Tooth Extraction and Orthodontics: When Removing Teeth is Part of Braces Treatment
Dentists remove teeth for various reasons. In most cases, grossly damaged teeth are extracted that cannot be saved – either due to a long-standing infection or because of accidental damage. We often hear about wisdom teeth removal when they get infected. According to the American Association of Orthodontists, over 85% of Americans will have their wisdom teeth extracted during their lifetime.
But have you ever heard of tooth extractions for braces? Orthodontists often remove healthy teeth during braces treatment. So why do orthodontists extract teeth, and do all braces wearers need extractions? If you are looking for an answer to these questions, you have come to the right place. This blog will explain everything you need to know about orthodontics-related tooth extractions. So, continue reading to find answers to your questions.
Why are Tooth Extractions for Braces Performed?
Dentists sometimes extract one or more teeth as part of their treatment plan. Dental extractions become necessary when there is insufficient space available in the jaws to accommodate all the teeth in an optimal alignment. When there is mild to moderate tooth misalignment, dentists use various non-invasive measures to create space for aligning the teeth. However, when more than 5 mm of space is required in the jaw for teeth straightening, orthodontic tooth removal may be needed. Once one or more teeth are extracted from a jaw, there is sufficient space available to realign the remaining teeth, ensuring optimal alignment and facial aesthetics.
Do All Orthodontic Patients Require Tooth Extractions?
Not every orthodontic patient will require a dental extraction. Only those braces wearers who don’t have sufficient space in their jaws – either because of small jaws or due to supernumerary (extra) teeth – will need extractions. Your dentist will first perform a detailed clinical and radiological examination to assess the space available in your jaws vs. the space needed to realign them. When the space needed to optimally align all the teeth is more than the space available, your dentists may consider extractions.
Which Teeth are Extracted for Orthodontic Purposes?
When a dental extraction is needed, your dentist may consider extracting the premolars. These teeth (the first and second premolars) lie between the canines (the “dog teeth”) and the molars. Typically, the second premolar is removed when space is needed in the upper jaw while the first premolar is extracted for treating crowding in the lower jaw. In some cases, both the premolars may also be extracted. Moreover, wisdom teeth are also extracted rarely for orthodontic treatment.
How Are the Teeth Aligned After a Tooth Extraction?
After a tooth extraction, your dentist will wait for a few weeks to ensure optimal healing of the extraction site. Afterwards, they will realign your teeth using braces or clear aligners. Braces and clear aligners exert gentle pressure on your teeth to move them in the desired direction and realign them. In the case of severe overcrowding, or when one or more teeth are positioned abnormally, your dentist may also have to use additional orthodontic attachments such as elastics or mini-implants to perform complex tooth movements. Depending on the extent of the misalignment, it may take up to 18 months to completely realign the teeth after the extractions.
Are Tooth Extractions for Braces Harmful?
Orthodontic extractions will not cause any significant adverse effects if they are performed after extensive treatment planning. Moreover, surgical complications related to the extraction can be minimized if the procedure is performed by an experienced oral surgeon.
Can Dental Extractions in Orthodontics Be Avoided?
The best way to prevent tooth extractions for orthodontic treatment during adult life is early intervention and diagnosis. If an orthodontic issue is diagnosed during a child’s growing age, dentists can use functional appliances to redirect jaw growth, ensuring optimal tooth alignment and facial aesthetics. However, tooth extractions are the only option for teeth straightening when there is severe overcrowding or other bite-related issues.
If you are looking for the best practice Inglewood, your best option is to visit Crown Dental. We take pride in having the best team of dentists in town to take care of all your needs. So, book an appointment today and let us take care of all your dental worries.
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