Scottsdale Dentist: Removing Teeth Before Straightening

“Sometimes you have to sacrifice something to gain something else.” In orthodontics, this quote aligns with a practical consideration before aligning your smile or your child’s. In this case, a straighter and more attractive smile is gained; the sacrifice you may have to make would be a few teeth hindering your case. This may be necessary if there are too many teeth present on an arch, where the teeth are considered crowding. A lack of space for teeth is the main reason misalignment occurs and why orthodontics can help.

Before we can correct a smile’s alignment, we will need to remove teeth that are crowded. The ideal candidates for removal are the teeth that are not highly visible. The first bicuspids are the most common choice for removal because they’re located behind the cuspids (the teeth located under the eyes that are pointy).

Ideally, we’ll remove the selected teeth a ways before treatment so that the gums have ample time to heal, as well as attempt to preserve the bone in the sites where the extractions occurred. The supporting bone left where a tooth was extracted doesn’t receive the same stimulation so it may die. Placing a bone graft in the empty socket immediately after removing the tooth can help bone stimulus and support for regrowth. With careful planning, the bone hopefully will be strong enough to proceed with orthodontic treatment.

Don’t worry, once orthodontic treatment begins, the teeth will shift to the spaces where you are missing teeth. The shifted teeth will fill out your smile and it will seem as though there were never missing teeth.

Orthodontic treatment with teeth extractions must be carefully planned and executed. It may take a few months to years to reach the full result. In the end, though, this complicated bite and crowding problem can be corrected with an attractive, straight smile.

If you would like more information on correcting a poor bite or straightening your smile – visit us today or go on our website Also, you can read more about this topic through the Dear Doctor magazine article