Why You Need Tooth Extractions before Orthodontic Treatment

Orthodontic treatment for each patient needs to be planned differently based on the individual patient’s, needs and requirements. Therefore, before placing teeth braces, your orthodontist checks for any severe crowding or other factor that helps decide if tooth extraction is required or not.

When tooth extraction will be needed:

Orthodontists generally avoid tooth extractions unless a critical factor encourages them to recommend it. However, some major factors that may convince your orthodontist to extract your tooth are:

  • Crowded teeth

Extra teeth must be removed as they affect the position of other teeth too.  It also helps create space for necessary tooth movement. Besides, lack of space for all teeth can cause a crooked smile or lead to a bad bite.

Expansion of arches can help treat mild to moderate crowding of teeth, but it is limited to facial aesthetics and bone structure. Therefore, your orthodontist can only expand the arches to a particular limit. After that, extraction is necessary.

  • Improvement of patient’s appearance and facial profile

Sometimes, the process of treatment involves extraction of tooth or teeth because crowded teeth may result in protruding lips or teeth. It negatively impacts the patient’s facial profile.

In addition, teeth straightening may also require extraction, or else, it may cause instability later. Your teeth may go outside the bone, resulting in gum recession.

  • Decayed or damaged tooth

Overlap of teeth or malocclusion often leads to tooth decay or damage. To get rid of this kind of one or more teeth, the orthodontist removes your tooth before conducting the orthodontic treatment.

  • Mismatch between your jaw size and braces for teeth

Sometimes, your jaw size may vary from the braces bracket designed for your teeth. Due to this mismatch, your jaw is not able to adjust the braces designed for you. To make enough space for the bracket to fit in your mouth, your orthodontist may decide to pull out your tooth.

  • Uneven tooth

In some cases, one of the teeth is unreasonably small or large in size as compared to other teeth. To eliminate this irregularity, your orthodontist removes the uneven tooth.

Therefore, your tooth extraction may depend on one of the various above-mentioned factors. An orthodontist will properly analyze your case before deciding what’s best for you.


Your orthodontic treatment may or may not require extraction of your tooth, depending upon certain factors that are listed above. Your orthodontist will figure out any such factor before proceeding with your treatment. Once he/she determines the issues that need to be solved, he/she can take the right decision related to tooth extraction.

Choosing an orthodontist can be a challenging task. Make sure you choose the one with the right certification and enough experience. After consulting the orthodontist of your choice, you must feel assured that their decision is right and the reason behind it is in your best interest.

Before your child gets braces make sure to keep all the information on hand. In addition, if you are conscious about you or your child’s facial appearance and profile, you must not hesitate from undergoing the procedure of tooth extraction.

This is a guest post by Dr. Satish Pai. His author bio is below.

Dr Satish Pai - Why You Need Tooth Extractions before Orthodontic Treatment

Dr. Satish Pai is an orthodontist and Ivy League trained dentist who has served as faculty at Columbia University. He believes a perfect smile not only makes a person look great but feel great. As the founder of Putnam Orthodontics and a Partner at Rome Orthodontics, he is dedicated to providing the best orthodontic treatments to his patients. He also writes to educate people about everything orthodontics and the importance of correctly aligned teeth along with good oral health. In his free time, you can find him golfing, doing yoga or surfing, and spending time with this family.

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