The basis of tooth extraction / non-extraction treatment

It is natural that people who want to receive orthodontic treatment because they have poor teeth arrangements should leave all existing teeth and treat if possible. Certainly, there are people who can do it.

The following explanation is as fair as possible, but I’m going to compare the orthodontic treatment that pulls out the teeth with the orthodontic treatment that doesn’t pull out the teeth, but if I do early treatment (from about 6 to 8 years old) Although it is technically possible to treat almost all cases without removing the teeth, it is the view that the treatment to remove the teeth will be more when considering the balance of each face. I will tell you at the beginning.

Pull out the teeth, the treatment that not remove, for simple comparison,

Class I Crowding (Skeletal Class I), that is, of the upper and lower jaw bone, and 0.00 before and after specific balance (overbite, receptacle, etc., skeletal problems However, the problem is that only the tooth arrangement is rattling.

Early treatment (from about 6 to 8 years old) is possible.

I will explain on the premise.

1. It is a very simple answer why the tooth arrangement is rattling .This is because the teeth cannot survive the jawbone.

2. What can I do if my teeth can’t get on the jaw bone?
A. Because the vessel (jaw bone) is small, it is impossible to put all teeth on it → Treatment to remove the teeth
b. If the bone is small, increase the size of the vessel → Do not pull out the teeth, that is, if the teeth are not large enough to fit the foundation , a. .b. Increase the base size and leave all teeth.

This is the biggest difference between a treatment that removes teeth and a treatment that does not remove teeth.

So far, if you understand, most people would have thought that if it was possible to enlarge the foundation, it would be better to treat it without removing the teeth.

Then, here,How to enlarge the foundation, enlarge the jaw in the front-and-rear direction → Transverse the jaw that extends the jaw Enlarging → Widening the width of the jaw is roughly divided into these two methods.(If the tooth is large, to reduce by cutting the teeth, there is also a method that is) these, as I mentioned earlier, is technically possible , however, when considering the overall balance of countenance, the jaw before and after If you stretch the front → stretch forward → the mouth (lips), if you stretch the chin forward, it will just stretch.
Enlarge the jaw in the horizontal direction → Increase the width → If you enlarge it, you can enlarge it, and it will have a greasy face.

Then, if the tooth is removed and treated, will the above inconvenience be resolved?

When the tooth is removed, the front tooth is generally behind Move → If you pull out the teeth in the dark clouds, the front teeth may retract too much and the lips may retract too much.

From the above, in orthodontic treatment from the beginning (without examining the patient’s condition, as a policy of orthodontic clinic)

Treatment without pulling out teeth.If you don’t remove your teeth, you can’t treat.

Such a treatment policy cannot be shown.

Considering the balance of teeth, jaw size and facial balance, there are cases where it is better to treat without removing the teeth, and there are cases where it is better to treat without removing the teeth. , As a specialist. In orthodontic treatment, improving the alignment of teeth is of course the minimum treatment goal that is required and must be achieved.As a specialist, I think that it is necessary to perform treatment with the minimum treatment and taking into account the facial appearance (face appearance). Do you need medical treatment?
In orthodontic treatment, it is generally not emphasized so much, but please be aware that the face (face) changes greatly.

If you are interested in academic issues regarding tooth extraction / non-extraction , please see Academic opinion as a specialist

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