When and why you need a tooth extraction for orthodontic treatment (2023)

When and why you need a tooth extraction for orthodontic treatment (4)

When and why you need a tooth extraction for orthodontic treatment (5)

When and why you need a tooth extraction for orthodontic treatment (6)

What is a tooth extraction? why do i need one treatment options and more

Certain orthodontic cases require tooth extraction or the extraction of teeth for extraction to achieve the best results with straight teeth and a healthy smile.

Tooth extraction is only performed when absolutely necessary - your orthodontist will evaluate all options for a healthy smile before recommending an extraction. For those with extra or too many teethhustleTo match all teeth, extraction is an extremely safe and effective way to align your teeth properly.

A tooth extraction can make people nervous. With careful supervision by an experienced orthodontist and a expert extraction procedure by a qualified dentist or oral surgeon, your extraction experience will be comfortable and effective, allowing you to achieve the healthy smile you deserve.

This guide tells you everything you need to know about tooth extractions before or during Invisalign braces or orthodontics.

Table of Contents:

About tooth extractions|Which teeth are pulled?|Alternatives to Extraction|When and why is tooth extraction necessary before orthodontic treatment?|Other reasons for removal|Signs that you may need an extraction|How teeth are pulled|Tooth extraction before orthodontic treatment: before and after|frequently asked questions

About tooth extractions

Tooth extraction is when one or more teeth are removed from the mouth and extracted. There are many reasons to pull a tooth:one of the reasons is treating a patient for orthodontic treatment,for straight teeth, a healthy bite and a beautiful smile.

In certain orthodontic cases, tooth extraction is sometimes required to relieve crowded teeth and establish a stable bite.These extractions are performed before or during orthodontic treatment.

Not all cases require extractions; In fact, it's usually not necessary. If it is possible to align all existing teeth into a healthy bite and correct position, then do so without extractions.However, for certain patients, tooth extraction is an effective part to achieve straight teeth with permanent results.

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

When deciding which teeth to extract, your orthodontist will consider how best to move the other teeth into their correct, healthy position with as little modification as possible to the patient's mouth or face shape and tongue position.3D modeling scansIt can help orthodontists determine if extractions are most helpful.

  • Teeth cannot be straightened with braces without prior extraction(s).
  • The tooth is too big to fit in the mouth
  • The tooth grows in the wrong direction
  • The tooth is sore or sore
  • The tooth is discolored
  • The tooth is sensitive to touch.
  • The tooth appears chipped, cracked, or otherwise damaged

Which teeth are pulled?

Which teeth are extracted depends on the specific case of the patient, but in general the premolars (the fourth and fifth teeth in order from the front) are most likely to be extracted.

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

Alternatives to Extraction

In certain patients this may be possibleexpand the palateto make room for the teeth instead of extracting them. This is often most effective in children, whose bones are still growing and can therefore quickly accommodate the expansion of the palate. This may be less effective in adults whose bone growth has stopped.

If it cannot be expanded, some surgical procedures canAdd bones to the palate, allowing greater expansion in adult palates. Alternatively, it is sometimes possible to use orthodontic treatment (so-called orthodontic treatment).Distalisation) to create more space for crowded teeth instead of extracting them. Although these are newer treatments, both procedures have proven effective.

Tooth extraction is a reliable, safe, and effective method of straightening teeth with long-lasting results and a healthy smile. Your orthodontist will only recommend a tooth extraction if they determine that it is the best procedure to achieve the best results for your smile.

Tooth extractions are usually performed by a general dentist or oral surgeon, not in an orthodontic office.Your orthodontist will perform a full examination, including x-rays and/or 3D imaging, and will only issue a referral for extraction if extractions are absolutely necessary.Once the teeth are extracted and the area has healed, the rest of your orthodontic treatment can begin.

When and why is tooth extraction necessary before orthodontic treatment?

Not all orthodontic cases require tooth extractions. In fact, only a small percentage of cases require extractions and these cases usually have very narrow teeth (as mentioned above, many people have their wisdom teeth extracted, but for reasons unrelated to orthodontic care).

Tooth extraction is necessary to achieve the right results when preserving all teeth does not allow for straight teeth and a healthy bite.Extraction is only required if the teeth are severely crowded.

Some common reasons for crowded teeth:

  • too many teeth
  • Jaws too small to properly hold all teeth
  • Teeth are too large, or a specific tooth is too large or abnormally shaped

Other reasons for removal

In certain cases, a tooth may need to be extracted prior to orthodontic treatment because it has decayed or become damaged from previous crowdingbacterial growth and plaque formation. If tooth decay is too advanced, it may be more effective to simply extract the teeth and align them properly without them, filling the free space with healthy teeth that are held in place with braces or Invisalign.

Extractions are especially required in cases where the results without extraction of the teeth are unstable, which later leads to shifts and misalignments and requires more orthodontic treatment to correct. In this case, it makes more sense to extract the teeth in the first place for a healthy, safe and long-lasting result.

A very serious bite problem, such asbite,open bite, Ödeep overbite, can be corrected with the help of tooth extraction, especially if the patient decides against surgery to correct the condition.

Signs that you may need an extraction

Your orthodontist will examine your teeth thoroughly, inclcomplete x-raysto determine the location of each tooth and what needs to be done to achieve a healthy bite and smile, including the possibility of extractions.

Some of the following signs may indicate the need for an extraction, but this depends on the specifics of your case; Even if some of these are applied to your teeth, that doesn't necessarily mean they need to be removed.

  • The tooth is too big to fit in place
  • Tooth grows in the wrong direction
  • The tooth is sore or sore
  • The tooth is discolored or shows signs of decay.
  • The tooth is very sensitive to touch.
  • The tooth appears chipped, cracked, or damaged
  • The tooth is loose due to caries or periodontitis (adult tooth).
  • Trouble biting or chewing

This list is just to help you understand some of the signs of possible extraction cases - it doesn't mean your teeth need to be extracted! When your orthodontist suggests an extraction, you can rest assured that they will provide an informed opinion to achieve the best results, for a smile you'll love and a healthy bite that's built to last.

How teeth are pulled

If your orthodontic case requires tooth extraction, your orthodontist will refer you to a general dentist or oral surgeon for extraction. Orthodontists are fully dedicated to changing teeth, while general dentists and oral surgeons offer a greater variety of procedures, so they have all the medical equipment needed to pull teeth.Simple tooth extractions are usually performed in your dentist's office, while more complex extractions can be performed by an oral surgeon.

Teeth can be extracted before or during orthodontic treatment with braces or Invisalign. Once the extractions have healed properly, the teeth can be returned to where the extracted tooth left off.

You won't feel any pain during the extraction: your dentist or oral surgeon will use local anesthesia or sedation to remove your teeth painlessly. The dentist or surgeon will extract the teeth expertly and quickly. After extraction, they can close the hole with a few small stitches. These will resolve or be removed after about a week when you come in for the checkup.

You can go home the same day. You may experience pain or discomfort as the anesthesia wears off - use an over-the-counter pain reliever to treat this. Avoid crunchy or sticky foods for a few days until the cavities have healed, and rinse your mouth with salt water or an antiseptic rinse provided by your dentist to keep it clean.

Your dentist can also provide you with a special oral syringe to wash out any food particles or debris that might get caught in the holes left by extractions. Your mouth is one of the fastest healing parts of your body, so the cavities will heal very quickly.

Once the holes of the tooth extraction have healed, the orthodontic treatment can begin or continue: in a short time, the space created by the extraction will be filled with healthy teeth in the right alignment under the supervision of your doctor.

Tooth extraction before orthodontic treatment: before and after

Alonda, 23, extraction of a lower incisor, before and after Invisalign treatment

When and why you need a tooth extraction for orthodontic treatment (10)

When and why you need a tooth extraction for orthodontic treatment (11)

Girl, 19 years old, extraction case, before and after Invisalign treatment

When and why you need a tooth extraction for orthodontic treatment (12)

When and why you need a tooth extraction for orthodontic treatment (13)

When and why you need a tooth extraction for orthodontic treatment (14)

When and why you need a tooth extraction for orthodontic treatment (15)

Frequently asked questions about tooth extraction

  • 1Do you have to pull teeth before braces?

  • 2Do you need to pull your teeth before starting Invisalign treatment?

  • 3How do I know if I need to pull my teeth?

  • 4Why do orthodontists pull teeth?

  • 5How common is tooth extraction for braces?

  • 6Is it okay to pull teeth for braces?

  • 7Does it hurt to have your teeth pulled?

  • 8Can orthodontists pull teeth?

  • 9Do tooth extractions change the shape of the face?

  • 10How many teeth are pulled through braces?

  • 11Do your teeth move when you pull them?

  • 12Is it safe to pull 4 teeth at once?

  • 13Are there alternatives to tooth extraction for braces?

  • 14How much does it cost to pull teeth?

Other orthodontic diseases

open bite
affected teeth
Overjet excesivo
spaces between the teeth

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When and why you need a tooth extraction for orthodontic treatment (23)

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