The Look Orthodontics
Published on Oct 18, 2017
Video Transcript auto-generated by YouTube:
hello I'm Martin Riley a specialist
00:02
orthodontist at the local photonics what
00:05
I'll be talking about today is when do
00:08
we take teeth out
00:09
now the first important thing to say is
00:12
some people need to taken out as part of
00:14
their orthodontic treatment but a large
00:16
number of patients don't need to taken
00:18
out it really depends upon the
00:20
individual problem that you present with
00:22
and what treatment is required so the
00:25
first thing we do at the local
00:27
orthodontics is thoroughly analyze and
00:30
diagnose what your issues are first to
00:33
decide what treatments required and as
00:35
part of that treatment requirement do we
00:37
or don't we we're party to be removed
00:40
and it's basically three categories when
00:43
it may be necessary to remove teeth the
00:47
first category is the patient around
00:49
about seven years of age who presents at
00:52
the orthodontist with the top and lower
00:54
front teeth coming through having
00:56
replaced their baby teeth before them
00:59
those teeth come through and sometimes
01:01
there's just nowhere near enough room
01:03
for those teeth to fit in but I'm sure
01:06
we've all seen patients with a very
01:07
crooked front teeth and these little
01:09
cute kids looking like a cross between a
01:12
crocodile and a shark now no one wants
01:14
that and commonly what we need to do is
01:17
simply take a little baby tooth out in
01:19
each corner of the map to make room the
01:22
top and lower front teeth to spread in
01:24
their position that enables a natural
01:27
improvement in the alignment of the top
01:29
and the lower front teeth and any
01:31
required orthodontic treatment down the
01:33
line can be undertaken when the
01:35
remaining permanent teeth are up a few
01:37
years down the line some people need
01:40
this treatment others don't we need to
01:42
look at your individual circumstances to
01:45
decide whether it's appropriate the next
01:48
common category of patients where a
01:49
tooth removal is required is the patient
01:52
who has got what we call a crowded now
01:55
the typical scenario of the patient
01:58
presenting essentially with some age
02:00
twelve teeth but only size out jaws
02:02
they're just simply not going to fit
02:05
attempts to fit in this excessively
02:08
large teeth in
02:09
more jewels does it really work it leads
02:13
to long-term instability of alignment
02:16
and over after other problems in those
02:18
patients who have got what we call a
02:21
fundamental tooth size - jaw size
02:24
discrepancy it's necessary to remove
02:27
teeth sometimes a small premolar tooth
02:30
is removed in each corner of the mouth
02:32
to make room so that the braces or
02:35
whatever appliances we've decided upon
02:37
we can line the tip up and give a lovely
02:41
straight set of teeth with the best
02:43
chance of stability of alignment in the
02:45
long term the next category of patients
02:48
where tooth removal is required is
02:50
people who have compromised teeth they
02:53
have a tooth that's broken down as a
02:56
root canal treatment that hasn't been
02:58
successful or a tooth that is just a
03:01
poor prospect - sometimes there's
03:03
nothing necessary to remove these teeth
03:05
with our war photonic treatment close up
03:08
the spaces and give the people a really
03:11
lovely straight set of teeth and
03:12
minimize the need for false teeth in the
03:15
long term the last category of patients
03:19
where it's sometimes necessary to remove
03:21
teeth is people who have protruding top
03:23
teeth relative to the lower teeth
03:25
sometimes it's necessary to remove a
03:28
small tooth on either side of the top to
03:31
provide some space to the top teeth can
03:34
be brought back to bat correctly with
03:36
the lower teeth as you can see there's
03:39
no one cat fits all there's different
03:42
treatments for different circumstances
03:44
depending on your individual situation
03:47
what we suggest to do is come in have a
03:49
chat to us at the bug orthodontics our
03:52
expert team will analyze and assess
03:54
exactly what's required but you know
03:56
whether or not teeth need to be removed
03:58
and give you a very clear explanation as
04:00
to why the objective at the end of the
04:03
day is to get a stable well aligned set
04:06
of teeth that the function beautifully
04:08
and that's what we'll try to achieve for
04:10
you
04:11
[Music]
04:12
[Applause]
04:15
English (auto-generated)