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Sigh. Confused more than ever about orthodontics.
Okay, so DS's pediatric dentist recommended a palate expander because he
said his new teeth coming in were too big and he doesn't have room in his mouth. He says there's not much time for a palate expander. After age 8, he stops doing them, it's too late to expand the palate and he just leaves everything for the orthodontist later. He said they want to prevent the need for tooth extraction later. My main concern is I see a big, whopping gap between DS two front teeth. To a layman, it doesn't look crowded at all. So, I take him to an orthodontist who happens to be an assistant professor of orthodontics at a nearby university. This guy says no problem waiting for the palate expanders. He's more worried about the molars not having come in. DS is 7 and they should have come in last year. He says there's not much time, they need to come in in six months or else action will need to be taken because the roots will become fully developed soon and they will never come out if they are stuck there fully developed. Funny DS's pediatric dentist never mentioned a concern there. He says if the molars don't come out in six months, DS will need surgery to help release them or maybe pull a baby tooth to let it out. It seems if he needs a tooth pulled, then maybe he does have crowding? I saw the x-ray and it's hard to explain, but the molar is coming up straight, it's just a tiny bit under the tooth in front of it. If the baby tooth gets pulled, he'll need orthodontic work to help hold the other teeth in position. This orthodontist insists we do not need palate expanders at this time and we can wait until the four top and four bottom front teeth are fully in to decide. Okay, I think if I go get a third opinion, the opinion will depend of if I go to a pediatric dentist or an orthodontist as they both have a different focus and financial incentive. There are two different issues that two different experts say require immediate attention. Anyway, anyone with experience in this area? |
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