Is it necessary to extract teeth to straighten teeth? Medical revelation of the truth: depends on 2 key factors
Everyone longs for a neatly arranged and beautiful “smile curve”; however, many people always balk when they hear that teeth need to be extracted before orthodontics. Dr. Hsu Ci-juan, an orthodontist at Chengxin Dental Clinic in Kaohsiung, pointed out that whether or not to remove teeth for correction involves the oral space, the degree of clutter of the teeth, the facial shape and the overall treatment plan, which requires judgment and evaluation by a professional dentist.
Correction plans vary from person to person and precise examination is indispensable.
Dr. Xu Cijuan said that every correction plan undergoes careful and professional evaluation. In addition to helping patients record the appearance of their faces, they also need to take X-rays, take impressions, and completely record the internal conditions of the oral cavity. In addition, it is more important to listen to the patient’s needs and formulate a suitable correction plan according to the different chief complaints. The need for tooth extraction, the location and number of tooth extractions, and the choice of braces that the patient is most concerned about will all be properly discussed during the orthodontic consultation.
“If the teeth are severely uneven, and the mouth is obviously protruding and the teeth are protruding in appearance, it may be evaluated whether the teeth need to be extracted.” Dr. Xu Cijuan pointed out that the purpose of tooth extraction is to provide space that can be used to arrange the messy teeth into order, and also Or the front teeth can be pulled back to improve the angle of the teeth and the original convex side view. This is why after correction, the facial lines and facial features of certain patients look more three-dimensional and refined. Or if the tooth cannot be saved due to severe tooth decay, correction can close the missing tooth space and reduce the number of dentures that need to be made, or it can reallocate the missing tooth space to facilitate the production of denture implants.
Whether to extract wisdom teeth before correction depends on 2 key points
As for whether wisdom teeth need to be removed before correction? Dr. Xu Cijuan explained that if the wisdom teeth are in a healthy state and do not affect the cleaning of the correction process or the movement of the teeth, there is a chance that they will not be removed. On the contrary, if there is insufficient space in the mouth, or the wisdom teeth have a high probability of tooth decay or periodontal disease disease, it is strongly recommended to remove wisdom teeth.
“Many patients in the clinic are worried about whether tooth extraction will affect their daily life and oral health?” Dr. Xu Cijuan pointed out that before orthodontics, in addition to the messy dentition and difficulty in cleaning, which affects oral health, protruding mouth and protruding teeth, the teeth before correction also have other aesthetic problems. There is also often the problem of malocclusion, where the upper and lower teeth have less or uneven occlusal contact. After the correction is completed, the alignment of the teeth is restored and the bite relationship becomes closer. Alignment of the teeth also helps maintain oral health and reduces the risk of tooth decay or periodontal disease.
Dr. Xu Cijuan emphasized that in the process of teeth correction, many factors need to be considered comprehensively: from the oral cavity and appearance, as well as the patient’s age, living habits, complaints, medication history, etc., all are indispensable. It is recommended that patients thoroughly discuss the course of treatment with their attending dentist before treatment to help formulate a treatment plan that suits them and create the perfect smile curve in their mind.
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