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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

While it might sound concerning, this approach is often critical for long-term success

A successful orthodontic outcome balances alignment with jaw harmony and long-term oral function

Occasionally, creating adequate space or resolving deep structural imbalances is indispensable to achieving this goal

A jaw that’s too narrow to fit every tooth leads to misalignment and rotation

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

Braces alone can’t fix overcrowding if the underlying structural issue remains unaddressed

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

Gaps can be closed in a way that mimics natural tooth drift and maintains gum health

When upper front teeth stick out noticeably, they compromise facial harmony

This condition doesn’t just affect appearance—it can hinder proper lip closure, speech, and chewing efficiency

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

This enhances your facial profile and reduces the chance of chipping or trauma to prominent incisors

When jaw size differences are too extreme for braces alone, extraction becomes a key tool

This adjustment facilitates a more synchronized and stable occlusion

It may also eliminate the need for future jaw surgery or more invasive corrective procedures

Certain teeth are removed due to pathology, failed restorations, 鐘ヶ淵 歯列矯正 or failure to erupt

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

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

The preference is always to preserve natural teeth if a stable outcome can be achieved

Methods like TADs, expanders, or interproximal reduction are considered before extraction

Extraction is adopted only when it guarantees superior long-term stability

Patients who undergo pre-braces extractions often experience superior alignment, improved facial symmetry, and reduced relapse risk

If your orthodontist recommends extraction, remain calm—they’ve analyzed your unique anatomy and treatment goals

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

A truly successful outcome balances beauty with biological integrity