How does wisdom tooth removal affect orthodontic care?
The purpose of braces and other forms of orthodontic treatment at Dr.George Bardawil offices is to correct malocclusion, also known as crooked or crowded teeth, or “bad bites.” Past orthodontic practice dictated that wisdom teeth be removed, especially in cases of crowding.
The wisdom teeth are the last teeth to come in, and are officially known as the third molars. The teeth typically erupt, or break the surface of the skin, in young people between the ages of 13 and 20.
Sometimes, wisdom teeth are impacted. That means they cannot break through the gum tissue. This typically happens when the mouth or jaw is too small to accommodate the teeth. Impacted wisdom teeth can become infected, and some dentists and orthodontists may want to remove them as prophylaxis to prevent possible future infection.
Justification for removing wisdom teeth
Dr. Bardawil will tell you that in some cases, wisdom teeth attempt to come in the wrong way, either tilting in the jaw, or sideways. If the mouth is too small to accommodate these additional teeth, they inevitably become impacted. Swelling or infection of the gum flap above an impacted wisdom tooth may cause pain. The greatest danger is pericoronitis, a potentially dangerous infection that can occur in the gum area around an impacted wisdom tooth, or around a wisdom tooth that has erupted.
Orthodontists base their decision to remove wisdom teeth on each patient’s individual circumstances. To learn more about the impact wisdom teeth have on orthodontic treatment, or to schedule a visit with Dr. Bardawil
Dr.george bardawil -ORTHODONTIST www.drgeorgebardawil.com, info@drgeorgebardawil.com, Invisalign Gold premier provider, speciality clinics center, st maamari,12th floor hamra,beirut lebanon Hamra clinic 961-1-747644 Fanar clinic 961-1-873718 mobile 961-3-542724
IDEAL OCCLUSION. An ideal occlusion is that which shows a perfect smile line, there is no crowding, no overlap, no rotations or spacing of teeth. In a perfect world, there is a perfect pattern in the closure of 32 permanent teeth. This ideal occlusion rarely exists. A normal occlusion is one which shows some deviation from that of the ideal but is aesthetically acceptable and functionally stable for the individual. 
CLASS I MALOCCLUSION. The jaw relationship is relatively normal but your teeth may be very crowded and unattractive. 
CLASS II MALOCCLUSION (Overbite). This is an overjet (commonly called an overbite). This is where a discrepancy lies between the upper and lower jaws (usually the lower jaw has not kept the same rate of growth as the upper jaw) 
CLASS III MALOCCLUSION (Underbite). An underbite can be a result of the upper jaw not keeping the same rate of growth as the lower jaw and/or the lower jaw is growing forward in excess. 
Crowding presents itself as a general overlap of teeth in each jaw. You can see from the photographs the generalized overlapping of teeth and the extent of the crowding.
A crossbite is a positional problem, where one or more of opposing upper and lower teeth bite on the wrong side of each other. This may affect either the front or the back teeth. In the growing child these crossbites may affect the growth pattern of either jaw and may cause a permanent skeletal change.
A deep bite occurs when the upper front teeth cover the lower front teeth too much. In some cases the lower front teeth might damage the gums behind the upper teeth.
During the normal eruption pattern, the permanent teeth generally dissolve the roots of the deciduous (baby or primary teeth) as they erupt into the mouth. The end result is that the baby teeth fall out and are replaced almost immediately by the permanent successor.
Excess spacing describes the condition of when there are noticeable gaps between the teeth.
The midline of our upper and lower teeth should generally coincide. A discrepancy of this midline is when the middle of the upper and lower teeth does not align. This can be due to the upper or lower teeth moving to the left or right or a combination of both. Various factors can result in a midline shift such as the premature loss of baby teeth, retained baby teeth, crowding, missing teeth and tooth size issues.
The number of teeth affects the look or aesthetic appearance of the smile and the function of the jaws and the teeth. In cases of missing anterior (front) teeth, symmetry plays an important role in whether it is best to have a missing tooth/teeth replaced or the space of the missing tooth closed. Missing teeth may result from hereditary causes (quite common) or environmental factors such as decay, accidents where teeth may have been knocked out, or the failure of teeth to erupt, which leads to an impaction.
An openbite refers to a vertical open space when the upper teeth do not overlap the lower teeth at all. Ideally the upper front teeth should overlap the lower teeth by 1.5mm—2 mm. Openbites may result from environmental factors such as thumb/finger sucking, tongue thrust swallowing, mouth breathing and pacifiers. 
Angulations of teeth refer to the alignment of the long axis of the teeth in a line from the chewing surface along the root. Incorrect angulations may be caused by lack of space for the tooth to erupt or it may mean that something in the jaw is causing the tooth to tilt. Some examples of this would be a retained baby tooth, an extra tooth or a cyst.
When baby teeth do not erupt along with the adjacent adult teeth, the baby teeth seem to submerge. This can become severe enough for the baby teeth to eventually be covered by gum tissue. If this occurs, the adjacent permanent teeth may tilt over the submerged baby tooth/teeth and create localized crowding.
