Do I need to extract teeth if I have crowded teeth?

Many of you may think that if your teeth are too crowded, you need to extract the teeth to relieve the crowding. This will help you avoid nerve damage. However, not all crowded teeth require extraction. When the crowding is not very severe, you can use orthodontic methods, which will cause less damage to the teeth. If the teeth are too crowded, you can only extract the teeth, but after the extraction, you should pay attention to the cleaning of the teeth and not eat hard food to avoid rupture of the wound.

If it is mild crowding, mild crowding refers to the situation where the crowding degree is less than 4 mm. Correction may not involve tooth extraction. It can be corrected by expanding the dental arch, pushing the molars distally and reducing the mesiodistal diameter of the crown. Correction is very easy. Correction of moderate and severe crowding generally requires the use of braces. Fixed braces are currently the most commonly used treatment, and invisible orthodontics can also be used.

Not all dental crowding corrections require tooth extraction, and doctors will try to avoid tooth extraction during orthodontic treatment. However, for patients with severe dental crowding (severe crowding refers to crowding of more than 10 mm), in order to align the teeth and achieve aesthetic requirements while ensuring the stability of the results after correction, teeth should be extracted as needed. If the teeth are not extracted and the teeth are forced to be aligned, the correction effect will be unstable and it is easy to relapse into the original crowding and malocclusion.

The teeth are neatly arranged without crowding, but maxillary protrusion and bimaxillary protrusion require tooth extraction to correct the protrusion deformity. That is, the position after extraction is filled by the retracted front teeth. When there is severe crowding or near-severe crowding, in order to align the teeth and achieve aesthetic requirements while ensuring the stability of the orthodontic effect, teeth should be extracted as needed. If you try to align the teeth without extracting them, the orthodontic effect will be unstable and the original crowding and malocclusion will easily recur.

For patients who need tooth extraction for orthodontic treatment, there is no need to be too afraid of it. About 65% of patients need tooth extraction for orthodontic treatment. Even if they do not have orthodontic treatment, most people still need to have their wisdom teeth extracted because of the poor position that affects the health of the periodontium and front teeth. After tooth extraction, the patient only needs to follow the doctor's instructions and carefully care for the wound, then the tooth extraction will not cause harm to oral health.

Wisdom teeth can easily form blind pockets with the adjacent teeth and gum tissue. Food residues are difficult to clean once they enter, and cannot be brushed out by brushing teeth. If the blind pockets are stuffed with food for a long time, it may cause caries of the wisdom teeth or adjacent teeth. It may even cause pericoronitis and cellulitis of wisdom teeth. This inflammation can cause serious consequences such as sepsis and septicemia, which often require anti-inflammatory injections or even hospitalization. It is recommended to remove this type of wisdom tooth to prevent future problems. Wisdom teeth will squeeze the adjacent teeth, which will not only affect the root absorption, but also cause crowding of the front teeth and affect the appearance. Removing wisdom teeth is the best way to eliminate worries.

Do not pull out the weeds when you have a cold. Patients with hyperthyroidism, hepatitis, nephritis, blood diseases or diabetes, especially the elderly, should undergo necessary examinations and treatments, and can only pull out the weeds after their condition is under control. Women should postpone tooth extraction during menstruation and pregnancy. Patients with a history of drug allergies should explain everything to their doctors before tooth extraction to avoid allergic reactions to anesthetics.