When Do You Need a Tooth Extraction For Orthodontic Reasons
Extractions are not required in all circumstances, and they are typically unnecessary. If all existing teeth can be aligned into a healthy bite and the right location, they will do so without extractions; nonetheless, for certain individuals, tooth extraction is an effective aspect of establishing straight teeth with long-term outcomes.
Depending on your exact diagnosis, your orthodontist will recommend that you have one to four teeth removed. (Wisdom teeth are evaluated separately from orthodontic extraction instances since they are removed for a variety of reasons). When correcting asymmetrical bite patterns or traumatic biting, an odd number of teeth are frequently removed.
When determining which teeth to remove, your orthodontist will examine how to best fit the remaining teeth into their healthy, proper places while causing the least amount of disturbance to the mouth, face shape, and tongue placements. Orthodontists can employ 3D-modeling images to identify which extractions will be most effective.
Here are the causes for extraction:
- Braces cannot straighten teeth without extraction(s);- The tooth is too big to fit into the mouth;
- The tooth develops in the incorrect way;
- The tooth is uncomfortable or painful;
- The tooth is stained;
- Tooth is sensitive to touch;
- The tooth seems chipped, broken, or otherwise injured.
Which Teeth Are Usually Extracted?
Which teeth are pulled is determined by the patient's unique condition, however, the premolars (the fourth and fifth teeth from the front) are the most likely to be removed. In some circumstances, a back molar may be removed with or instead of the premolars.
Alternatives to Extraction
When the dental palate cannot be enlarged, several surgical treatments can add bone to the palate, allowing for greater extension in adult palates. Instead of removing crowded teeth, orthodontic therapy (known as distalization) can be used to push them farther back into the mouth, providing more room for them. Although they are newer therapies, both have been shown to be beneficial.
Tooth extraction is a dependable, safe, and successful way of straightening teeth that yields long-term benefits and healthy smiles. Your orthodontist will only suggest you for a tooth extraction if they believe it is the best treatment option for your smile. Dental extractions are often performed by a regular dentist or oral surgeon in the dentistry clinic, not at an orthodontic practice.
When and Why Is a Tooth Extraction Required Before Orthodontic Treatment?
Not every orthodontic condition necessitates tooth extractions. In truth, only a tiny number of instances necessitate extractions, and those cases generally involve extremely crowded teeth (as previously indicated, many patients will have wisdom teeth out for reasons unrelated to orthodontic therapy).
Other Reasons for Extraction
In certain situations, a tooth may need to be pulled before beginning orthodontic treatment because it has deteriorated or been injured as a result of earlier crowding, bacterial development, and plaque buildup. If the decay is very severe, it may be more efficient to simply remove the teeth and align them properly without them, by replacing the empty area with healthy teeth guided into position by braces or Invisalign.
Extractions are especially required in situations when the outcomes of not removing teeth may be unstable, resulting in shifting and misalignment that will require additional orthodontic therapy to address. In that instance, it makes more sense to extract teeth from the start to produce healthy, long-lasting outcomes.
A severe bite problem, such as an underbite, open bite, or deep overbite, can be treated by tooth extraction, especially if the patient chooses not to have surgery to repair the disease.
How Teeth Are Extracted
If your orthodontic treatment needs dental extraction, your orthodontist will recommend you to a general dentist or oral surgeon for the procedure. Orthodontists specialize in tooth shifting, but regular dentists and oral surgeons perform a wider range of treatments and hence have all of the medical equipment required to extract teeth. Basic tooth extractions are often performed at your normal dentist's office, however more sophisticated extractions may be performed by an oral surgeon.
Teeth can be removed before or during orthodontic treatment using braces or Invisalign. Once the extractions have healed correctly, the teeth can be moved into the space left by the removed tooth. You will not be in pain during the extraction since your dentist or oral surgeon will use a local anesthetic or sedative to remove teeth painlessly. The dentist or surgeon will remove the teeth professionally and quickly. After the extraction, they may seal the hole with a few tiny sutures. These will either dissolve or be removed when you return for a check-up in a week or so.
