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A recent dentist’s trip revealed that I will need to get braces on my bottom row of teeth

Written by Dr. Chaw Su Kyi on October 1, 2010

A recent dentist’s trip revealed that I will need to get braces on my bottom row of teeth, which have always been very crowded. Wouldn’t pulling a few teeth straighten the row out just as well?

Many years ago, we used to ‘pull some teeth out’ then let nature take care of the rest. Needless to say, nature didn’t always get it perfect every time. Often when you are crowded, there is a space requirement which may be provided by the removal of teeth. However if the crowding is milder and space requirements are less, this may be achieved with a very simple procedure called interproximal enamel reduction. This procedure removes approximately 0.25mm of enamel by using a very small file – similar to a tiny nail-file which is then ‘flossed’ between your teeth. This procedure is quick, comfortable and does not weaken the enamel. Once the space is provided, then the important part is utilising the space to straighten your teeth. Fixed braces will be able to straighten your teeth and move them into the desired positions with control and precision. We recommend that if you do need ‘teeth pulling’ that we also give nature a helping hand – fixed braces!!

AAO - Member American Association of Orthodontists BDA - British Dental Association World Federation of Orthodontists BOS - British Orthodontic Society RCS - Advancing Surgical Slandaros British Dental Health Foundation British Lingual Orthodontic Society