Dental specialists remind everyone that orthodontic treatment sometimes requires tooth extraction, but not all orthodontic patients need teeth removed—this depends on individual circumstances. Approximately half of patients require extractions. The primary goal of extraction is to create sufficient space for repositioning teeth crowded by overcrowding. The specific objectives are as follows: (1) Utilizing the extraction space to align crowded teeth. Patients with Class II-III crowding are more likely to require extractions. (2) Using the extraction space to retract anterior teeth, improving arch alignment.(1) Utilizing the space created by extraction to align crowded teeth. Patients with Class II-III crowding are more likely to require extractions.
(2) Using the extraction space to retract anterior teeth, reducing arch protrusion and improving facial profile. For instance, individuals with prominent lips may experience reduced lip protrusion and a more aesthetically pleasing facial appearance after orthodontic correction involving extractions.
(3) To adjust posterior occlusion using the space created by extraction, achieving optimal interlocking of cusps and fossae for maximum contact area and peak chewing efficiency.
What are the potential risks of tooth extraction?
(1) Post-extraction alveolar osteitis: Inflammation of the tooth socket following orthodontic extraction typically occurs within 2-5 days post-procedure, presenting as severe pain at the extraction site.
(2) Post-extraction complications: These include prolonged bleeding from the extraction site and swelling. These symptoms generally resolve within a few days.
(3) Nerve damage from extraction: Orthodontic extractions may affect two types of nerves—one on the left and one on the right. Such nerve damage is rare and usually temporary. However, in some cases, nerve damage can be prolonged or even permanent, necessitating consultation with a dentist before orthodontic extraction.
Extractions before orthodontic treatment pose no harm to your health. Your dentist will determine whether extractions are necessary and how many teeth need removal based on your individual situation. Therefore, even if you require four extractions during orthodontic treatment, there is no need to panic. With the desire to enhance your appearance, the process becomes much easier afterward. Beauty does come at a cost.