I am a 28-year old professional who’s planning to undergo Invisalign. I have very crowded teeth and have never experienced tooth extractions. If I were to undergo orthodontic treatment, will I need to extract my premolars or wisdom teeth? What are the benefits of tooth extraction, are they absolutely necessary, and what are the extra costs of this? Kei, Bukit Tunku

Cosmetic Surgery & Beauty Magazine - November 20, 11:57 AM

Whether or not extractions are necessary depend on several factors. Such primary factors include the patient’s facial profile as well as smile design. Other local factors comprise how much existing space is available, malocclusion, degree of crowding and upper and lower jaw discrepancies.
Dental extractions offer many benefits like crowding relief, malocclusion reduction, asymmetrical bite correction, as well as an advantageous adjunct treatment for those who require corrective orthognathic surgery. In any case, an orthodontist will conduct thorough clinical and radiographic assessments before recommending extractions. 
Invisalign treatment allows both the clinician and patient to view Clincheck videos which showcase predicted dental movements. This enables both parties to monitor movement progressions at any given time, providing us with visual treatment objectives. With such services, orthodontists can create two separate Clincheck videos, one showcasing treatment progressions with extraction and another, without. Should extractions be necessary, they will be charged separately. 

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