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1Q8. Why does my treatment require removal of teeth?

Why does my treatment require removal of tooth/teeth?

Orthodontist may suggest extraction of teeth as part of the treatment for several possible reasons:

  • Severe crowding of the dental arch.
  • Proclined and protruded anterior teeth concomitant with patient’s inability to keep lip closed without straining.
  • Severe overjet (upper front teeth far in front of lower front teeth).
  • Moderate negative overjet (lower front teeth in front of upper teeth)
  • Assymetry – dental midline either too far to the left or to the right.


Are there any ways to avoid extraction?

In most cases, no. However for some borderline cases, herculian effort can be made by moving all the teeth within the mouth further back to create enough space to relieve crowding, to alleviate proclined and protruded anterior teeth, to correct overjet discrepencies, or to correct midline problems. This effort will require use of temporary anchorage device (TADS), will require longer treatment time (additional 6 months to 1 year), and will require extraction of the third molars before the initiation of orthodontic treatment.