One of the most common questions patients and parents ask before starting orthodontic treatment is whether teeth will need to be removed. The idea of extractions can feel intimidating, but the answer is not a simple yes or no.
Extractions are not a routine part of orthodontic treatment. They are recommended only in specific cases, based on careful diagnosis and long-term treatment goals. While extractions were more commonly used in the past to manage crowding, modern orthodontic techniques now allow many patients to be treated successfully without removing teeth.
Extractions are considered only when non-extraction approaches would compromise dental health, function, facial balance, or long-term stability. Situations where extractions may be recommended include:
When Might Extractions Be Necessary?
How Is the Decision Made?
The decision to extract teeth is never routine. Your orthodontist performs a comprehensive assessment before making any recommendation. This includes evaluating tooth position, the smile line, jaw size and relationships, facial profile, the health and shape of the teeth and roots, the location of crowding, and the long-term stability of the proposed treatment plan.
Each orthodontic case is unique, and two patients with similar crowding may receive different treatment recommendations based on these factors.
A Modern, Individualized Approach
With today’s advanced orthodontic techniques, many patients can achieve excellent results without extractions. However, when extractions are recommended, it is because they offer the most predictable, healthy, and stable outcome for that individual patient.
The goal of orthodontic treatment is not simply to straighten teeth, but to achieve proper function, balance, and long-term oral health.
The Takeaway
Tooth extractions are not automatically part of orthodontic treatment. They are recommended only when truly necessary and when they support a healthier and more stable result. A proper orthodontic consultation is the only way to determine which approach is right for you.
If you’re looking for a trusted orthodontist in Dubai, you can visit Drs. Nicolas & Asp Centers for a comprehensive orthodontic consultation, available across our Jumeirah, Dubai Marina Walk, The Springs Souk, and Uptown Mirdif locations. To book an appointment, call 04 394 7777.
Sources
- Erdinc, A. E., & Nanda, R. S. (2006).
Relapse of anterior crowding in patients treated with extraction and nonextraction of premolars.
ajodo.org - Little, R. M., Wallen, T. R., & Riedel, R. A. (1981).
Stability and relapse of mandibular anterior alignment—first premolar extraction cases treated by traditional edgewise orthodontics. American Journal of Orthodontics.
ajodo.org
