Tooth Extraction for Braces: Why It May Be Necessary

Tooth extraction is sometimes a necessary step in the orthodontic process to achieve the best results when getting braces. Depending on the individual and their specific treatment plan, your orthodontist will evaluate all options to create a healthy, beautiful smile before recommending an extraction.


Why Do I Need a Tooth Extraction for Braces?

There are several reasons why an orthodontist might recommend tooth extraction, though the decision depends on your unique case. Here are a few common signs that may indicate the need for an extraction:

  • Too large to fit: If a tooth is too large to fit properly within the dental arch, extraction may be needed.
  • Misalignment: A tooth growing in the wrong direction may require removal to create space for proper alignment.
  • Pain or discomfort: A tooth that is painful or sore may need to be extracted.
  • Decay or discolouration: If a tooth is severely discoloured or shows signs of decay, it may need to be removed.
  • Sensitivity: A tooth that is overly sensitive to touch could be a candidate for extraction.
  • Damage: Chipped, cracked, or damaged teeth may need to be extracted if they can’t be restored.
  • Looseness due to disease: A loose adult tooth caused by decay or periodontal disease may need to be extracted.
  • Biting or chewing issues: If a tooth is preventing proper biting or chewing, extraction could help resolve these problems.

How Your Orthodontist Decides on Extraction

Your orthodontist will conduct a thorough examination of your teeth, which may include comprehensive X-rays, to assess the positioning of each tooth and identify any potential issues. From there, they will determine the best course of action to achieve a healthy bite and smile, including whether tooth extraction is necessary.


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