Dr Hardev Singh

Hi Yiyin. The first thing we normally establish is if indeed there is a need for extractions. This depends on several factors including the amount of crowding, the specific orthodontic issues we are trying to correct and your specific facial profile. We would discuss the advantages of extractions vs non extractions and see which you are most comfortable with. Once we decide that extractions are needed to achieve your desired result, and you are happy to proceed with that treatment plan, then we would go into what specific teeth ought to be extracted.

From what I can observe in your photo, there appears to be some crowding in the lower front segment and some mal-alignment of the upper front segment too. These are fairly straight forward problems to resolve with a course of orthodontics (braces). You will find that a simple course of either fixed or removable (e. g. Invisalign) orthodontics will leave you with aligned teeth, a stable bite and a nice smile! There are other options besides orthodontics, for example using porcelain veneers or crowns to correct the shape and alignment of teeth.

From what I observe on your photograph, Invisalign or Mbrace can certainly correct the alignment to provide you with well-aligned teeth, a stable bite and a harmonious smile. However, the one thing that any type of orthodontic (teeth straightening) treatment cannot do is change the shape of your teeth. This includes both Invisalign and MBrace. Orthodontic (teeth straightening) treatment is designed to move your existing teeth into a harmonious position giving you alignment.

Hi there. I feel the important thing to note is whether your sensitivity is generalised (all or most of your teeth) or whether its localised (in 1 or 2 specific areas). It is also important to note the level of sensitivity you experience. For instance, in my experience a mild sensitivity which happens infrequently is usually hypersensitive teeth which may be related to wear of the teeth or mild gum recession which exposes the otherwise covered root surface (where the nerve of the tooth is).