Will You Require Tooth Extraction Before Orthodontic Treatment?

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Dental patients want a more appealing smile, and braces help patients realign their teeth. 


When a patient is considering braces, it is important they get a dental assessment first. Dentists can find problem areas that could affect the braces negatively and prevent them from aligning the teeth correctly. 

Removing Teeth That Are Too Damaged

Orthodontists provide patients with braces when their teeth are crooked or out of alignment. Before they can install braces, such as ceramic or metal braces, a dentist must examine the patient’s teeth and manage any existing issues. 

If the patient has damaged teeth, the dentist must complete corrective services to eliminate cracks, breaks, chips, and cavities. If a tooth is too deteriorated, the dentist must remove the tooth before the patient sees the orthodontist. An orthodontist is perfect for removing teeth that are too large, managing crowded teeth, and removing wisdom teeth for older patients.

Managing Overcrowded Teeth

Overcrowding is a common issue that causes the teeth to move out of proper alignment, and patients will need to visit their dentist to manage extra teeth before getting braces. 

If the teeth are overcrowded, they will not move back into their proper position because the teeth do not have enough room. A dental professional will need to set up extractions to remove teeth to straighten the rest of them.  

Removing Teeth That Are Too Large

For some patients, a few of their teeth could be the incorrect size, and those teeth could become too big for the mouth. This happens to some patients, and the teeth prevent surrounding teeth from remaining straight and in their proper position. 

Some teeth may become too long and cause aesthetic issues for the patient. A dental professional can remove these teeth to straighten the remaining teeth and restore their correct positioning.  

Removing Wisdom Teeth For Older Patients

Wisdom teeth could erupt through the gum line in early adulthood, and some patients may wait until they are an adult to get braces. This could be due to lower-income levels or a lack of proper dental insurance when they were a child.

Dentists can complete x-rays to evaluate the position of the wisdom teeth and determine if they are likely to erupt through the gumlines after the patient’s braces are installed. 

Typically, the dentist recommends wisdom tooth extractions before a patient gets braces. This prevents the wisdom teeth from pushing the surrounding teeth and causing more alignment problems.  

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Teeth That Are Growing In the Wrong Direction

Some teeth could grow in the wrong direction, causing alignment issues. The teeth may grow outward from the mouth or to the sides. 

A common reason for this is tooth injuries as a child. If a child fell and hits their teeth as a child or toddler, the impact will affect their adult teeth after the baby tooth is removed. 

Parents of children who have experienced these accidents may need to review additional options with their dentists before setting up an appointment for braces.  

Dental patients may need to undergo tooth extractions before they get braces. 

The purpose of the braces is to straighten the teeth and force them back into proper alignment. Some conditions could prevent proper alignments and make braces pointless.

Overcrowded teeth will require extractions to create the perfect smile. If teeth are damaged, the dentist may need to remove the damaged teeth. This lowers the risk of infections and other dangerous conditions. 

By reviewing the patient’s teeth, dental professionals can determine if extractions are necessary before inserting braces.

Last Updated on September 30, 2022

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