 
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Old 11-08-2009, 06:55 AM   #2
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Re: Is x4 pre-molar extraction a TMD risk factor?

Quote:
Originally Posted by pipdog View Post
Is there a connection between x4 pre-molar extraction for orthodontics and developing TMJ dysfunction later in life?

I'm having my repositioning splint adjusted by a specialist who told me that the VAST majority of his TMD patients are those like me who had the extractions. The remainder are whiplash cases.

I mentioned this in a forum and got totally rubbished with my view being dismissed as 'anecdotal' . The replies were obviously from dentists. I recognised the language / terminology.

I know there are different schools / approaches in orthodontics and they are not exactly on best terms with each other but I never expected to experience the aggro personally.

Are there others here who suspect that extractions with orthodontics caused their problems?
Yes---my specialist agrees with that theory, and I also have had my wisdom teeth extracted before my ortho way back when. That's what started my tmjd. ---(I've also had whiplash and surgeries on top of all this later in life,,which just added fuel to the fire, so to speak..
Also, I've recently come across an article by a dentist (don't ask me where I found it, can't remember...LOL) that basically said that if the wisdom teeth are not impacted, infected, and are in good shape, NEVER take them out. They are there for a reason. In my opinion, these crack pot orthos are getting a kickback from the oral surgeon's they are buddies with to refer people for surgery, then braces afterwards. but that's just my opinion. I"m severely jaded at this point. lol.

Last edited by Jill 227; 11-08-2009 at 07:29 AM. Reason: forgot stuff

 
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Old 11-08-2009, 05:22 PM   #3
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Re: Is x4 pre-molar extraction a TMD risk factor?

I read the same thing and found some studies on it too that suggested premolar extractions seemed responsible for tmj later in life. I am not sure many orthos even do this anymore unless the mouth is that overcrowded. I had my wisdom teeth removed before braces - they were impacted and causing my front teeth to shift - had no problems with their removal however my front teeth continued to shift so I did the braces - which of course required the 4 premolars be removed. I ended up with large spaces around the canines but was fine for many years. Still had no problems until I eventually needed anterior bridges and my canines were crowned - that's when the "fun" began.

Last edited by Thelma-Louise; 11-08-2009 at 05:23 PM.

 
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