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Are There Any Side Effects of Orthodontic Treatment with Premolar Extraction?? Because It Means Pulling Healthy Teeth...

Seoul Bardi Dental Clinic · ✅ 강동구 상일동역 서울바르디치과 · February 11, 2025

Hello^^ This is Ju-ri Lee, Chief Director of Seoul Bardi Dental Clinic. ​ When making an orthodontic diagnosis, there may be situations where a tooth must definitely be extracted....

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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: February 11, 2025

Translated at: April 20, 2026 at 6:10 PM

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

Hello^^

This is Ju-ri Lee, Chief Director of Seoul Bardi Dental Clinic.

When making an orthodontic diagnosis, there may be situations where a tooth must definitely be extracted.

I know that many patients would prefer to avoid extraction as much as possible, but...

To meet those needs,

there are cases where teeth must be extracted for the sake of the treatment results.

Are there any side effects of orthodontic treatment with premolar extraction?? Because it means pulling healthy teeth...

Because having to extract a healthy tooth feels burdensome,

and because you may wonder whether there will be any problems afterward,

I wrote this post.

Please focus and read for just 3 minutes!!

Are There Any Side Effects of Orthodontic Treatment with Premolar Extraction?? Because It Means Pulling Healthy Teeth... image 1

"Why do we have to extract teeth~?"

Are There Any Side Effects of Orthodontic Treatment with Premolar Extraction?? Because It Means Pulling Healthy Teeth... image 2

250203 Crooked teeth

If the jaw is small or there is not enough space,

teeth may overlap or protrude forward, creating protrusive lips.

Wisdom teeth may be extracted to create space,

but

when that is not feasible,

space may also be secured through orthodontic treatment with premolar extraction~

"Which teeth are extracted?"

If there is no cavity or gum disease,

but teeth are extracted for orthodontic purposes,

you may worry, "Will it be okay when I get older...?"

and "Are there any side effects of extraction orthodontics?"

Generally, the small molars,

premolars, are extracted.

Among the two premolars,

the fourth tooth is usually extracted,

but

depending on the orthodontic diagnosis,

the fifth tooth may also be extracted.

Are There Any Side Effects of Orthodontic Treatment with Premolar Extraction?? Because It Means Pulling Healthy Teeth... image 3

250203

The front teeth are extracted for aesthetic reasons,

and the molars play a major role in chewing function,

so the premolars are extracted.

They are located right around the curved part,

making them effective for improving crowded teeth,

and

compared with other teeth,

they perform relatively fewer functions~~

If unavoidable

(for example, if there is severe decay... or inflammation in the tooth and it must be extracted),

other teeth may also be extracted.

Are There Any Side Effects of Orthodontic Treatment with Premolar Extraction?? Because It Means Pulling Healthy Teeth... image 4

250203 You can secure this much space!

"Are there any side effects of extraction orthodontics?"

I understand your concerns very well.

If teeth are forced into alignment without extraction,

instead, the following side effects can occur.

Even after orthodontic treatment, the teeth may still not be evenly aligned,

and the lips may not move in as much as desired.

This means that even after treatment is finished, you may not be satisfied...

Side effects after extraction are part of the normal orthodontic process.

The roots may become shorter..

or the teeth may return to their original position..

These side effects can occur even with orthodontic treatment without extracting teeth,

and

this is something that can be prevented simply by wearing the retainer properly after treatment.

https://blog.naver.com/implant_master/223720625868

Are There Any Side Effects of Orthodontic Treatment with Premolar Extraction?? Because It Means Pulling Healthy Teeth... image 5

If premolar extraction orthodontics is truly necessary, please do not worry!

While undergoing orthodontic treatment, we also adjust the bite,

and because we complete treatment as though the teeth were originally not there,

you should not feel uncomfortable!!

It would be nice to be able to correct teeth without extraction,

(because patients’ feelings and ours are not that different...)

but

there are many cases where extraction is necessary to improve protrusive lips or resolve severe malocclusion.

The important thing is that we recommend extraction only when the benefits outweigh the drawbacks!!

Even if you have been told extraction is needed, please do not be too upset~

We are telling you this because we judged it was truly necessary.

Thank you!!!

This post was written directly by Seoul Bardi Dental Clinic for the purposes of providing medical information and promoting the clinic, in compliance with Article 56, Paragraph 1 of the Medical Service Act.

Please use the information provided only as a reference, and for an accurate understanding of your symptoms and proper management, please visit a medical institution and receive guidance from medical professionals.

All procedures/surgeries performed at the dental clinic may involve risks depending on the individual (such as inflammation, bleeding, swelling, etc.).

Please make your decision after sufficient consultation with medical professionals in advance.

The treatment cases in this post were photographed with the consent of patients who completed treatment at our clinic, and the before/after photos were taken under the same conditions.

#PremolarExtractionOrthodontics #ExtractionOrthodonticSideEffects

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