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Can't orthodontics be done without extracting teeth? Organizing extraction orthodontic cases!

Seoul Bardi Dental Clinic · ✅ 강동구 상일동역 서울바르디치과 · January 6, 2025

Hello~ I am Lee Juri, the chief director of Seoul Bardi Dental Clinic. These days, the importance of natural teeth patients know very well too. Because of that, many people want or...

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This page is an English translation of a Korean Naver Blog archive entry. For exact wording and source context, verify against the Korean archive original and the original Naver post.

Clinic: Seoul Bardi Dental Clinic

Original post date: January 6, 2025

Translated at: April 20, 2026 at 5:48 PM

Medical note: This translation does not guarantee medical accuracy or suitability for treatment decisions.

Hello~

I am Lee Juri, the chief director of Seoul Bardi Dental Clinic.

These days, the importance of natural teeth

patients know very well too.

Because of that, many people

want orthodontic treatment without extracting teeth.

After an orthodontic diagnosis, if I tell them that a tooth has to be extracted, I can sometimes see disappointed expressions on patients’ faces..

So today, I’d like to write about when teeth need to be extracted.

Can't orthodontics be done without extracting teeth? Organizing extraction orthodontic cases!

Can't orthodontics be done without extracting teeth? Organizing extraction orthodontic cases! image 1

Do teeth have to be extracted during orthodontic treatment?

Can't orthodontics be done without extracting teeth? Organizing extraction orthodontic cases! image 2 Can't orthodontics be done without extracting teeth? Organizing extraction orthodontic cases! image 3

Among people considering orthodontic treatment, many want to avoid tooth extraction. Just a quick search online will show that.

From the patient’s point of view, if the teeth are perfectly fine and usable.. It makes sense to wonder, “Do I really need to extract them?”

It would be nice if orthodontics could be done without extracting teeth, but in some cases, extraction is unavoidable.

In this post, I’ll explain why extractions are needed during orthodontic treatment and when they are necessary.

  1. Why is extraction needed?

The purpose of orthodontic treatment is to straighten the alignment of the teeth.

Aesthetic improvement comes naturally as a result, but in fact, the treatment is done to improve the teeth’ original function~

When teeth are crowded or there is not enough space, extraction is needed to secure space.

Can't orthodontics be done without extracting teeth? Organizing extraction orthodontic cases! image 4 241125

  1. When is extraction necessary?

The cases in which extraction is definitely necessary are as follows.

  1. Lack of space

You want to improve a crooked alignment, but there isn’t enough space for the teeth~

Because there isn’t enough space, there may be impacted teeth that erupt out of position~

These days, children often have narrow jaws, so their dental arches are narrow as well.

Can't orthodontics be done without extracting teeth? Organizing extraction orthodontic cases! image 5 241125

  1. Improving a protruding mouth

This is often called a “pouty mouth.”

In cases where the mouth sticks out prominently, extraction can be used to move the teeth backward and improve the mouth shape.

Of course, treatment can also be planned without extraction, but in that case, the protrusion may not improve as much as desired.

Because protruding mouths are often treated for aesthetic reasons, orthodontic treatment without extraction may be disappointing once treatment is finished!!

Can't orthodontics be done without extracting teeth? Organizing extraction orthodontic cases! image 6 230508

  1. When is extraction not absolutely necessary?

Not all orthodontic treatments require extraction. In the following cases, non-extraction orthodontic treatment may be possible!!

If space can be secured by extracting wisdom teeth, if there is enough room for tooth alignment, if jaw growth and development are favorable, for mild protrusion or mild alignment problems

...

There are various cases.

In the case of wisdom teeth, teeth do need to be extracted before orthodontic treatment, but they are not counted as part of the natural set of teeth.

Since they often cause problems when not properly managed, they are commonly extracted when starting orthodontic treatment.

If you can have your wisdom teeth removed and avoid extracting your own teeth, many people are happy about that~

Especially these days, due to advances in orthodontic appliances and technology, the trend is to minimize extraction.

Whether extraction is necessary should be decided by comprehensively considering the patient’s dental condition, skeletal structure, and bite condition~

For an accurate diagnosis, we take many X-rays and intraoral photos.

Even if this is a little difficult for patients, please understand that it is part of the process for satisfactory orthodontic treatment!!!

Can't orthodontics be done without extracting teeth? Organizing extraction orthodontic cases! image 7 250106

There are cases where extraction is absolutely necessary during orthodontic treatment, but not every case requires extraction.

Even with the same protruding mouth, whether extraction is needed depends on the degree, so an accurate diagnosis is the most important thing!!!

If orthodontic treatment is done incorrectly, the joy of chewing can disappear, and the jaw joint may start to hurt~

If you’re wondering about orthodontics without extraction, feel free to come in for a consultation anytime!

☎02-481-4278

The doctor in charge of orthodontic treatment is here on Mondays and Fridays!!!!

This was Director Lee Juri!!

| This post was written directly by Seoul Bardi Dental Clinic for the purpose of providing medical information and promoting the hospital in compliance with Article 56, Paragraph 1 of the Medical Service Act. We recommend that the information provided be used for reference only, and that symptoms and accurate management methods be explained by medical professionals after visiting a medical institution. All procedures/surgeries performed at the dental clinic may involve risks (such as inflammation, bleeding, and swelling) depending on the individual. Please make decisions after sufficient consultation with the medical staff in advance. The treatment cases in this post were photographed with the consent of patients who completed treatment at our clinic, and the before-and-after photos were taken under the same conditions. |

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