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Is tooth extraction necessary for braces? Many patients looking into lingual braces are curious about whether tooth extraction will be necessary. The answer to this question depends on your unique teeth and your goals in orthodontic work. Dr. Adam Schulhof is an expert in orthodontic work and can help you to make the right decision.

Woman holding her mouth

When Is Tooth Extraction Necessary?

In general, it is easier to perform orthodontic work when no tooth extraction is needed. However, there are a few occasions when removing one or more teeth may be necessary in order to achieve your appearance goals and get the healthy smile you desire. These instances include:

Overcrowded teeth:

  • Overcrowded teeth: In some cases, people simply have too many teeth for the size of their dental arch, jaw, and face. Dental arches made slightly larger, but there is a limit. If your bone structure, facial features, and the size of your teeth will not allow a straight and perfect smile, you may need to remove teeth in order to achieve your goals.

Severe overbite or underbite:

  • Severe overbite or underbite: When some of your teeth protrude, moving them into position may be very difficult. Removing some teeth to allow more room for repositioning or aligning teeth may be the only way to ensure an aesthetically pleasing result.

Bite mismatch or other asymmetries:

  • Bite mismatch or other asymmetries: In many cases, orthodontic problems are more than merely cosmetic. The jaw may not align properly or otherwise, may not accommodate a full set of teeth in an attractive fashion. In these cases, removing one or a few teeth may allow you orthodontist more room to work with, to give you the attractive and perfectly aligned result you desire.

Dental issues such as impactions:

  • Dental issues such as impactions: There are times when a few teeth themselves are not in good enough condition to be aligned using any kind of orthodontic work. These teeth are usually so diseased that they are living on borrowed time, even if they may not yet appear so. Removing these teeth before orthodontic work will prevent a lot of pain and the need for ongoing treatment.

If you have questions or concerns about whether tooth removal is needed before you can get braces, it is important to discuss this with your orthodontist. An orthodontic professional will help you to make a treatment plan that best fits your goals and your current health.


women smiling


What Happens in a Dental Extraction?

Many people are afraid of dental procedures. However, having healthy and balanced teeth is necessary to having successful orthodontic work. Is this procedure safe? Does tooth extraction hurt? Understanding more about having teeth extracted, including what to expect from the procedure and from tooth extraction aftercare, often makes the process less scary.

Before you have the procedure, you will be given local anesthetic, also called painkiller. In addition, many people are given general anesthesia so they will be asleep during the procedure. In most cases, the answer to the question, “does tooth extraction hurt?” is a reassuring no.

The oral surgeon will then remove the tooth, leaving a dental socket that they will pack with sterile gauze. Some people may also have a few small stitches in the area.

Tooth extraction aftercare is usually straightforward. Most people will take painkillers prescribed by their doctor. In addition, ice can help. Because of soreness in the mouth, many people will need to eat soft or cold foods for a few days. You also will want to avoid activities that include sucking or spitting, such as drinking from a straw, as these can dislodge the clot in the socket and cause a painful condition called dry socket.


Finding the Right Orthodontist

Ultimately, it is crucial to listen to your orthodontist when deciding what procedures should be part of your orthodontic care. A trained professional is an essential part of making the right decision. This is why it is so important to find the orthodontist who is perfect for you. Most people find that the right orthodontist has the following qualities:

  • Experienced with the types of braces you are interested in getting
  • Trustworthy and knowledgeable
  • Trained in how orthodontia can affect facial aesthetics
  • Commitment to learning new techniques and practices
  • A willingness to treat each patient as an individual, with a personalized treatment plan


Is It Time to Get the Smile of Your Dreams?

Many adults have teeth that they are not happy about. Some of us did not get the orthodontic work we needed as children and adolescents; others had work done but our teeth gradually drifted back to an unattractive shape. In addition to cosmetic issues, misaligned teeth can cause a wide range of health issues, including increased cavities, difficulty eating, jaw pain, and even migraines.

There are many options that do not have visible wires and brackets, such as lingual braces and invisible aligners. These options can help adults to get the high-quality orthodontic work they need without having the visible mouth full of metal that we associate with braces. They are just as effective as traditional braces and often are very affordable. An experienced orthodontist can help you decide what kind of orthodontic work is best for your needs.

If you are unhappy with your smile, the next step is to schedule a consultation with an orthodontist. Talking to an orthodontist can help you make an educated decision. At your consultation, your orthodontist will examine your teeth, take x-rays, and otherwise evaluate your bite and your jaw structure. They will make recommendations that will help you to achieve the alignment you need for attractive aesthetics and future dental health.



Call an Expert Today

Calling Dr. Adam Schulhof‘s office today for a no-commitment consultation is the next step to getting the smile you have always desired. Dr. Schulhof is an expert in lingual braces and other invisible orthodontic technologies. Our friendly office staff is happy to help you make an appointment today.

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New York Office
125 East 69th Street
New York, NY 10021
Phone: 212-861-1859


Is Tooth Extraction Necessary? (for Braces)


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