@drshap: This patient has no sleep or airway issues, class 1 maloclussion with upper spacing and lower crowding / proclination. I would keep this simple and expand the arches dentally. Maybe some IPR. Can always do jaw surgery in the future if needed but if the patient is happy with their aesthetics and there are no functional or airway issues, I would just do braces or aligners here.

Dr. Luke Shapiro
Dr. Luke Shapiro
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Region: US
Tuesday 08 September 2026 02:08:31 GMT
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fdot.x
_Dest :
Doc I started mewing and the roof of my mouth started turning purple what could that mean??
2026-09-08 02:18:52
3
suraghanem
soso ghanem :
I have proclined lower teeth and my ortho want to extract the impacted upper wisdom teeth . Do youbthink I should do this ?
2026-09-08 15:20:02
1
inactiv78
User123456278910 :
Why not just remove two lower premolars, Marpe , plus double jaw surgery? Thought this was almost a bimax protrusion
2026-09-08 10:16:22
2
johnny03857
Johnny :
Looks very similar to my scans
2026-09-08 07:33:26
2
tiktoker88621
Arya :
My ortho said that the palate being high up means that during development the lack of nose breathing prevented the air from causing stimulantion to maxila preventing it from flattening is that correct?
2026-09-11 01:21:12
0
qbby..uty
teal 치 🪴🫒🎍 :
bruhhh wish you were my dentist 😭
2026-09-08 02:59:30
0
stephendealdds
StephenDealDDS :
What plan for tongue thrust because the patient will be right back to that position in 3-4 years withought fixing the tongue thrust
2026-10-04 14:42:46
0
immortals0z
Raul :
Got it, so the maximum aesthetic improvement possible without being too invasive is just using braces/aligners?
2026-09-08 19:10:15
1
hanselmo24
. :
teeth weren't proclined before but since dentist don't like extraction, here it is now. i used to have crowding but i hate it even more now even tho they're straight..
2026-10-15 12:16:23
0
geomaxx2137
geomaxer :
What about the bottom wisdom teath they are impacted
2026-09-11 15:35:52
0
quinncr
quinncr :
Interproximal Reduction = IPR
2026-10-02 01:29:13
0
2never.enough
🪽 :
what about me ?
2026-10-09 18:54:48
0
sodamilk31
sodamilk :
what about airway?
2026-09-10 15:42:42
0
an61211
ñan :
2026-09-08 02:26:43
1
ykprkp0
Sftultimatelevel :
😁😁😁
2026-09-11 19:08:11
0
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