“Is removing teeth necessary for braces?”
I am a 23 year old female and I will get braces. My doctor told me I must extract a tooth before getting braces. Is removing teeth necessary for braces?
16 Answers
OrthodontistOrthodontist
No, 98% of my practice is non extraction. But I do recommend having the wisdom teeth removed for all patients.
Sometimes it is necessary to remove one or more teeth in order to correct a malocclusion orthodontically. I prefer to not remove teeth if at all possible. But sometimes it is necessary. Thanks!!
Sincerely,
Robert E. Sims. D.M.D, M.S.D.
Sincerely,
Robert E. Sims. D.M.D, M.S.D.
Hello. This is a great question.
The decision to extract teeth or not depends on many variables.
To give you just a few criteria, it may depend on the degree of crowding, the position of the teeth within the dental arch and also your lip posture and facial profile.
Hope this helps.
The decision to extract teeth or not depends on many variables.
To give you just a few criteria, it may depend on the degree of crowding, the position of the teeth within the dental arch and also your lip posture and facial profile.
Hope this helps.
Removal of teeth in preparation for braces, although very seldom necessary, is a consideration in some treatment plans. However, it is very rare for my patients to need to consider an extraction.
Sometimes it is very necessary, especially on non growing adults with limited bone support for all the teeth or when a tooth is completely blocked out. we cannot violate the bone and gum support of each tooth. you might want to have the braces installed before the removal on the same day. Not a lot of people have room for 32 beautifully aligned teeth.
It's not always necessary to remove any teeth for orthodontic treatment, but sometimes due to either the occlusion (the bite), or the amount of crowding there is, sometimes extracting a tooth (or teeth) is the best way to go!
Hello,
This is an extremely common question. There are many ways to correct crowded or flared teeth, but oftentimes in non-growing patients (which is what you would be at 23) or in cases of significant crowding or flaring, removing teeth provides the necessary space for proper alignment of the teeth. The teeth must not only just be straight, they must be straight in a good position within your smile and over the supporting bone and gum tissues. In addition, the teeth must fit properly to the teeth on the opposite arch. Many cases do require extraction of teeth in order to gain sufficient space for this alignment. Usually the orthodontist will make this decision after a clinical examination, review of your bite, and study of your X-rays. You will then be referred to a dentist or oral surgeon to have the teeth removed and then braces will be placed to start moving the teeth. At the completion of treatment, the spaces where teeth were extracted will be fully closed. I recommend you discuss with the orthodontist the proposed treatment plan for you if you have any questions. As treating doctors, orthodontists want to ensure that you fully understand the reasons for our treatments.
I hope this helps you!
Sincerely,
John Ballrick
This is an extremely common question. There are many ways to correct crowded or flared teeth, but oftentimes in non-growing patients (which is what you would be at 23) or in cases of significant crowding or flaring, removing teeth provides the necessary space for proper alignment of the teeth. The teeth must not only just be straight, they must be straight in a good position within your smile and over the supporting bone and gum tissues. In addition, the teeth must fit properly to the teeth on the opposite arch. Many cases do require extraction of teeth in order to gain sufficient space for this alignment. Usually the orthodontist will make this decision after a clinical examination, review of your bite, and study of your X-rays. You will then be referred to a dentist or oral surgeon to have the teeth removed and then braces will be placed to start moving the teeth. At the completion of treatment, the spaces where teeth were extracted will be fully closed. I recommend you discuss with the orthodontist the proposed treatment plan for you if you have any questions. As treating doctors, orthodontists want to ensure that you fully understand the reasons for our treatments.
I hope this helps you!
Sincerely,
John Ballrick
If the amount of crowding that you presented with exceeds the ability to expand the arch size successfully, extractions are often indicated. Each case is different. It all depends on the intital problem and the goals to be achieved.
In many cases it is necessary to remove teeth. If you are unsure I would recommend getting a second opinion before getting the tooth removed. You should always be comfortable with the treatment you agree to.
It really depends on the situation. Yes, some cases do require extractions, it is not uncommon. More information would be needed to determine if extractions were needed for you.
There are many factors that decide if teeth need to be removed. Just putting on braces alone does not mean that teeth need to come out. How ever if there is excessive crowding, or if there is recession these things contribute to the necessity of having teeth or a tooth removed.
It all depends on the individual situation, on whether a tooth needs to be extracted before getting braces. I would ask the doctor why it is necessary and get a second opinion from an orthodontist or another orthodontist.
Daniel A. Flores, DDS, MS
Daniel A. Flores, DDS, MS
Yes, Removing teeth is sometimes necessary to create space to straighten teeth, or to correct a bite.
It is sometimes necessary to remove a permanent tooth or teeth. I advocate for non extraction when it is possible. That is why I recommend early expansion on 5-6-year-olds so we do not have to extract permanent teeth later.
My 2 cents.
Dr. Bill Harrell
My 2 cents.
Dr. Bill Harrell