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Dentistry/2 premolars removed from left side! Midline off?


My previous orthodontist extracted 2 left upper lower premolars to make room for my slight overjet to come down. It was a malpractice as my new orthodontist said I didn't even need any extractions as my crowding is mild.
Now she will try to correct it using these 2 already done premolar gaps, but I am concerned how will she do it? Aren't premolars removed in symmetries otherwise midline will be off? I am so terrified that I will end up with a weird smile!
Please help doctor, it would mean the world to me!
P.S. My front 2 teeth are overlapped on each other and more overlapping is on the extraction side!

Dear Sarahh,

As I am not an orthodontist, and I don't know the positions of your teeth or appearance of your smile, and as there are many ways to move teeth, I cannot be sure of how exactly she will do this.  You need to ask your new orthodontist this question, and listen to her answers.   

I am concerned about an orthodontist calling another orthodontist's work malpractice without having seen what your bite and your smile looked like BEFORE your first orthodontist treated you.  How can your current orthodontist know how much crowding you had BEFORE your first orthodontist treated you?  Or what your bite and smile looked like immediately after your braces were removed?  SO after your new orthodontist explains to you exactly what she will do and why, and after you understand it completely, and before you begin treatment, you should visit your general dentist for his/her opinion about your bite and smile, and about your plans for them.

Let me know what you find out from both.


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


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.


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 ( 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 (, 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.

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)

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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

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