Teen extraction with tip-edge braces to correct crowding and open bite

June 25th, 2017

Nirenblatt Extraction Case with Tip-Edge

Here is a teenager I treated with Tip-Edge braces and extraction of teeth including her compromised "steel crown". I treated her in 19 visits and closed the large molar space. We will keep her wisdom tooth #17 on that side. We achieved straight teeth, closure of her openbite and elimination of a lifetime of problems from a stainless steel crown.

Invisalign Teen and Extraction of Molar Steel Crown

April 29th, 2017

Invisalign Teen Extraction

Here is a teen that I treated with Invisalign by extracting his upper left first molar #14 which had a stainless steel crown which his dentist placed due to a very large filling and a deep cavity. Crowns on teeth are expensive and need to be replaced  a number of times over a lifetime and frequently need root canals. Rather than keep this tooth which was compromised, we decided to extract it and keep his wisdom tooth which had no cavities. We gave the teenager a handsome smile and a much better lifetime of dental health. We closed the extraction space with Invisalign trays and his wisdom tooth is erupting.

Severe Crowding, Narrow Jaws and Protrusion

April 10th, 2016

"Protruded and CrowdedTeeth Aligned With Braces and Extractions"

Here is an older teen patient that I recently finished who presented with a very narrow jaw, severe crowding and a significant protrusion of teeth. I treated her with extraction of 4 teeth and tip-edge braces in 20 visits. Notice the improvement of her smile; it is wider than it was previously. Her midlines are perfectly aligned and her protrusion and overbite are ideal. For the last 25 years in Charleston, My staff and I have  treated patients of all ages not just kids and teens. Let us know if we can help you with your smile!

Extraction of all Four First Molars and Keeping Wisdom Teeth

January 18th, 2016

When preteen patients have extensive tooth decay on their first molars their general or pediatric dentist will place stainless steel crowns to keep the teeth from fracturing. Crowns do not last forever and typically will need to be replaced every 10 years. There is also the risk of these teeth needing root canals. Rather than keep these compromised steel crowned teeth, it makes much more sense to extract these compromised teeth and keep the wisdom teeth. Many people think that most wisdom teeth need to be extracted and they usually are because of lack of space but if you give them space they will function just fine. This patient was saved a lifetime of dental problems by having braces and extracting the four first molars. I corrected her bite as well. The last x-ray shows perfect root structure of her third molars which erupted later on and did not require any alignment.

Nirenblatt First Molar Extractions Braces Tip-Edge

Nirenblatt Braces First_Molar Extractions Pan Tip-Edge

Nirenblatt Braces First Molar Extractions Pan

Will Invisalign work when teeth need to be extracted?

September 17th, 2015

"Nirenblatt Invisalign Bicuspid Extractions"

Are patients that need teeth extracted due to crowding "candidates" for Invisalign? Will Invisalign work? The answers are yes in my office! Take a peek at this adult who I finished treating recently. Her teeth are completely straight and her extraction spaces are completely closed and roots are uprighted properly. Is her bite completely perfect? No, but it would be the same situation if she had traditional braces. To fix her bite would require jaw surgery which this patient declined. We improved her self confidence with a new pretty smile and certainly made it easier for her to clean her teeth improving dental health.

Adult Orthodontic Patient With 2 Upper Teeth Extracted

June 20th, 2015

Nirenblatt Braces Class2 Adult Upper Extractions

As a specialist in orthodontics, we treat patients of all ages; not just teens and children. In fact, about 50% of our practice are adults who seek us out to improve their smile. We enjoy treating adults because many of them have waited years to have treatment. Some of our patients tell us that their parents could not afford braces when they were teens. They are now ready to take care of themselves and their appearance. We also have parents that begin treatment after we have treated their own kids. They tell us, "Now it is mommy's turn." For these reasons and more, treating adults is especially gratifying.

This patient required removal of two upper bicuspid teeth in order to align her teeth and improve her overbite. Her smile looks fuller after her treatment and there has been no flattening  of her profile. Adult treatment requires more skills than treating just teens and children due to cessation of bone growth.

We have been treating adults in addition to teens and children for more than 20 years. Let us know if we can help you!

Cane Bay
North Charleston
West Ashley