When considering braces, aside from choosing the method, many people often wonder if tooth extraction is necessary or whether it will cause pain and affect chewing ability. In this article, Herident Dental Clinic will answer the question “Is tooth extraction required for braces?” and explore cases where extraction is or isn't needed. Let's find out!
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Do You Need to Extract Teeth When Getting Braces?
In reality, the need for tooth extraction when getting braces depends on each person's dental condition and the treatment plan prescribed by the doctor. The main goal of tooth extraction is to create space in the dental arch, allowing the teeth to move into the correct position without overcrowding or misalignment.

Cases Where Tooth Extraction Is Necessary for Braces:
Here are 4 cases where a dentist may recommend tooth extraction during orthodontic treatment:
- Teeth are Crooked or Crowded: This issue often occurs if your jaw is smaller than the number and size of your teeth, or if you haven't lost your baby teeth during the replacement phase. This not only causes aesthetic issues but can also negatively affect your oral health in the long term.
- Overbite or Underbite: When the teeth are too far inward or outward, it obstructs the movement of teeth to a more balanced position. In this case, a dentist will extract teeth to create the necessary space to correct the bite.
- Misaligned Bite: When the upper and lower jaws do not align properly, chewing function is compromised and over time, it may lead to tooth wear. Therefore, the dentist may recommend extracting some teeth to provide space for the bite correction, facilitating better teeth movement.
- Impacted Wisdom Teeth: In this case, whether you want to or not, the wisdom teeth need to be extracted. Unlike straight teeth, impacted wisdom teeth require a highly skilled dentist to perform the extraction, and the process and recovery time are often longer.
Typically, dentists will extract teeth from areas like the 4th, 5th (premolars), or 8th (wisdom teeth) as they have little impact on chewing function or the overall aesthetics of the smile.

Cases Where Tooth Extraction is Not Necessary for Braces:
Not everyone needs to have teeth extracted before getting braces. Here are cases where tooth extraction is not needed:
- Gaps Between Teeth or Wide Dental Arch: If your dental arch has enough natural space to move the teeth into the right position, tooth extraction won't be necessary.
- Gaps Between Teeth or Wide Dental Arch: If your dental arch has enough natural space to move the teeth into the right position, tooth extraction won't be necessary.
Note: The decision to extract or not depends on the X-ray results and the evaluation of the dentist. Therefore, it is advisable to visit a reputable dental clinic for the most detailed consultation.
Where to Get Trusted and Quality Braces Treatment?
Herident Dental Clinic is one of the trusted locations for getting braces in Hanoi. With a highly skilled team of doctors and modern equipment, Herident is confident in providing high-quality and comprehensive oral health care services for clients.
Reasons to Choose Herident Dental Clinic for Braces:
- Experienced and skilled doctors: (Dr. Đặng Triệu Hùng, PhD – Head of Oral and Maxillofacial Department at Hanoi Medical University Hospital)
- Modern equipment: Such as the GENORAY PAPAYA 3D Plus X-ray machine.
- Strict sterilization process according to Ministry of Health standards.
- Providing various dental services from regular checkups to Invisalign braces, implants, etc.

Frequently Asked Questions About Tooth Extraction for Braces
Here are 3 common questions and detailed answers to help you feel more confident when deciding to get braces:
Does tooth extraction for braces hurt?
Generally, when a tooth is extracted, the dentist uses anesthetics, and the orthodontic treatment is completed quickly, causing little pain. However, after the anesthetic wears off, you may feel slight soreness or swelling at the extraction site for the first few days, which will subside within 3-5 days.
How long does recovery take after tooth extraction?
The wound usually heals within 2-3 days. For some people, the full recovery period may take 7-14 days. During this period, you should follow the doctor's instructions to prevent infection and promote faster healing.
How many teeth should be extracted?
The number of teeth to be extracted depends on the individual’s specific condition. Some may be advised to extract 2-4 teeth, while others may not need any extractions at all.

The question of whether "to extract teeth for braces" depends on each patient's condition and the treatment plan. To ensure the best results and minimize unnecessary invasiveness, you should consult a trusted dental clinic for a thorough consultation.
If you're looking for a reliable location for braces or want more information about the process, feel free to contact Herident Dental Clinic for detailed consultation and a quote! Herident Dental Clinic để được tư vấn và báo giá chi tiết!
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