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Dentistry/Wisdom teeth & Facial aesthetics

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QUESTION: Hi Dr. Finnk,

I got my wisdom teeth extracted a few years ago and since then think I've noticed facial changes. (Along with many others on the Internet from my research) I have now had 2 dentists tell me this is accurate; one claiming the manibular angle changes, bone remodeling occurs, and Korean women commonly get them out for skinner faces, the other claiming there will be a change in profile and possibly a slight collapse of the face. I am mortified..but not all that surprised, as whenever humans mess with nature we usually end up getting ourselves into trouble and realize the error of our ways within a century or so (tonsil/appendix removal etc.). What I'm wondering, is what the best way would be to fix this issue? Right now I'm strongly considering dental implants in hopes of regenerating the bone/restoring fullness..what are your thoughts on this?

Thanks so much for your time and expertise,

Tory

ANSWER: Dear Tory,

My advice is don't mess with mother nature.  I'm giving you this advice based on your own belief that you shouldn't mess with nature.

In order to give you more advice than this, I would need to see before and after photos, both full face and profiles.  My experience is that you will see much more facial change with weight loss or gain than with wisdom tooth extraction.  I have never seen noticeable facial change after healing from wisdom tooth extraction.



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QUESTION: Hi again,

I can definitely send you photos, but if possible, could you reset my question to private before I do so? (Sorry don't see the option to do that here) And I agree the implants wouldn't be natural, but they would be the closest thing to getting my real teeth back. I know you haven't seen pictures yet, but in your opinion, do dental implants on other teeth like the 2nd molars restore the face?

Thanks so much,

Tory

ANSWER: The further back in the mouth that teeth are removed, the less effect they have on facial features.  Loss of first molars can cause the cheeks to visibly sink in over time, and this is done in some cultures for "facial improvement".   If you look at models, many of them have hollow cheeks and prominent cheekbones.  They get this from their underweight, rather than from tooth loss.  But this is considered esthetic even in our culture.  Loss of front teeth will cause the lower face to sink inward.  This causes most people to look much older than they are.  You will not see this with the loss of wisdom teeth.  And I doubt you will see improvement with implants and crowns.

If there was this concern before your wisdom teeth were removed, why were they removed?

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QUESTION: I think I was just young and naive, and everyone was getting them out freshman year of college so I just went along. I'll always regret not doing my research and questioning authority. Do the wisdom teeth have some effect on your face though? Like could they presumably hold up the facial muscles/make the face fuller? And maybe there's no correlation, but do you see improvements with 2nd molar replacement with implants? Thanks so much for your replies.

Tory

Answer
I see no change in facial features with second molar replacement.  In fact, if a patient needs to have a second molar removed, and they ask me "how will I replace it?"  I tell them to wait for healing, and if they miss it after one month, come and ask me then.  To date, I have not had one patient ask for it to be replaced.  And no noticeable facial change.

How long ago were your wisdom teeth removed?

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Howard Finnk, D.D.S., P.A., CEO

Expertise

I am a Family, Implant and Cosmetic dentist. I will answer questions on any aspect of dentistry and matters relating to the smile, gums, jaws and lower face. Member American Dental Association, Florida Dental Association, Broward County Dental Association, and Atlantic Coast District Dental Association. I have served as District Council Member of Alpha Omega, as well as serving for one term as its President. I am also a member of The Vedder Honors Society, Broward Dental Research Clinic, and Mount Sinai Hospital Guild. I have served as a Volunteer for Project Dental Health and The Tri-County Dental Health Council.

Experience

Having attained over 30 years of clinical experience in private practice in Michigan, in 2001 I was re-certified by taking and passing the Florida State Dental Board Examination. After moving to Florida, I spent nearly 10 years re-honing my skills while working as an Associate Dentist for several large dental groups. In September, 2004, I was appointed Adjunct Clinical Professor at Nova University's College of Dental Medicine. I am certified in placement of Mini Dental Implants, and I am Director of The Florida Implant Center (floridaimplantcenter.com). On March 1, 2010, at the age of 62, I began all over again by buying a dental practice near my home in the Fort Lauderdale area. As sole owner and Chief Dental Officer of the new Nob Hill Dental Center (nobhilldentalcenter.com), I can now carefully provide dental care to patients who care, all within a caring, joyful environment. Over my career lifetime, I have provided thousands of diagnoses, fillings, crowns, bridges, root canals, periodontal treatments, TMJ therapies, partials, dentures and extractions, and dozens of implants for my patients. The only aspect of dentistry with which I have very little experience is orthodontics.

Organizations
American Dental Association, Florida Dental Association, Broward County Dental Association, Atlantic Coast District Dental Society, Vedder Honors Society, Broward Dental Research Clinic, Alpha Omega Alumni Association, and American Association of Dental Implantologists. Formerly, American Academy of General Dentistry, Michigan Dental Association, Macomb Dental Society, Detroit District Dental Society, Tri-County Dental Health Council (a charitable dental care organization)

Publications
"How To Save Money At The Dentist" Going to press soon.

Education/Credentials
Bachelor of Arts and Sciences in Psychology from Wayne State University Doctor of Dental Surgery from University of Detroit College of Dentistry Adjunct Clinical Professor, Special Needs Department, Nova Southeastern University College of Dental Medicine, Fort Lauderdale, Florida

Awards and Honors
Membership in The Vedder Honors Society

Past/Present Clients
HIPAA rules do not allow me to post this information.

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