• Blog >
  • We may Need to Remove one or More Teeth Before Applying Braces
RSS Feed

We may Need to Remove one or More Teeth Before Applying Braces

WemayNeedtoRemoveoneorMoreTeethBeforeApplyingBraces

“To gain something, sometimes you have to give up something else.”

No, that isn't the latest viral meme on the Internet. It's actually a practical consideration that could arise in orthodontics.

In this case, the “something” to gain is a straighter, more attractive smile; the “something” you may have to part with is a few teeth. This may be necessary if there are too many teeth on a dental arch for its capacity, a situation called crowding. A lack of space is the main reason teeth come in misaligned.

Before we can correct this, we'll need to free up space to allow for tooth movement by removing one or more of the existing teeth. The ideal candidates are those that are near to the teeth we wish to move but not highly visible. The first bicuspids are the most frequent choices for removal: they're located behind the cuspids or eyeteeth (the pointed teeth right under the eyes).

Ideally, we'll remove the target teeth some time before we apply braces to give the gums a chance to heal. At the same time we want to preserve the bone that once supported the teeth we've extracted. This is because when we chew the forces generated by the teeth stimulates bone replacement growth. When a tooth is no longer there the supporting bone doesn't receive this stimulation and may ultimately reduce in volume.

We may try to prevent this by placing a bone graft in the empty socket immediately after removing the tooth. The graft serves as a scaffold to encourage new bone to grow. Hopefully when we're ready to apply braces, the bone will be strong and healthy to handle the movement of the teeth.

As the teeth move under the influence of braces, they'll begin to fill up the space created by tooth removal. Once it's completed, the extracted teeth won't be missed — the other teeth now straightened will completely fill out the smile.

The different steps in this process must be carefully planned and executed precisely, and it will take months or even years to complete. In the end, though, this complicated bite problem can be corrected and replaced with an attractive, straight smile.

If you would like more information on correcting a poor bite, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Tooth Removal for Orthodontic Reasons.”

Our Location

Find us on the map

Hours of Operation

Our Regular Schedule

Monday:

8:10 am-4:30 pm

Tuesday:

8:10 am-2:00 pm

Wednesday:

8:10 am-4:30 pm

Thursday:

8:10 am-4:30 pm

Friday:

Closed

Saturday:

Closed

Sunday:

Closed

Testimonials

What Our Clients Say About Us

  • "Dr. Ike is personable, knowledgeable & treats you like a VIP client. His office & staff are highly trained & professional. He makes going to the dentist fun & painless. Thank Dr. Ike for your great service!"
    Tammie S. - Yelp
  • "This is the best office ever! I have never left this office feeling dissatisfied in any way. Everyone here is so kind and considerate, my hygienist is always so efficient and I have never experienced any pain or discomfort since I started coming here in 2012. This place is the best I would give them 6 stars if I could."
    Kabel B. - Yelp
  • "Dr Rahimi and his staff are wonderfull. I had to have dental implants and they were so kind and understanding. They helped me work with my insurance and my budget so that the work could get done as painlesly as possible. Dr rahimi takes extra care to make sure you are comfortable and also does the work with absolutely no pain at all. My new teeth look wonderfull! It's like they have always been there! He and his staff are always joyfull and make you feel like you are old friends. He is the best dentist i have ever gone to!"
    Sue H. - Yelp
  • "Dr. Rahimi and his staff, new employees and old timers, are always pleasant, professional and fun. I saw the hygenist today and she's great. She remembers everything about us and asks questions about how we are. It feels like we've know each other for years. And she does a wonderful job cleaning mine and my 12 year old daughters teeth. What more can I ask for. Oh and they have wonderful coffee to boot."
    Laura Culver - Google
  • "Dr. Ike really cares about his patients! I have thin teeth and the team makes a real effort to help with the pain and offer solutions."
    JS - Facebook