Olivia and Jack - see the results of their treatments here...
The word crowding is used to describe the very common problem of irregular or overlapping teeth due to shortage of space.
We don't really know although there are plenty of theories.
Take your pick! The first three theories are environmental or blame modern man's life style. Only the last theory has a genetic component. There are good arguments against all these theories, indicating that crowding is likely to have more than one cause and be based on various combinations of genetic and environmental influences.
Clearly, each patient needs to be assessed individually. This is why we apply a process known as space planning which identifies all aspects of the dentition before treatment begins and the effects that corrective measures will have. This process determines which cases need extractions and which don't, and when various options are possible.
We are aware that the extraction of teeth is an issue that can arouse strong emotional feelings. However, we pursue evidence-based clinical practice and recommend the extraction of teeth only when absolutely necessary. The large majority of patients are treated without extractions. These are undertaken only when failure to extract would result in a poor appearance due to the teeth being too far forward or in the teeth being in unstable positions.
For information on the effect of extractions on facial profiles, click here.
BEFORE AND AFTER
The crowded overlapping front teeth have been corrected without the need for extractions.
BEFORE AND AFTER
This teenage girl had two difficult problems:
overcrowding and backward sloping upper front teeth.
Using fixed braces, the problems were both successfully treated. The "after" photo also shows the invisible and unloseable retainer holding the teeth straight for the future!
May I take this opportunity to say a massive thank you to Robert for making my teeth look beautiful and straight for my wedding. Robert was friendly and explained everything to me really well. I'm delighted with the results. I received a 1st class attention from when I contacted your orthodontist and through all the treatment. A big thank you also to all the staff you were always pleasant, friendly, welcoming and made me feel so relaxed. Claire Padmore
Lucy did an amazing job on my teeth as a teenager and then later, despite my numerous attempts to ruin them, she has managed to bring them back to their former glory. James
"What a remarkable job you have done, I am happier than ever and smiling permanently due to your practice" Mr Pitters