remove old appliances

Does wearing a herps appliance cause facial deformities?
My 11 year old daughter is sheduled to have an oral appliance placed prior to having braces. According to the orthodontist, she has a “small mouth” and an overbite requiring them to expand her mouth. I am worried that this appiance will cause her jaw to grow out too much and cause her appearance to change. On the other hand, the alternative is to remove some permanent teeth in order to make room. Would appreciate any comments.
There are two factors to consider here. Will the effect of the appliance change her face shape, and does this have to matter? On the other hand, will a small mouth with fewer teeth give her a better life as an adult?
I think that the changes in the face will happen slowly, and modification of the appliance and the braces, if watched carefully, (and I can’t imagine that this will NOT happen), can avoid any unsightly alterations to the shape of her head, and perhaps give her mouth a stronger framework.
She is young, and the skeleton is still flexible enough to adapt to the changes. I think it’s up to you to help her adapt to the discomfort and the reactions of her peers.
From a purely medical viewpoint, I think that although the changes may be uncomfortable in the short term, and I understand that “short” means something entirely different to an eleven year old than it does to an adult, she will have a stronger and more adaptable mouth and head because of it. “Ugly Betty” syndrome might just be a plus if you still have that character on TV and movies where you are.
I am speaking from experience here, as our 30 year old had the same experience at the same age, with no adverse results whatever.
Whichever way you choose, you’ll have some serious nurturing to do in the next few years, and you have my admiration for taking this on.
Donnie Deutch on Junk Removal
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