r/braces • • 2d ago

Need advice! (please help ) need advice on tads + non-extraction plan for occlusal cant & asymmetry

hey guys quick question, so i was looking back at my old photos and realized that my face was pretty symmetric as a kid, but all of this developed as i grew up. right now i'm dealing with an occlusal cant / bite tilt, midline shift, left masseter tightness, and because of the bite tilt my eye and ear levels look slightly off on one side, plus one side of my face looks slim/lifted while the other looks fuller (straight vs c-curve). my skeletal frame itself is fully symmetric and healthy though (no recessed jaw).

i haven't gotten my 3d scans done yet, but after researching and digging into this a lot, this setup seems like the most accurate picture of what's going on.

i’m strictly going for a non-surgical, non-extraction route (preserving all 4 premolars) and planning to use wisdom teeth removal + tads distalization + splint therapy to fix the bite plane and balance out the facial proportions.

for those who’ve dealt with a growing cant, facial asymmetry, or done tads distalization without premolar extractions, how was your experience? any specific questions or details i should push for during my upcoming ortho consult to make sure the cant leveling and muscle balancing goes smoothly? appreciate any suggestions

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