Removal 4. View full version. Is it necessary to remove teeth for braces?

Before installing braces, it is important to completely cure all existing diseases of the oral cavity, clean them from stone and plaque. Often it is also necessary to remove the quads for braces. The dentist can determine whether this needs to be done in a particular case.

Why do you need to remove teeth when installing braces?

When installing braces, it is often simply necessary to remove the fourth and eighth organs in the dentition. This is due to the fact that all 32 teeth cannot fit exactly in one row, especially in the case of a large jaw with large molars. Certain areas of the jaw may deviate sideways or upwards from the main row. If, during the installation of alignment systems, the patient does not have all of his wisdom teeth (eights), it is necessary to remove them.

The main reasons for the need to remove fours and eights:

  1. It is important to place all teeth in the jaw in one row, avoiding displacement. If you leave all the molars in place, the procedure of wearing braces may result in the inability of the dentition to become straight, due to the lack of space for moving crooked chewing elements.
  2. In order to maintain symmetry and the correct oval of the patient’s face, they resort to removing figure eights.

When removing interfering teeth, the doctor thinks ahead about the future health and aesthetic condition of the patient’s smile. After all, at the time of the procedure, the patient may not have any interfering elements for braces, but the specialist knows that as the teeth are aligned, over time there will be an acute shortage of free space. In this case, installing leveling systems is useless.

Of course, no doctor will simply remove a healthy organ without good reason. Depending on the characteristics of a particular case, he can remove figure eights on both jaws, or he can limit himself to one element of the jaw.

It may be necessary to remove a wisdom tooth or molar that has not yet erupted, so the doctor prevents treatment from going in the wrong direction. After all, the figure eight can erupt when the braces are already installed and only harm its owner. A specialist can make such a decision only on the basis of a photograph of the jaw.

Preparation for the procedure

  1. Before installing braces, the orthodontist must examine the patient’s facial structure and oral cavity. Features of the face and jaw are determined using CT and x-rays. The doctor also carefully examines a photograph of the face and a model of the jaw made of plaster.
  2. The examination is followed by treatment of the entire oral cavity. Caries or other diseases of the oral cavity must be eradicated to avoid unpleasant consequences. Considerable attention should be paid to the gums, as inflamed soft tissues can lead to discomfort when wearing braces.
  3. It is important to clean the dental surface on which braces will be installed from stones and plaque in order to install the structure on a clean dentition.
  4. In some cases, there is a need for remineralization and fluoridation. The orthodontist may also refer the patient to a special hygienist who provides thorough oral hygiene.

What teeth are most often removed?

In addition to all of the above procedures to prepare for the installation of an orthodontic device, the doctor can remove from two to four “interfering” teeth. And some cases are limited to the removal of only one organ of the jaw. Each patient is individual.

Which jaw organs often have to be abandoned:

  1. Removal of premolars (fives) and fours is the most common. Removal can occur already during the preparation period, or immediately before the procedure for installing braces. Premolars are removed symmetrically on each side to prevent the front teeth from protruding.
  2. Molars (sixes) are rarely removed, only if they are destroyed or there is an infection in the roots. If a patient has had their sixes removed, he will have to wear braces for 5-6 months longer.
  3. Removing eights is a controversial issue. It all depends on the specific case and the specialist’s vision of the situation. Often, as such teeth grow, they can deviate towards the neighboring one, thus shifting the entire row. Then there is a need to remove them.

Emergency tooth extraction

While the patient is wearing an orthodontic appliance, access to his teeth is limited. Therefore, before installing it, it is advisable to cure all organs of the oral cavity. If there are teeth that cannot be treated (for example, in case of severe caries), they must be removed.

Is it possible to get braces if one tooth is missing?

The absence of one organ in the dentition frees up space and allows neighboring ones to bend or move towards it. To form a correct bite, this space must be closed. In this case, it is advisable to use an implant, with the help of which the entire dentition will be restored, and restoration of the bite will give an excellent result.

The procedure for installing braces itself is not easy and sometimes requires the removal of healthy jaw organs, which greatly worries many patients.

Let's consider the benefits that the patient will receive after installing braces with the possible removal of one or more teeth:

  • the patient’s dentition becomes beautiful and straight throughout his life;
  • the patient protects himself from possible problems with eights (if they are removed) in later life; these teeth often cause discomfort and deteriorate quite quickly;
  • people without eighth teeth have an excellent bite, they are generally low-functional, and their removal will not affect the beauty and functionality of the remaining teeth; many dentists consider them unnecessary;
  • The eruption of figure eights will not lead to crooked front teeth if they are removed in advance.

Is it necessary to remove teeth for braces?

Many people who decide to get braces have no idea that they may need to have any teeth removed. It should be understood that the orthodontic appliance is installed with the aim of obtaining a correct bite, beauty and alignment of the entire dentition. Therefore, if the patient has sick, crooked or too large jaws that do not fit into the range of organs of the jaw, it is unacceptable when installing braces. We need to get rid of them.

The doctor determines whether it is necessary to remove teeth and which ones based on the results obtained after a thorough examination of the oral cavity, x-rays of the jaws, plaster casts and other examination methods. So the picture of the jaw organs that can be aligned becomes clear, but the rest need to be gotten rid of. In some cases, it becomes necessary to remove completely healthy teeth.

This is interesting! It is often necessary to remove teeth not only for braces, but also for implants, for six or more (when restoring a full row of teeth). This is due to their poor condition, mobility, impaired aesthetics, and so on.

Should I be afraid of the consequences of tooth extraction for braces?

Patients’ concerns about the removal of healthy teeth before installing braces are understandable. After all, the hole formed in the row is really alarming.

An experienced and qualified doctor can explain to the patient that after the braces system there will be no gap between the teeth, even where they were torn out. The teeth align, forming a common, beautiful row.

With an understanding of all the advantages obtained as a result of the removal of interfering organs of the jaw and the consequences possible if this procedure is not performed, the patient already agrees with the doctor. After all, removing molars or premolars to install braces is not a whim of a specialist, but often really a necessity.

Achieving the beautiful smile you desire is not so easy. Before installing braces, you need to treat the entire oral cavity, clean it from stones and plaque, and sometimes remove teeth that can interfere with alignment. This is the only way to become the owner of a perfect smile!

Is it possible to install a fixed structure without removing healthy teeth?

Lost teeth can no longer be restored, and this fact excites the imagination of many patients who are offered to remove molars before installing braces.

The presence of eights in the dentition, as recent dental studies show, is not necessary at all. These organs are called by many experts an evolutionary error. They are not at all useful. Therefore, removing figure eights for braces should not alarm the patient. Having lost them, they will not lose any functional qualities of the jaw, but, on the contrary, will acquire a beautiful smile and ideal dentition.

If you need to pull out fours, the situation is a little different. After all, these are the organs of the jaw that are actively involved in the process of chewing food. They are removed only in a situation with subsequent relocation and replacement of the void.

In a situation with canines that protrude too much from the general row or, on the contrary, fall into it, the fours must be removed. After all, removing the fangs themselves will be visible and will not make the smile beautiful, and fours are teeth with small roots, which are easiest to remove. This will free up space and the fangs will be able to fit straight into the dentition.

Is it possible to remove it if the braces system is already installed?

Note: It is advisable to carry out all preparatory procedures, including the removal of interfering teeth, before installing braces.

But the occurrence of a jaw injury and other situations when a braces system is already in place can lead to the need to remove the jaw organs when the structure is already installed.

In such a situation, the orthodontic arch is cut to the fangs, the molars are freed from the clasps and removal is performed. In this case, the bracket system continues its work in the same rhythm.

Cost of tooth extraction when installing braces

The price for removing fours is approximately a thousand rubles. This procedure, accompanied by taking an x-ray, costs twice as much.

Removal of unerupted figure eights is an operation performed under general anesthesia. This procedure costs about 5 thousand rubles.

No matter how long and unpleasant the treatment with braces may be. The result - straight teeth and a beautiful smile - is worth it!

Video on the topic

Installing braces is a rather labor-intensive procedure that does not tolerate haste and rash decisions. Many additional examinations and tests may be required for the doctor to outline the most optimal course for correcting the bite. Unfortunately, you often have to deal with tooth extraction when installing braces. However, such a radical procedure may bypass you. Why is it necessary to remove teeth? Is it possible to do without this step? Find answers to these questions in our article.

Preparatory activities

Before proceeding with the installation of an orthodontic device, an experienced doctor will definitely conduct a thorough examination of the person’s oral cavity and facial structure. Based on X-rays, and in some cases computed tomography, the specialist determines the features of a specific maxillofacial system. The orthodontist will also analyze a high-resolution photo of the visitor's face and a plaster model of his jaw.

  1. After the examination, if necessary, the person who wants to correct the bite will be offered to treat problem teeth. Even minor caries should not go unnoticed by a specialist. After all, in the future this may have a negative impact after braces.
  2. Any gum disease should also be addressed. Inflammation of soft tissues threatens complications and serious discomfort after installation of braces.
  3. Braces must be installed on a perfectly clean surface. Therefore, be sure to remove all plaque and deposits on the enamel.
  4. If necessary, the orthodontist may prescribe fluoridation and remineralization of teeth. He may also recommend careful oral hygiene performed by a professional hygienist.

The installation of braces is preceded by a whole range of measures, many of which will not harm even those people who do not intend to correct their bite. However, often a specialist may insist that 2 or even 4 teeth should be removed. Why is this necessary? What are the indications for removal? Read about this in the next section of our article.

Why are teeth removed?

In most cases, braces do not require the unpleasant procedure of pulling teeth. But it also happens that it is simply necessary to remove some teeth. This will ensure the best effect from installing the braces system. The specialist you trusted will definitely inform you about why he decided to take this extreme step.

  1. Some teeth can prevent the rest from positioning beautifully and evenly in the dentition. Without their removal, subsequent installation of the braces system will be simply pointless.
  2. Sometimes it may be necessary to remove unnecessary teeth in order for your profile to end up beautiful, symmetrical and harmonious.
  3. Perhaps you have a decayed tooth that can no longer be cured or restored. It must also be eliminated before the specialist begins installing braces.

Of course, the final decision about whether to remove teeth or not must be made by the patient. But remember that if the orthodontist sees the need for this procedure and gives compelling arguments in favor of its implementation, then it is better to listen to his opinion. After all, you are also interested in the fact that braces give the desired result.

What teeth are most often removed?

In many cases, patients are faced with symmetrical tooth extraction before installing braces. That is, for example, you will be asked to get rid of fours or eights, one on each side. However, in some cases, only one tooth needs to be removed. Trust an experienced specialist in this matter.

  1. Removing quads is a fairly common procedure before installing an orthodontic device. However, often the 4th teeth are not removed immediately. The doctor can save them until a certain point so that the smile remains beautiful for as long as possible. Then the fours have to be abandoned.
  2. The sixth teeth are removed due to their severe destruction or infectious damage to the roots. If you lose your sixes, you will have to wear braces a little longer. The course is extended for approximately six months.
  3. The number eight causes the most controversy among dentists. There is no consensus on the removal of wisdom teeth. The doctor may suggest that you get rid of the eights both at the beginning of the examination and before the installation of the orthodontic apparatus. Sometimes it is advisable to consult not one orthodontist, but several at once. Most often, the eights are removed as a safety net, so that the result of the entire course is guaranteed not to be spoiled, and the effect of braces after tooth extraction is maximum.

The prospect of having 2 or even 4 teeth removed can frighten anyone, especially if a person’s dental system is already far from ideal. But experienced professionals are confident in their abilities and want braces to be as effective as possible. Therefore, you should trust them, because as a result you will get a perfect bite and a beautiful smile.

Is it possible to avoid deletion?

Everyone wants to show off an attractive smile, but not everyone will decide to part with a perfectly healthy tooth. After all, sometimes we are not even talking about one, but about 2 or 4 teeth. However, you don’t really want to appear in public with gaps in your jaw line. This extreme measure is not necessary in all cases. Let's consider situations where braces can be installed without this unpleasant procedure.

  • A person does not have severe crowding of teeth and obvious discrepancies in their sizes.
  • There is no significant movement of the upper row of teeth forward, and the lower row back.
  • The tilt of the teeth is not very pronounced forward and does not interfere with the natural closing of the lips.

In these cases, braces can often be installed without removing teeth. Always listen to the opinion of the orthodontist. But even if you still have to part with one or more teeth before installing orthodontic systems, do not be afraid or worry. In modern conditions, tooth extraction takes place without serious discomfort for both adults and children.

Braces are one of the best ways to create a perfect smile. But no one promises that the course of wearing an orthodontic system will be quick and easy. Be prepared that you may be asked to part with some teeth before installation. Believe me, the doctor insists on this not on his own whim, but only because it is necessary to achieve a better effect in the future. In conclusion, we invite you to watch an interesting video from which you will learn about the problems that wisdom teeth sometimes cause, as well as why its removal is necessary in some cases.

02.05.2010, 22:06

Good evening! I ask for your advice and support. My daughter is 20 years old. The teeth were all healthy, but the upper canines were overhanging and did not fit into the dentition. It was decided to put on braces (Daimon3). The attending physician suggested treatment with the removal of four eights. Eights removed and teeth in braces for 4 months. The fangs fell into place, but the front teeth moved forward and now the question arose about removing four more teeth (4 or 5) :ai:. The doctor says it doesn’t matter which ones. We trust the doctor, but I would like to know your opinion.
Question:
1. Is there any alternative treatment? It’s a pity to lose 4 more healthy teeth.
2. If you do remove it, is it possible to remove only the top ones?
3. Which ones are better to delete (4 or 5)?
4. Will there be gaps between the teeth later?
5. Why were 8 problem-free teeth removed?
Thank you in advance.

03.05.2010, 16:06

In fact, before orthodontic treatment, a calculation of this treatment is made, based on which the doctor, before starting treatment, can (and should) confidently and definitely say how long the treatment will last and which teeth will have to be removed. Let’s say, additional tooth extraction is undesirable and, having worked with orthodontists in parallel for a long time, I have never seen such an approach in orthodontic treatment. consult another doctor.

03.05.2010, 16:37

Calculations were made and the doctor said that it would most likely be possible without removing 4-5 teeth, but it turns out differently...
If possible, please look at the pictures.


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Thank you.

04.05.2010, 00:24

How long after the start of treatment were these pictures taken?

04.05.2010, 12:14

ORTO was done before the start of treatment (before removal of the figure eights) in December, and TRG and photos a week ago.

04.05.2010, 14:53

Well, if the doctor assumed the possible removal of so many teeth, then this speaks in his favor. Although, you should still consult with another orthodontist.

04.05.2010, 15:14

Necessarily. The removal of eight healthy teeth is very alarming to me (to put it mildly).

06.05.2010, 20:21

Damon damn...

And what SPECIFIC teeth are you planning to remove? 4-5 is not the answer. Orthodontics is an exact science. I’m too lazy to calculate trg, and besides, I also need to calculate models, so I can’t give an exact answer.
The choice of teeth to be removed is based at least on the calculation of the models (degree of crowding, in mm), assessment of the inclination of the incisors, the underlying skeletal discrepancy between the jaws and in the skull as a whole, both in the anteroposterior and vertical planes.
Now for the questions:
1. Is there any alternative treatment? It’s a pity to lose 4 more healthy teeth. Already answered. But it is 100% certain that some teeth MUST be removed. (2 or 4 - I don’t know)
2. If you do remove it, is it possible to remove only the top ones? (see answer 1)
3. Which ones are better to delete (4 or 5)? (see first)
4. Will there be gaps between the teeth later? If everything is done correctly, and the roots are aligned AFTER the gaps are closed, which is problematic with a daemon, but it is possible, it will not happen.
5. Why were 8 problem-free teeth removed? In any case, 8 teeth must be removed. There's no point in them. Only problems. We won't go deeper. Be glad that this is already behind you.

06.05.2010, 21:09

5. Why were 8 problem-free teeth removed? In any case, 8 teeth must be removed. There's no point in them. Only problems. We won't go deeper.

Since I’m not a dentist, I’ll quote an opinion from a dental magazine (eights are called third molars abroad):

Prophylactic extraction of impacted lower third molars in the absence of specific medical and surgical conditions should be discontinued. The decision to extract or not to extract impacted third molars should be individualized, rather than generalized. All patients with impacted third molars should be evaluated and treatment planned based on their individual presentation, and should not be subjected to a “standardized generic treatment protocol.” Extraction of impacted third molars should be limited to those teeth with well-defined medical, surgical, or pathologic indications.

---
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006 Oct;102(4):448-52.
Do pathologies associated with impacted lower third molars justify prophylactic removal? A critical review of the literature.

By analogy, surgeons should remove everyone’s appendix - after all, it is of no use, but only problems, including appendicitis...

06.05.2010, 21:20

It seems to me that there is some kind of misunderstanding. It’s one thing when such removal is indicated for some reason (including orthodontic), but if there are no such reasons, then there’s no point in removing it “just like that.”

06.05.2010, 23:41

about magazines and the like. I adhere to the concept of prof. Sadao Sato regarding 8 teeth. In America it has just begun to gain momentum. If you pay attention, Japan and Korea are the “driving” force of the same AJO-DO. After getting acquainted with their methods, my practice and results changed...

06.05.2010, 23:55

Could you be more specific about the above? there is nothing in the link except “The benefits for you: Reduce tooth extractions” - what is it for? As far as the capabilities of the Internet allow us to judge, this doctor has not written anything in normal peer-reviewed medical reports. magazines on the fate of healthy eights. Japan and Korea are simply countries where dentistry is on par with European or North American dentistry, and no one randomly coming from these countries can automatically be considered a driving force for anything...

07.05.2010, 00:03

Just in case: a Cochrane review on the topic from the perspective of evidence-based medicine - No evidence was found to support or refute routine prophylactic removal of asymptomatic impacted wisdom teeth in adults. There is some reliable evidence that suggests that the prophylactic removal of asymptomatic impacted wisdom teeth in adolescents neither reduces nor prevents late incisor crowding.
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Cochrane Database Syst Rev. 2005 Apr 18;(2):CD003879.
Interventions for treating asymptomatic impacted wisdom teeth in adolescents and adults.

07.05.2010, 00:18

I absolutely agree with you. The Cochrane evidence base says so. In modern evidence-based medicine there are no clear arguments for the removal of the eighth teeth, as well as their connection with a possible relapse.
Therefore, preventive removal is hardly justified.
But. For example, I believe that if there are eighth tooth buds and mesial inclination of the second molars (according to optg, in particular), I RECOMMEND removing the eighth tooth buds. In cases of crowding, such a slope is usually present.

Correcting your bite is necessary not only to have a Hollywood smile, but also for your health. After all, when a person’s jaws do not close properly, swallowing function is disrupted, the number of respiratory diseases and constant viral infections increases. What method of bite correction exists today?

Braces are special devices that are attached to the teeth to straighten the bite and hide interdental gaps. Fastening to the teeth occurs using a specialized composite material that is used in dentistry. Based on the method of fastening, there are metal bracket systems and .

The installation of braces is carried out by an orthodontist. Sometimes with an assistant

The most popular vestibular metal braces. They are attached to the outside of the teeth, they are a set of several (depending on the number of dental elements involved in the alignment) rings or locks; when attached, they create a single chain and help the process of jaw opening. This is the cheapest of all existing devices. Getting used to them takes no more than three days. However, the appearance of vestibular braces is not entirely aesthetic, but mini-braces were created to correct this situation. This type of orthodontic appliances also includes: ultra-thin, easy to maintain, and low cost.

Damon Q braces at the time of installation (not yet).

Lingual (from the side of the tongue) are attached to the inside of the jaw. They are invisible and can help correct bites that cannot be corrected with other braces. There are disadvantages - the high cost of this type of orthodontic device and the habituation within several weeks (the system is located near the tongue and interferes with speaking).

Before you begin the procedure of straightening your teeth using special devices, you must:

  • carry out a procedure for cleaning the jaw from dental plaque and tartar;
  • thoroughly cure all diseases of the oral mucosa;
  • dental elements in which carious processes are detected must be cured.

Now we can look in more detail at what possible obstacles a person will encounter in their quest to have a beautiful smile.

Is it necessary to remove teeth when installing braces?

In the process of installing braces, the need very often arises. The decision is made by the orthodontist and the patient. Whether to remove teeth for braces:

  • one of the reasons for the procedure is the impossibility of placing all 32 teeth in one row, especially when the patient has a large jaw with large chewing elements;
  • Another reason why they may resort to removal is a possible displacement of the jaw (a certain part) sideways or upward relative to the main row.

When performing a teeth removal procedure, the doctor, first of all, cares about the quality of his patient’s smile and his health. Referral to removal of molars is not a whim of the doctor, but sometimes a severe necessity. At the very beginning of the braces installation process, there may be no indication for pulling out. However, the orthodontist, being a specialist in his field, understands that as the teeth are straightened, there may not be enough space for the teeth. Then the installed orthopedic device will not be useful.

Patients are often worried about the procedure of pulling out healthy teeth before installing an orthopedic device. The resulting hole in the place of a healthy tooth may not always be perceived positively. But a competent and experienced orthodontist will be able to clearly explain that there is no reason to be afraid of the resulting hole between the teeth. Gradually, the teeth, aligning and becoming in a beautiful row, will close this hole.

It is necessary to pay attention that all procedures related to the treatment and removal of teeth must be carried out before the orthodontic apparatus is installed, since then any actions with the molars are extremely difficult.

Removing quads for braces

To properly install the alignment device, the patient will need to decide whether to remove certain teeth. Most often it is the fourth pair that is removed. This procedure is only necessary for severely crowded teeth. Also, which pair (upper or lower) will be removed depends on what type of bite needs to be corrected:

  • distal bite (the upper jaw is strongly protruded relative to the lower jaw) – the upper pair of premolars is removed;
  • mesial bite (the lower jaw is strongly protruded relative to the upper) – the lower quads are removed.

Surgery to remove the fourth tooth (first premolar)

Why are fours removed and not other teeth? Often the fangs and front teeth, which are located on the upper jaw, are very large, they do not have enough space for growth and the fangs begin to bend, extending beyond the dentition. Then the orthodontist comes to the only and correct conclusion - it is necessary to remove the adjacent first molars. This will allow the fangs to align with the rest of the teeth, and the effect of braces will be permanent. You can give several more reasons why it is the fourth pair of teeth that are removed:

  • their disappearance will go unnoticed, and if the fangs are removed, you may not get a beautiful smile;
  • Compared to other dental elements, quads have the shortest roots, which means that the extraction will take place without pain and complications.

Do I need to remove wisdom teeth?

The eighth pair of teeth, or also called “”, are located at the very end of the upper and lower jaw. These molars begin to appear very late. The age of a person during this period ranges from 17 to 27 years. Such teeth can grow with pathologies from the very beginning. In the best case, such a molar can remain inside the gum, not bother or erupt, but in the worst case, it begins to turn in different directions. Often, eights, trying to free up some space for themselves, begin to put pressure on adjacent teeth and move them towards the center of the jaw. Also, when third molars erupt, they cause various complications. Statistics say that this happens in 75% of 100% of cases. Complications that arise lead to disturbances in the arrangement of teeth on the jaw.

Before deciding whether wisdom teeth need to be removed, the orthodontist prepares and carefully studies diagnostic models, x-rays or CT projections. Based on this data, the dentist makes a verdict.

However, contrary to the opinions expressed on the Internet about the mandatory removal of figure eights for preventive purposes in order to install braces, I would like to object. And to add that truly highly qualified and experienced orthodontists object to the removal of the eighth pair and say that this is wrong, and sometimes even very dangerous. If the figure eight is healthy, there are no carious formations on it, and it is positioned correctly relative to other teeth, then this chewing element, along with other teeth, takes part in food processing. There are a number of other indications in which there is no need to extract a wisdom tooth:

  1. nearby chewing elements (teeth) do not interfere with the proper and healthy growth of “wise teeth”;
  2. there is a chance of high-quality treatment of carious formation of the third molar;
  3. if, for some reason, the seven is missing, then the eighth tooth will take its place and thereby take on the functions of the missing tooth;
  4. if necessary, the figure eight will serve as a support for the prosthesis.

There are cases when a specialist, anyway, comes to the conclusion that it is necessary to remove the third pair of molars, even if they have not erupted. This occurs when the jawbone does not have enough space to accommodate all the teeth normally and correctly.

How do you remove eights?

Since the human body allocates building material for the formation of wisdom teeth according to the “residual principle” or leaves little space for it, the tooth grows with anomalies. Very often, the extraction of the third molar, compared to other dental elements in the jaw, is painful, and the extraction process itself can be delayed. Before pulling out the figure eight, it is imperative that the patient is sent to take an x-ray so that the doctor immediately understands what he may encounter. Based on this image, the location of the third molars on the jaw and their condition are determined. The tooth may have roots turned in different directions, this can lead to additional cuts on the gum and, accordingly, to long healing of the wound. Based on the conclusions made, the eighth tooth is removed. The most common operations involve removing impacted (the tooth has not erupted and is located inside the gum) and incorrectly positioned tooth.

X-ray in lateral projection. A typical example is when it is necessary to remove the third molar of the lower jaw.

But they can also remove a correctly located tooth if it is damaged by caries or its crown part, completely or in places, is destroyed and adequate treatment is impossible.

Installing braces is a painstaking job not only of the orthodontist, but also of the patient himself. Stop eating any sticky foods while wearing the leveling equipment. Strictly prohibited: chewing gum, nuts, chocolate, honey, carbonated drinks. Since these products are difficult to remove, they can damage not only tooth enamel, but also the braces themselves. Braces are a non-removable system, which means access to the teeth is difficult. Cleaning the oral cavity should take place immediately after eating. For this purpose, special toothbrushes, toothpastes and mouth rinses are used. The patient must strictly follow all the specialist’s recommendations.

And most importantly, if in the desire to have a beautiful smile the patient enlists the support of family and friends, then all the difficulties that will be encountered on the path to recovery will be overcome easily and as a reward for suffering, a beautiful smile worthy of Hollywood.

Hi all))

I'm going in a week for installation of braces and for this reason the orthodontist sent me to removing all fours. Initially, only the upper teeth are removed.

I planned to have my teeth removed in a private clinic, which is located next to my house, so that after the extraction I could quickly get home without incident or unnecessary suffering.

But in this clinic, the surgeon saw that the teeth were healthy and it seemed to him that to correct my bite there was no need for such a large space, which would be obtained after removal. He said that he was refusing me and sent me out of the office... After being in the office, I realized how much I was afraid of having my teeth removed.

Reading reviews about tooth extraction on this site, I realized that this process is painless. Someone even wrote that the doctor allegedly said that he would simply check the sensitivity, and then took the tooth out of his mouth. How I hoped for this)

The process itself:

I don’t understand medical terms, so I’ll just describe what’s happening and my feelings. I found out from the orthodontist who could have a tooth removed, and he referred me to this clinic.

I arrived at the appointment on time, but they told me that I needed to wait a little, I had to wait about 40 minutes... I thought I would run away.

Finally it was my turn. I was very surprised that no pictures were taken. And by the way, the entire removal process could be observed by anyone, since the door to the office was open.

The doctor did four injections , two in the gum and two in the sky. He took a device that looked like a spatula and started picking the tooth. Then I loosened it a little. The next tool was forceps, with which the tooth was later removed. The doctor pulled with all his might and even said that his arms were already tired. The nurse held my head. I myself tried to pull my head back. So my tooth was pulled out, not removed. All this time I did not feel pain, but I still felt everything. I heard a crunching sound and felt how first one root came out, then the second. Everything felt great. One removal probably took about five minutes. It was very scary, I even made some sounds out of fear.

After the first tooth was removed, the doctor asked me if we would remove the second one. And I agreed))

To me got stitches , since the braces will be installed in a week, it is necessary for the wound to heal faster. This is the first time in my life that I have had something sewn up. I was also very afraid of this.

After removal:

They inserted bandages into my mouth, my mouth didn’t close at all, I had to cover it with a napkin. While I was waiting on the street for a taxi, it seemed that I would become ill and faint. But everything was fine. At home I took out the bandages and drank painkillers. I drank it three more times with breaks. Review of the most powerful painkiller

My advice: Be sure to plan in advance how you will get home after removal. This definitely should not be public transport, most likely not your own car, since you will not feel very good and it will also be a little uncomfortable to walk long distances; due to freezing, your mouth will not look very nice.

The wounds hurt very badly. The painkiller probably didn't work for about an hour. There was blood all over my mouth. At first I went to the bathroom to spit it out, but then I got tired of it, and I took a cup to bed and did this thing in it. Only after about four hours did the numbness go away, the blood no longer began to accumulate so much, and from that moment I began to swallow it. I even started drinking water. Before this it was not possible to do this. After about an hour, I really wanted to eat and pushed small pieces of black bread deep into my mouth, towards my chewing teeth. It is better to eat something soft, something that will not affect the wounds (that is, not liquid food) and something that can be torn off with your hands rather than pushed with a fork.

I slept well at night, and in the morning I took the pill again just in case. The sensation is very unusual in the mouth. The gums around the wounds are swollen. But the cheeks are still the same. I eat as usual, but carefully and only with chewing teeth.

They didn’t give me my teeth, although I would like to take them)) I wanted to insert a photo, but I decided not to scare anyone))