Why you need tooth extraction for braces?

Author: Dr. Nhan Tam View: 1,127
Most people who have braces have a fear of extracting teeth. In fact, not all braces need to extract teeth. If extraction is indicated, the doctor carefully considers it, making sure the braces are effective and do not affect the patient's health.

Dental braces are a way of straightening or moving your teeth, to improve how they look and how they work. Braces can also help you look after the long-term health of your teeth and gums and make eating more comfortable, by spreading the biting pressure across all your teeth. Braces work by putting pressure on the teeth, to slowly move them in the right direction. As the pressure takes effect, the bone in the jaw changes to allow the teeth and their roots to move.

Why tooth extractions are sometimes necessary in braces?

A crooked smile or a bad bite can develop if there isn’t enough room in the mouth for all the adult teeth. If there is a lack of space in the mouth, the teeth may have no choice but to erupt in irregular positions depending on where these teeth can find some space. In some cases, the extraction of one or more teeth can help to free up space that then allows the remaining teeth and jaws to be properly aligned by undertaking orthodontic treatment with braces or clear aligners.

Not all cases wil require extractions - in fact, it is usually not necessary. If it’s possible to align all existing teeth into a healthy bite and correct positioning, then they will do it without extractions – but for certain patients, a tooth extraction is an effective part of achieving straight teeth with long-lasting results.

Not all cases wil require extractions

Your orthodontist will refer you for extraction of 1 to 4 teeth, depending on your specific diagnosis. (Wisdom teeth are considered separately from orthodontic extraction cases, since there are other reasons for removing those molars). Removing an odd number of teeth is common when treating asymmetry in the bite pattern or traumatic biting.

When deciding which teeth to remove, your orthodontist will consider how best to fit the other teeth into their healthy, correct positions, with the least possible disruption to the mouth or the patient’s facial shape and tongue positions. 3D-modeling scans can help orthodontists determine with extractions will be the most useful.

Which teeth are extracted depends on the patient’s specific case

Which teeth are extracted depends on the patient’s specific case, but generally, the premolars (the 4th and 5th teeth in order from the front) are the most likely to be removed.

In some cases, a back molar may be removed in addition, or instead, of the premolars.

There is no age limit for getting braces

For certain patients, it may be possible to widen the dental palate in order to make room for the teeth, rather than extracting them. This is more commonly effective in children, whose bones are still growing and can thus adapt quickly to the expansion of the palate. For adults, whose bones have stopped growing, this may be less effective.

For certain patients, it may be possible to widen the dental palate in order to make room for the teeth, rather than extracting them

When it can’t be expanded, some surgical procedures can add bone to the palate, allowing for more expansion in adult palates. Alternatively, it is sometimes possible to shift the teeth further back into the mouth using orthodontic care (called distalization), making more room for crowded teeth rather than extracting them. While these are newer treatments, both of these procedures have been found to be effective.

Tooth extraction is a reliable, safe, and effective method for straightening the teeth with long-lasting results and healthy smiles. Your orthodontist will only refer you for a tooth extraction if they determine that it is the best intervention for achieving the best results for your smile.

Dental extractions are usually done by a general dentist or an oral surgeon, not in an orthodontic office. You orthodontist will do a thorough examination, including x-rays and/or 3D-imaging, and will issue a referral for removal only if extractions are absolutely necessary. Once teeth are extracted and the area has healed, you can begin the rest of your orthodontic treatment.

Based on images taken in the Smile Design Pro software that is equipped with Nhan Tam Dental Clinic, the patient fully sees the movement of his or her teeth until the end of the wear process. Nhan Tam Dental Clinic always develops a comprehensive treatment plan, from stage to stage, so that patients can understand all the problems. Thousands of cases of braces in Nhan Tam Dental Clinic have been satisfied with the method as well as treatment results.

Customer image of braces in Nhan Tam Dental Clinic