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Some individuals must undergo preliminary procedures before braces can be applied
In certain situations, your orthodontist may recommend removing one or more teeth before installing braces
This may feel unexpected or even alarming, but it’s frequently an essential step to secure the optimal result
Orthodontics goes beyond aesthetics; it’s about achieving a stable, functional, and anatomically sound occlusion
Occasionally, creating adequate space or resolving deep structural imbalances is indispensable to achieving this goal
When the jaw lacks sufficient room for all permanent teeth, crowding becomes inevitable
When teeth are forced into a space too small for them, they twist, overlap, or erupt out of position
Moving crowded teeth without creating room risks them shifting back after treatment
The most common extraction sites are the upper or lower premolars, chosen for optimal space creation
Gaps can be closed in a way that mimics natural tooth drift and maintains gum health
Another common cause for extraction is excessive protrusion of the front teeth
This condition doesn’t just affect appearance—it can hinder proper lip closure, speech, and chewing efficiency
Posterior extractions provide anchorage to pull protruding teeth backward
A more retruded position minimizes external impact risks and improves lip support
When jaw size differences are too extreme for braces alone, extraction becomes a key tool
Tooth removal can restore harmony in vertical and horizontal jaw relationships
This strategic step can defer or entirely avoid complex surgical treatments
Non-viable or malformed teeth interfere with orthodontic mechanics and long-term health
Damaged teeth may harbor infection, impede movement, or cause root resorption
Removing them allows the orthodontist to focus treatment on healthy, viable teeth
The preference is always to preserve natural teeth if a stable outcome can be achieved
Non-invasive space management strategies are always evaluated prior to removal
Extraction is adopted only when it guarantees superior long-term stability
Patients who undergo pre-braces extractions often experience superior alignment, improved facial symmetry, 鐘ヶ淵 矯正歯科 and reduced relapse risk
Don’t assume it’s aggressive; it’s often the most thoughtful course
Knowledge empowers you to trust the process and embrace the rationale
The goal is a lifetime of confident, pain-free, and stable occlusion