I see a lot of people confused about whether they should accept extraction-based orthodontic plans, so here’s a simple way to think about it.
1. Extractions aren't always bad - but should be minimal
If your orthodontist recommends removing 1–2 teeth to deal with mild–moderate crowding, that’s pretty normal and often the most stable solution. Small extraction plans can create space without compromising facial balance. You could opt for the headgear if needed but this is a pain and not worth it imo.
2. look at ur profile not just ur teeth
If you already have a recessed or flat side profile, extracting several teeth (especially 4) can sometimes make that look even more sunken. In those cases, non-extraction methods like expansion or arch development are often better for both aesthetics and breathing space. This is an example of what an extraction of 4+ teeth can do.(this isnt 100% likely but keep this in mind)
3. Expansion is worth discussing.
Modern orthodontics tends to favor widening the arches when possible, because it preserves facial structure and can improve tongue space and airflow. If your crowding is mild or your profile is already recessed, definitely ask whether expansion or arch development is an option. Pic of before and after expansion.
4. Always ask for your diagnosis in detail.
Before accepting extractions, ask your ortho:
– What’s my crowding measurement in millimeters?
– What will extractions do to my profile?
– Do you have before/after examples of similar patients?(Remember that ur ortho will show u the worst possible outcome, like in Picture 1 so they can grape u of money)
Bottom line:
Minimal extractions can be totally fine. But if you have a recessed profile or if the plan involves multiple extractions, it’s smart to ask about expansion-based approaches before committing, if not possible consider private options,reply w
if you would like me to talk about some private options.
1. Extractions aren't always bad - but should be minimal
If your orthodontist recommends removing 1–2 teeth to deal with mild–moderate crowding, that’s pretty normal and often the most stable solution. Small extraction plans can create space without compromising facial balance. You could opt for the headgear if needed but this is a pain and not worth it imo.
2. look at ur profile not just ur teeth
If you already have a recessed or flat side profile, extracting several teeth (especially 4) can sometimes make that look even more sunken. In those cases, non-extraction methods like expansion or arch development are often better for both aesthetics and breathing space. This is an example of what an extraction of 4+ teeth can do.(this isnt 100% likely but keep this in mind)
3. Expansion is worth discussing.
Modern orthodontics tends to favor widening the arches when possible, because it preserves facial structure and can improve tongue space and airflow. If your crowding is mild or your profile is already recessed, definitely ask whether expansion or arch development is an option. Pic of before and after expansion.
4. Always ask for your diagnosis in detail.
Before accepting extractions, ask your ortho:
– What’s my crowding measurement in millimeters?
– What will extractions do to my profile?
– Do you have before/after examples of similar patients?(Remember that ur ortho will show u the worst possible outcome, like in Picture 1 so they can grape u of money)
Bottom line:
Minimal extractions can be totally fine. But if you have a recessed profile or if the plan involves multiple extractions, it’s smart to ask about expansion-based approaches before committing, if not possible consider private options,reply w
if you would like me to talk about some private options.
