I think the issue is that the teeth aren’t coming down in the correct place. An expander wouldn’t help that. My dad had x rays to make sure the teeth were in the right place.
I know not a lot of kids need teeth pulled but some do. I had 2 pulled and have had no issues.
You could always wait and see.
The congenital baby tooth complicates it long term. I have 2, as do 3 of my kids. The long term solution varies for each of us, but I’d be very hesitant to pull it. I’d get another opinion
You need another opinion from an expert if you are worried about the extractions. No one on here can tell you this, not even me, and I actually have the degree. This takes knowing the exact specifics of your son’s case.
I would get at least 2 more ortho opinions, preferably from folks who have been practicing more than 10-15 years.
Each case is different. Two of my DSs had 12 year molars extracted, which allowed their wisdom teeth to move right into position when they came in. I was very relieved that they didn't need palate expanders, since a DN and DN had palate expanders and the finished result changed their whole appearance and facial structure. I think expanders are beneficial in a case by case situation.
Thank you all! As a quick update, we are meeting with the ortho again to discuss treatment. There is a second dr in the practice that he said could give us a second opinion as well. We have an appointment next week with a Damon ortho that I am hoping will help us make a decision. The Damon ortho is in the nearest big city (4 hours away) so definitely not convenient for treatment, but we are limited in our small city - only 3 orthos and we’ve seen two of them already. I will update again when we make a decision. I really appreciate all of the input!!