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Premolar Extraction in Orthodontics
Premolar extraction is often a key part of orthodontic treatment, especially when there's not enough space for teeth to align properly. At HQ Dental Design in Georgetown, we provide safe, comfortable extractions to help prepare your smile for braces. Call us at (512) 863-7561 to learn more.
To get ready for an orthodontic operation, premolar extraction could be required. especially to maintain and maximize the general function of a patient's teeth and jaw, premolar extraction can be necessary.
If you need to have a premolar extracted for orthodontic treatment, what can to expect from the necessary procedures? When would it make sense to proceed with this kind of extraction? Read our quick guide on premolar extractions performed for orthodontic purposes.
When Premolar Extraction Becomes Necessary?
The removal of one or more premolar teeth, is a common orthodontic treatment used to create space and improve alignment.
The most important things to think about are as follows:
- ● The process could be the only method to provide space for crowded or protruding teeth to be corrected.
- ● A premolar extraction is the best course of action in cases when there is an important, easily apparent difference in arch length.
- ● Your doctor can choose to treat your bad bite with or without removing permanent, healthy teeth, depending on the level of dental crowding or discrepancy and the patient's age.
- ● In some cases, reducing the horizontal gap between the upper and lower front teeth may require retracting the top front teeth.
- ● To reduce the vertical height of the face or correct the angle of the anterior teeth, a premolar extraction could also be required.
Do Premolar Extractions Have a Negative Effect?
Do you want to know whether you can live without a premolar? Yes, you can. Premolar extractions aren't always the best option, but they're also not always unpleasant as long as you speak with your dentist or orthodontist to make sure it's the best one for you. The following are some disadvantages you should be aware of:
- ● Face shape changes: If several teeth are extracted during a premolar extraction, you may notice a slight change in your face.
- ● Biting changes: Improper technique can impact your bite, causing pain or even issues with performance.
- ● Teeth shifting: If the space created by the extraction is not addressed with the proper orthodontic solutions, teeth can slowly shift.
It's always advisable to discuss it with your dentist, who can guide you in balancing the risks and advantages to decide whether extraction is the best choice for you.
For Orthodontic Purposes, Which Premolars Are Extracted?
Usually, orthodontics is used to extract the first premolar teeth. Because the first and second premolars are situated between the molars and the canine teeth, they can be removed without harming their appearance or performance. Several teeth are involved in this treatment, including all four premolars, one front lower tooth, two top or bottom premolars, and the second large back teeth from both sides.
Removing a premolar can Slightly Change your Facial Appearance.
Patients often worry that having their premolars removed may change the way their faces look. Since one of the primary goals of orthodontic treatment is to provide an attractive look, facial profile, and soft tissue concerns do play an important part in diagnostic and treatment planning.
Since roots are an essential part of the face, every tooth extraction may have an impact on the patient's facial structure and appearance. A single tooth extraction, however, is not going to cause an important or obvious alteration in the structure and form of the face.
Is it Difficult to Remove Premolars?
An expert dental surgeon is not going to have difficulties during the extraction process, even if it is normally challenging to remove a tooth with several roots, as can be the case with premolars. This is especially true if the roots are bending crooked, or hook-like, as they usually are. With the clear risks, an oral surgeon would carefully design the process to prevent the need for excessive power, which might cause injury to the gums and jawbone or breakage during extraction.
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