Extraction Orthodontics vs. Non-Extraction Orthodontics: Which Choice Will Leave You Regret-Free?

When considering orthodontic treatment,

what is the biggest concern?

Will the orthodontic results be satisfying?

Will there be any side effects?

Will it hurt too much?

. .

They say healthy teeth need to be

extracted—will that be okay?

Hello. This is Ceramic Dental Clinic,

a Hakdong Station orthodontic dental clinic.

Before starting orthodontic treatment,

it is natural to have many worries and concerns,

from what people around you say to posts on the internet...

I think the role of a Hakdong Station orthodontic dental clinic is to share those concerns together

and carefully establish an orthodontic plan

that matches the patient’s perspective.

Among the many concerns, today we will look at

[ Whether extraction is necessary during orthodontic treatment ]

That is, extraction orthodontics & non-extraction orthodontics.

1. Cases where extraction orthodontics is needed

First, let’s look at when extraction orthodontics is necessary.

(1) When the teeth protrude

(2) When there is severe crowding

(3) When there is a tooth with severe decay

(4) When the left and right dentition are asymmetrical

When the teeth protrude or when there is severe crowding,

a space must be secured by extracting teeth so that the teeth can move

enough left/right/front/back,

which makes it possible to improve protrusion and tooth alignment.

Therefore, extraction orthodontics is recommended.

Also,

when there is severe decay that requires extraction,

or when the left-right dentition asymmetry is severe,

it is also recommended to proceed with orthodontic treatment after extraction.

2. Which teeth are extracted?

Generally, when counting from the front incisors in order,

the 4th teeth are the most preferred for extraction.

Teeth #4 and #5 are both premolars with the same function,

so compared with front teeth or molars,

they are considered teeth that play a lesser role.

Front teeth are used to cut food,

and molars are used to chew food thoroughly,

but premolars relatively do not perform such functions very much.

Meanwhile, if tooth #3 or #5 has severe decay,

the severely decayed tooth may be extracted,

and the opposite symmetrical tooth may also be extracted.

3. Cases where non-extraction orthodontics is performed

If extraction is not absolutely necessary,

it is better to consider non-extraction orthodontics first.

For example,

▶️ If there are many spaces between the teeth

▶️ If the teeth are congenitally small

If extraction orthodontics is performed, the teeth may be pulled in too much

and may look like a “sunken mouth,”

so non-extraction orthodontics is preferable.

Also,

▶️ In cases of deep bite

(when the upper teeth cover the lower teeth too much)

if extraction orthodontics is performed, the deep bite may worsen,

so non-extraction treatment is preferred.

If you are correcting protruding teeth,

a protrusion of about 2 to 3 mm can be improved without extraction

through arch expansion and backward movement of the molars.

4. Cases where extraction is recommended,

but non-extraction is chosen

At Hakdong Station orthodontic dental clinic,

we recommend extraction when there is severe protrusion, severe crowding,

or irregular tooth alignment,

but

if the patient (or guardian) strongly prefers non-extraction

due to resistance or fear of extraction,

treatment may proceed without extraction.

When orthodontic treatment is done this way,

the crooked teeth become evenly aligned,

but because there is not enough space,

the teeth are arranged more neatly overall,

and protrusion toward the front may appear.

In fact,

many people initially had non-extraction orthodontic treatment elsewhere,

and later come to Ceramic Dental Clinic

to undergo retreatment with extraction orthodontics.

5. If you are unsure whether extraction is needed or not?

Even from the dentist’s perspective, there are cases where it is difficult to decide

whether extraction should be performed or treatment should proceed without extraction.

If the degree of protrusion, tooth size,

and arch size place the case near the boundary between extraction and non-extraction,

it may be good to proceed without extraction for about 6 months first,

observe the progress,

and then make a re-diagnosis

and decide whether extraction is needed.

From the patient’s perspective as well, checking the changes in your face after 6 months

and discussing with the medical team which direction would be better

can lead to a wiser decision.

※ Detailed information about extraction orthodontics and non-extraction orthodontics,

as well as before-and-after treatment cases,

can be viewed through the video below.※

(You can see a detailed explanation from a specialist in orthodontics.)

Today we looked at extraction orthodontics and non-extraction orthodontics.

Whether to extract teeth or proceed without extraction

should be decided through careful diagnosis,

taking into account the degree of protrusion, crowding, and irregular alignment,

the condition of the arch bone,

and even the patient’s age group.

At Ceramic Dental Clinic, the Hakdong Station orthodontic dental clinic,

which prioritizes not only a beautiful smile but also dental health,

regain a confident and healthy smile!

If you would like an orthodontic consultation,

please click the button below!

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