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Why Extractions Are Necessary During Orthodontic Treatment (Non-Extraction Orthodontics)

Gangnam Saero Dental Clinic · 강남새로치과 공식블로그 · June 26, 2025

Extraction orthodontics and non-extraction orthodontics Reasons for extraction orthodontics, reasons for non-extraction orthodontics Non-extraction orthodontics Most people who dec...

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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: Gangnam Saero Dental Clinic

Original post date: June 26, 2025

Translated at: April 20, 2026 at 4:34 PM

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

Why Extractions Are Necessary During Orthodontic Treatment (Non-Extraction Orthodontics) image 1

Extraction orthodontics and non-extraction orthodontics

Reasons for extraction orthodontics, reasons for non-extraction orthodontics

Non-extraction orthodontics

Most people who decide to get orthodontic treatment

prefer non-extraction orthodontics over extraction orthodontics.

This is because it is easy to find many online reviews saying that

extraction orthodontics can lead to negative facial results.

So when a clinic says that tooth extraction is necessary for orthodontic treatment,

some people hesitate and delay treatment.

If you understand the reasons for extraction orthodontics and non-extraction orthodontics,

you will learn which orthodontic approach is best for you,

and you will also understand that non-extraction orthodontics is not the only good treatment option.

Facial changes after extraction orthodontics

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The most common reviews about facial changes after extraction orthodontics are

deeper wrinkles, a longer-looking chin, and sunken cheeks.

Extraction orthodontics can cause these facial changes,

but if you consider the cause, they can be sufficiently prevented.

Reason for facial changes: weight loss

When extraction is said to be necessary during orthodontic treatment,

wisdom teeth or premolars are usually extracted.

Extraction involves severe pain,

and to avoid putting stress on the extraction site,

we recommend eating porridge instead of regular meals.

As a result, the 300 to 500 calories from porridge

can lead to weight loss,

which may make people think that deeper wrinkles or sunken cheeks have appeared because of this.

Reason for facial changes: incorrect treatment plan

A longer-looking chin can be a result that appears during treatment for protrusive mouth correction.

If the front-positioned teeth and gums are forcefully pulled backward,

this can happen.

This can also tip the teeth backward

and pull the upper jaw too far in, creating the effect of a more prominent chin.

If the medical team carefully considers the timing and speed of tooth movement

when planning treatment, this facial change can be sufficiently prevented.

Reason for facial changes: insufficient treatment experience

In some cases, the medical team’s lack of treatment experience

can also cause deeper wrinkles, a longer-looking chin, and sunken cheeks.

When establishing a treatment plan to move the teeth and gums,

the patient’s skeletal structure, muscles, and skin must be considered comprehensively

so that the facial changes mentioned above do not occur.

Reasons for extraction orthodontics

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Creating gum space

One of the reasons for extraction orthodontics

is to secure enough space in the gums.

If the jawbone, gums, or dental arch are narrow or small,

permanent teeth can overlap as they grow.

These crowded teeth are caused by a lack of space,

so space must be created in order to align the overlapping teeth properly.

Correcting protrusive mouth

Another reason for extraction orthodontics

is to correct a protrusive mouth.

If the teeth and gums are protruded forward,

space is needed behind them

to pull them backward.

Reasons for non-extraction orthodontics

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If we have seen that the common point behind the reasons for extraction orthodontics is securing space,

then by contrast, when there is already enough space

for the teeth and gums to move,

that can become a reason for non-extraction orthodontics.

If there is enough room in the gums,

if the protrusion is not severe,

if the teeth are not overlapping,

if you are trying to correct spaced teeth,

and if the jawbone and gums are not narrow or small,

then non-extraction orthodontics is possible instead of extraction orthodontics.

Extraction orthodontics clinic, non-extraction orthodontics clinic

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Gangnam Station Orthodontic Clinic

Focused on non-extraction orthodontics

Accurate diagnosis for extraction orthodontics

Gangnam Saero Dental Clinic, where Director Jeon Jae-min is available,

can deliver effects similar to the positive facial changes seen in celebrities.

Gangnam Station Dental Clinic

Dental clinic near Gangnam Station

Evening dental clinic near Gangnam Station

3 to 5 minutes on foot between Gangnam Station and Sinnonhyeon Station

Parking available

A new smile

A new beginning

This is Gangnam Saero Dental Clinic.

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