Can Braces Reduce Jawbone Projection and Change Face Shape? - Dentistry

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Braces, or orthodontic treatment, can indeed play a significant role in altering the shape of the face, particularly in cases where jaw alignment and positioning contribute to a broader or more pronounced jawline, often referred to as a "square" face or "country character" face. However, the extent of the changes that can be achieved through braces alone is influenced by several factors, including the age of the patient, the specific dental and skeletal issues present, and the type of orthodontic treatment employed.


How Braces Work
Braces function by applying continuous pressure to the teeth over time, which gradually moves them into the desired position. This process can also influence the underlying bone structure, particularly in younger patients whose bones are still developing. In adults, while the teeth can still be moved effectively, the ability to change the jawbone's shape is more limited due to the maturity of the bone structure.


Impact on Jawbone Projection
In your case, where you have a prominent jawline and a convex appearance due to the positioning of your teeth and jaw, braces can help in several ways:
1. Realignment of Teeth: By correcting the alignment of your teeth, braces can help improve the overall aesthetics of your smile and facial profile. If your teeth are protruding, braces can retract them, which may reduce the appearance of a prominent jawline.

2. Jaw Positioning: Depending on the specific orthodontic treatment plan, braces can also help reposition the jaw. For instance, if your lower jaw is positioned too far forward (a condition known as mandibular prognathism), braces can help in aligning the jaw more appropriately with the upper jaw. This can lead to a more harmonious facial profile.

3. Facial Aesthetics: While braces primarily focus on teeth alignment, they can indirectly affect facial aesthetics. As the teeth are moved into a better position, the overall balance of the face may improve, leading to a more refined appearance.


Limitations and Considerations
However, it is essential to understand that braces alone may not drastically change the shape of your face, particularly if the underlying bone structure is significantly contributing to the facial shape. In cases where there is a substantial projection of the jawbone, additional orthodontic interventions, such as orthognathic surgery, may be necessary to achieve the desired results.

1. Age Factor: Younger patients tend to experience more significant changes due to ongoing bone growth and development. In contrast, adults may see less dramatic changes since their bone structure is fully developed.

2. Treatment Duration: The duration of orthodontic treatment can vary widely, typically ranging from 1 to 3 years, depending on the complexity of the case. During this time, regular adjustments will be made to ensure that the teeth and jaw are moving as planned.

3. Post-Treatment Changes: After braces are removed, there may still be some residual changes in the facial structure as the soft tissues adapt to the new positioning of the teeth. Retainers will be necessary to maintain the new alignment and prevent relapse.


Conclusion
In summary, braces can help reduce jawbone projection and improve the overall shape of your face, particularly if the issues are primarily dental. However, for more significant changes, especially in adults, additional treatments may be required. It is crucial to have a thorough consultation with an orthodontist who can assess your specific situation and provide a tailored treatment plan that addresses your concerns about facial aesthetics and jaw alignment.