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Not every patient who needs braces can begin treatment immediately

There are instances where tooth extraction is advised prior to bracket placement

Many patients are surprised, yet this decision is grounded in proven clinical necessity

Orthodontics goes beyond aesthetics; it’s about achieving a stable, functional, and 鐘ヶ淵 歯列矯正 anatomically sound occlusion

Fundamental skeletal or dental discrepancies may require intervention beyond mere tooth movement

One of the most frequent reasons for extraction is dental overcrowding

Without adequate room, teeth compete for space, resulting in chaotic alignment

Moving crowded teeth without creating room risks them shifting back after treatment

Extracting one or two premolars, typically, generates the necessary room to realign teeth naturally

This enables the orthodontist to close gaps smoothly and preserve natural tooth positioning

Protruding incisors can disrupt lip posture and oral dynamics

Protrusion impacts both smile aesthetics and the biomechanics of everyday oral function

By extracting molars or premolars in the posterior, orthodontists can retract the front teeth into a more centered, balanced position

A more retruded position minimizes external impact risks and improves lip support

Extractions can help align jaws that are disproportionately sized relative to each other

Removing select teeth helps rebalance the relationship between the upper and lower dental arches

In select cases, extraction prevents the requirement for orthognathic intervention later

Non-viable or malformed teeth interfere with orthodontic mechanics and long-term health

Damaged teeth may harbor infection, impede movement, or cause root resorption

Working with a foundation of healthy dentition ensures lasting, predictable results

It’s vital to understand that extraction is never the default option

Alternatives such as arch expansion, palatal widening, or temporary anchorage devices are explored first

But when these alternatives won’t yield a durable, healthy, or functional result, extraction becomes the most reliable choice

Those who follow this protocol typically enjoy more predictable, lasting outcomes

This suggestion reflects careful evaluation, not haste or convenience

Seek clarity on why this step is critical to your specific case

A truly successful outcome balances beauty with biological integrity