[Health Column] "Do I really need to pull a healthy tooth?" The biggest concern before braces, solved!

 

hello. Director Jeong Jae-wook of Gangnam Saero Dental Clinic no see.

 

The biggest reason why it is difficult to knock on the door of the dentist even after deciding to get braces is probably Fear of 'extraction' That's probably why.

 

"Is it really okay to pull out my precious teeth?" This worry is a natural thought that anyone considering braces would have had at least once.

 

In today's column, instead of unconditionally forcing extraction, Why extractions are necessary and what non-extraction methods are available instead I will explain in detail what it is.

 

 

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1. What is the difference between extraction and non-extraction orthodontics? ?

👋 The key is how to create the 'space' for the teeth to move. .

• Extraction correction: This is a method of extracting a tooth and using the empty space to move the remaining teeth in an orderly manner.

• Non-extraction orthodontics: This is a method of creating the necessary space without extracting teeth, using various devices and techniques.

📌 A word from the director! Choosing unconditionally is not the answer.

First, we need to consider how much 'free space' there is in our mouths to properly align our teeth.

 

 

 

2. In what situations is extraction absolutely necessary? ?

👋 For healthy rearrangement of teeth When 'space' is absolutely lacking Decide carefully.

 

✅ Lack of space for teeth rearrangement: This is a case where the space for the teeth to fit is too narrow, resulting in severe crowding.

 

✅ Requires posterior movement of the anterior segment: When the front teeth need to be moved back a lot to improve protrusion, extraction space is needed.

 

✅ Specific dental problems: This is the case when there is impacted tooth, severe malocclusion, or tooth that has already reached the end of its lifespan and is difficult to save.

 

 

 

3. Why do you have to extract the ‘premolars’?

👋 It is a strategic choice to preserve the original function of the teeth as much as possible. .

 

Each of our teeth has its own role.

 

The large molars that have a chewing function, the front teeth that affect the impression, and the canines that support the gum bone are very important.

 

Therefore, the 'small molars (premolars)' are mainly extracted to minimize functional loss.

 

Of course, if there are other teeth that are already in poor condition, those teeth may be extracted first to increase efficiency.

 

 

 

 

 

4. In what cases is non-surgical correction possible? 

👋 Recommended for cases where the tooth arrangement is relatively gentle or skeletal expansion is possible.

 

✔️ I recommend non-surgical correction to these people!

• When the teeth are not overlapping or crooked to a severe degree

   

   

• When the degree of lip protrusion is minor and there is no need to insert a lot of front teeth

   

   

• When the arch (dental bone) is narrow and space can be secured by widening the bone

   

   

• When there is already a gap between the teeth and all that is needed is to fill the space

   

   

🛠️ Main methods of non-extraction orthodontics:

1. Expansion of the Palace: Expand the width of the jawbone to create space.

    

    

2. Interdental removal: Create a gap by finely trimming it within a range that does not cause damage to the teeth.

    

    

3. Rear towing: Using a mini screw or similar, the entire molar is pushed back to create space.

 

 

 

❓ FAQ

 

Q1. I'm worried that my mouth will look too swollen after getting braces.

A1. This is the most common misconception! An experienced specialist can predict changes in facial shape in advance and precisely adjust the amount of movement, thereby preventing excessive sagging and creating a harmonious facial appearance.

 

Q2. Isn't non-extraction orthodontic treatment that doesn't involve extraction of natural teeth always better?

A2. It is good to keep your teeth, but if you insist on extraction when there is absolutely not enough space, you may have the side effect of your teeth becoming stretched out or your protruding teeth not being improved.

'Suitability' is more important than 'unconditionality' .

 

Q3. Does extraction orthodontic treatment take much longer?

A3. Because the teeth have to move farther, it may take a little longer than non-extraction.

However, if the goal is to improve protrusion or correct malocclusion, extraction will provide more effective results.

 

 

 

📝 conclusion

 

Neither extraction nor non-extraction is absolutely correct.

 

🦷 This is because each person's jawbone size, tooth density, and degree of protrusion are all different.

 

The important thing is through precise analysis The least damaging method for my oral structure is to find.

 

Rather than simply promising, "You don't have to vote unconditionally," A place where orthodontic specialists directly analyze and provide honest advice Start carefully.

 

Gangnam Saero Dental Clinic will work with you to achieve a healthy smile. ✨

 

 

Gangnam Saero Dental Clinic

Director Jeong Jae-wook

Ministry of Health and Welfare, Dental Prosthodontics Specialist

Graduated from Yonsei University College of Dentistry

Graduated with a master's degree from Yonsei University School of Dentistry

Intern at Yonsei University Sinchon Severance Hospital , Prosthodontics Residency Completion

Korean Academy of Prosthodontics, recognized and full member

Korean Society of Oral and Maxillofacial Implantology (KAOMI) Premium Member

Regular member of the Korean Society of Temporomandibular Joint and Occlusion

Full member of the Korean Academy of Aesthetic Dentistry

jeon ) Adjunct Professor, Yonsei University College of Dentistry

jeon ) Former Director of Yonsei Good Day Dental Clinic Yangjae Branch

hyeon ) Korean Academy of Prosthodontics, Board of Review , Expert Committee/Academic Affairs Committee

hyeon ) Korean Society of Oral and Maxillofacial Implantology (KAOMI) Director of Academic Planning

 

 

 

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