Do Teeth have to be Removed?
We understand that having a tooth extracted may be a stressful situation. You can be rest assured that the vast majority of patients treated by our specialist orthodontists Dr Pourghadiri and Dr Good do not have any teeth taken out; which essentially means that we try not to extract teeth as part of the orthodontic treatment.
Our specialist orthodontists use the most innovative techniques and systems in orthodontic braces, advanced clinical methods and state-of-the-art wire technology to ensure that the need for extractions is minimized. In our practice, ‘expansion’ and ‘orthopaedic’ techniques are preferred in appropriate cases to avoid the need for removal of teeth.
Extractions and Your Assessment
During your initial consultation and examination appointment, your orthodontist will take radiographs (X-ray films) and models of your teeth to perform a full evaluation and analysis of your oral condition. Thereafter, the orthodontist will use his/her knowledge, training and experience to devise a treatment plan that’s right and correct for you.
One of the reasons why we invite our patients to return for a second consultation appointment is so their orthodontist has the opportunity to study the information gathered at their first visit to make an accurate diagnosis before determining the correct treatment option. This is especially preferred when we are dealing with more complex cases. We look to see if there are any alternative options that can provide you with a long term, comfortable and cost –effective solution to your orthodontic condition.
There are several reasons why teeth may have to be taken out is some orthodontic patients. Some of these include:
- We may need to relieve severe crowding of the teeth- this is especially true when the jaws are very small, or the teeth are very large and/or impacted.
- You may have more than the normal number of teeth.
- The teeth may be hopelessly distant from their correct positions. It may be very difficult if not impossible to move the teeth to where they should be.
- We may need to extract very decayed, broken-down or infected teeth that cannot be saved by the general dentist in the long-term.
- Sometimes we extract baby teeth earlier than normal to encourage their corresponding adult teeth to grow into the correct positions.
- We may need to extract some baby teeth to encourage spontaneous and natural alignment of crowded adult teeth.
- Sometimes we elect to extract side teeth to enable very protruding upper and/or lower teeth be pushed back.
Extractions and Treatment Planning
When considering your options for treatment, there is no such thing as ‘extraction’ or ‘non-extraction’ orthodontic treatment. You may be surprised to hear that arguments over whether teeth should be extracted or not as part of orthodontic treatment have raged for over one hundred years. However a reasonable contemporary view would be that not all patients and faces are the same and hence it would be illogical to attempt to treat all patients and faces in exactly the same way.
During our treatment planning, each individual case is studied and analysed carefully, taking various factors and circumstances into account. This typically also includes the patient’s facial profile as this is an important consideration. Only then, is treatment planned based on the specific and unique factors that have created the orthodontic problems in that particular patient. The solution may or may not involve the extraction of teeth. In any event, our priority is always to obtain good facial balance and a full attractive smile.
In all of these cases no space is left behind after teeth are taken out. The spaces are either close naturally because other teeth need room to align, and/or the braces will help the closure of spaces in the correct manner.
Our goal is to provide beautiful smiles with beautiful facial profiles and one type of treatment would not be appropriate for all.
Extractions themselves do not cause negative effects on the teeth, jaws or face. However, it is poor planning decisions and poor treatment control that may cause those effects. The advice therefore for prospective orthodontic patients and their families would be to make sure that they understand the reasons for all decisions – including extractions – made in relation to their treatment.
Whatever the case, when treated by Dr Sarah Good or Dr Pourghadiri, our patients should expect to receive treatment of a superior standard, which not only produces straight teeth, healthy jaw function and a beautiful smile, but which also enhances their self-esteem and confidence in the long-term.
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