This is the most random post I have ever seen on here lol. Good luck with your teeth I dont know the answer but if they removed the wrong tooth im guessing you can sue I would be pissed.

Try Yahoo Answers.

What do your parent(s) or guardian think about this whole thing? I would hope that you have a responsible adult in your life advising you on such things.

As a dental student, here is my opinion (and NOT a diagnosis or even sound medical advice of any kind):

The first and second premolars are similar enough in respect to each other in form and function that the extraction of either one would likely not have a noticable outcome in the result of ortho treatment. Just so long as the external crown looks esthetically acceptable, there is no difference.

As to why your dentist removed your second premolar, I really have no clue and I can't say why as I wasn't there. Maybe the second premolar had an existing carious lesion? Maybe it had a problem with the root that would have interfered with ortho treatment? Maybe your first premolar looks better than your second so she decided to keep that one instead? The only person who can give you a straight answer is the one who performed the procedure.

The only thing I can think of that MIGHT be affected by removing the 2nd's instead of the 1st's is total treatment time, which may possibly be (slightly) longer, depending on what direction the teeth are to be moved in. However, as I don't know you and your orthodontist's treatment plan, that just wild speculation, as ortho results vary from person-to-person and are on a case-by-case basis.

As a 14 year old boy, you're very much still growing, and your head and jaws still expand up to around age 19-20. In a case of severe crowding, a more conservative approach would be to simply wait it out a bit longer and see what happens, then possibly use an arch expander or strip away enamel to make more room for the permanent teeth, then use braces to adjust your bite. However, from what you explained in your original post, your condition sounds serious enough that it requires corrective orthodontic treatment.

Overall, it would be unethical for me to make any kind of firm diagnosis or criticize the actions of your dentist over the internet. I don't know what you and your case look like, I don't know your family history (75% of malocclusion problems are hereditary), and I don't have access to your radiographs, so there isn't much I can say. Your best bet would be to seek clarification from the dentist who pulled your tooth and to consult the orthodontist working on your treatment plan about possible outcomes. I think paying a dental expert for advice over the internet is an impractical waste of time and money if they can't see you in person, as they'd bascially just repeat everything I just wrote.

Hope this answered your question.