17 doctors weighed in:
Extraction of 4 permanent teeth before orthodontia to relieve overcrowding. Is that still done?
17 doctors weighed in

Dr. Daniel Quon
Surgery - Oral & Maxillofacial
7 doctors agree
In brief: Yes
Your dentist and/or orthodontist may recommend extraction of teeth to allow for space to correct your crowding.
The number and specific teeth indicated for removal is determined after a thorough clinical examination and review of your diagnostic records have been performed and analyzed.

In brief: Yes
Your dentist and/or orthodontist may recommend extraction of teeth to allow for space to correct your crowding.
The number and specific teeth indicated for removal is determined after a thorough clinical examination and review of your diagnostic records have been performed and analyzed.
Dr. Daniel Quon
Dr. Daniel Quon
Thank
Dr. S. Jay Bowman
Dentistry - Orthodontics
4 doctors agree
In brief: Absolutely
The removal of premolars is a time-proven and evidence-based treatment that provides superior results for many patients in terms of stability, esthetics, and function.
However, is it critical that your situation be evaluated by a licensed orthodontic specialist to determine if extractions are best in your case.

In brief: Absolutely
The removal of premolars is a time-proven and evidence-based treatment that provides superior results for many patients in terms of stability, esthetics, and function.
However, is it critical that your situation be evaluated by a licensed orthodontic specialist to determine if extractions are best in your case.
Dr. S. Jay Bowman
Dr. S. Jay Bowman
Thank
Dr. Shawn Murray
Dentistry
4 doctors agree
In brief: Orthodontia
Yes, very much so.
Many attempts are made to treat patients without extractions with variable results. Bottom line--we can't grow bone to make room for all the teeth. Sometimes expanding the jaws will help but their are limitations. So, yes extractions still is a good option.

In brief: Orthodontia
Yes, very much so.
Many attempts are made to treat patients without extractions with variable results. Bottom line--we can't grow bone to make room for all the teeth. Sometimes expanding the jaws will help but their are limitations. So, yes extractions still is a good option.
Dr. Shawn Murray
Dr. Shawn Murray
Thank
3 doctors agree
In brief: Yes sometimes needed
It is always a good idea to have a goal of not extracting permanent teeth but occasionally it is unavoidable and definitely leads to the best result.
In order for the most functional as well as esthetic result the orthodontist needs to move the teeth to the positions best for facial balance and harmony. In 20-30% of the time this will require extractions and they should not be feared.

In brief: Yes sometimes needed
It is always a good idea to have a goal of not extracting permanent teeth but occasionally it is unavoidable and definitely leads to the best result.
In order for the most functional as well as esthetic result the orthodontist needs to move the teeth to the positions best for facial balance and harmony. In 20-30% of the time this will require extractions and they should not be feared.
Dr. Donald Rollofson
Dr. Donald Rollofson
Thank
Dr. Gregory Johnson
Dentistry - Orthodontics
1 doctor agrees
In brief: Teeth extractions
Tooth extractions are still a viable and utilized method of resolving crowding with orthodontic treatment - more often for non-growing patients.
These extractions may be avoided if the orthodontic treatment is started at an early age - first eval by 7.

In brief: Teeth extractions
Tooth extractions are still a viable and utilized method of resolving crowding with orthodontic treatment - more often for non-growing patients.
These extractions may be avoided if the orthodontic treatment is started at an early age - first eval by 7.
Dr. Gregory Johnson
Dr. Gregory Johnson
Thank
Dr. Arnold Malerman
Dentistry - Orthodontics
1 doctor agrees
In brief: Yes, but...
30 years ago we treated 70% of patients with 1 or more tooth extractions, and average time in treatment was 24 months.
Today only 30% of patients require extractions, and average time in treatment is 18 months. There are patients whose tooth-size to supporting bone-size ratio is so poor that the only way to make enough room to straighten teeth is with extractions.

In brief: Yes, but...
30 years ago we treated 70% of patients with 1 or more tooth extractions, and average time in treatment was 24 months.
Today only 30% of patients require extractions, and average time in treatment is 18 months. There are patients whose tooth-size to supporting bone-size ratio is so poor that the only way to make enough room to straighten teeth is with extractions.
Dr. Arnold Malerman
Dr. Arnold Malerman
Thank
Dr. David Schleimer
Dentistry - Orthodontics
1 doctor agrees
In brief: Yes
Extractions for orthodontics is still very much a viable treatment.
The percentage of teeth needing removal has dropped dramatically since the 60' or 70's. Some patients will not have the proper amount of bone to support all the teeth, and so we remove some. If the position of teeth is so extreme (buck teeth) then removal allows for changes made to enhance the facial profile. My practice @ 20%.

In brief: Yes
Extractions for orthodontics is still very much a viable treatment.
The percentage of teeth needing removal has dropped dramatically since the 60' or 70's. Some patients will not have the proper amount of bone to support all the teeth, and so we remove some. If the position of teeth is so extreme (buck teeth) then removal allows for changes made to enhance the facial profile. My practice @ 20%.
Dr. David Schleimer
Dr. David Schleimer
Thank
Dr. Cornelia Franz
Pediatrics
1 doctor agrees
In brief: Yes
Some people do not have room in their mouth for all their teeth.
. And extractions are done to make sure there is enough room for teeth to move into proper position without overcrowding.

In brief: Yes
Some people do not have room in their mouth for all their teeth.
. And extractions are done to make sure there is enough room for teeth to move into proper position without overcrowding.
Dr. Cornelia Franz
Dr. Cornelia Franz
Thank
Get help from a real doctor now
Dr. Jonathan Jassey
Board Certified, Pediatrics
13 years in practice
1M people helped
Continue
108,000 doctors available
Read more answers from doctors