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Treatment with tooth extraction – before and after

With severe crowding or protruding teeth, two or four premolars sometimes have to be removed to make room for the other teeth. Here are completed treatments with extractions and braces or aligners at iSmile.

We only show photos of the teeth, with no faces or names. Results vary from patient to patient – every treatment plan is made after an examination.

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After, extraction of four teeth, fixed braces: front view of the teethBefore treatment: Severe upper and lower crowding, proclined upper incisors, triangular teeth, right-side crossbite

Extraction of four teeth, fixed braces

Severe upper and lower crowding, proclined upper incisors, triangular teeth, right-side crossbite

All photos (2 stages)
After, extraction of four premolars, fixed braces: front view of the teethBefore treatment: Severe upper and lower crowding

Extraction of four premolars, fixed braces

Severe upper and lower crowding

All photos (2 stages)
After, distalization or extraction of two upper premolars was discussed; extraction was chosen because it removes a crowned tooth. fixed braces: front view of the teethBefore treatment: Deep bite, Class II

Distalization or extraction of two upper premolars was discussed; extraction was chosen because it removes a crowned tooth. Fixed braces

Deep bite, Class II

All photos (3 stages)
After, extraction of four premolars, fixed braces: front view of the teethBefore treatment: Crowding, open bite at the upper right canine, edge-to-edge incisors

Extraction of four premolars, fixed braces

Crowding, open bite at the upper right canine, edge-to-edge incisors

All photos (2 stages)
After, distalization or extraction of two upper premolars was discussed; the patient chose extraction to avoid an extra appliance. fixed braces: front view of the teethBefore treatment: Proclined upper incisors, narrow upper jaw, Class II

Distalization or extraction of two upper premolars was discussed; the patient chose extraction to avoid an extra appliance. Fixed braces

Proclined upper incisors, narrow upper jaw, Class II

All photos (2 stages)
After, extraction of four premolars, fixed braces: front view of the teethBefore treatment: Severe crowding with no room for the canines in either arch, open bite at the front and canines

Extraction of four premolars, fixed braces

Severe crowding with no room for the canines in either arch, open bite at the front and canines

All photos (3 stages)
After, extraction of two upper premolars, fixed braces: front view of the teethBefore treatment: Not enough space for the upper canines

Extraction of two upper premolars, fixed braces

Not enough space for the upper canines

All photos (4 stages)
After, extraction of four premolars, fixed braces: front view of the teethBefore treatment: Severe upper and lower crowding, no space for the upper canines

Extraction of four premolars, fixed braces

Severe upper and lower crowding, no space for the upper canines

All photos (2 stages)
After, premolar extractions, fixed braces: front view of the teethBefore treatment: Markedly protrusive, crowded upper and lower teeth, severe lack of space

Premolar extractions, fixed braces

Markedly protrusive, crowded upper and lower teeth, severe lack of space

All photos (2 stages)
After, fixed braces closing all the spaces: front view of the teethBefore treatment: Extreme upper crowding with no room for the canines and flared incisors; lower first molars lost to decay on both sides

Fixed braces closing all the spaces

Extreme upper crowding with no room for the canines and flared incisors; lower first molars lost to decay on both sides

All photos (2 stages)
After, extraction of four premolars, fixed braces: front view of the teethBefore treatment: Severely proclined front teeth, difficulty closing the lips, severe upper and lower crowding

Extraction of four premolars, fixed braces

Severely proclined front teeth, difficulty closing the lips, severe upper and lower crowding

All photos (6 stages)
After, extraction of four premolars and fixed braces, preserving the facial profile: front view of the teethBefore treatment: Severe upper and lower crowding, no space for the canines, deep bite

Extraction of four premolars and fixed braces, preserving the facial profile

Severe upper and lower crowding, no space for the canines, deep bite

All photos (3 stages)
After, re-treatment after an unsuccessful earlier treatment with braces: extraction of four premolars, fixed braces: front view of the teethBefore treatment: Severely proclined upper teeth, lack of space for the lower teeth, Class II, reduced overbite

Re-treatment after an unsuccessful earlier treatment with braces: extraction of four premolars, fixed braces

Severely proclined upper teeth, lack of space for the lower teeth, Class II, reduced overbite

All photos (3 stages)
After, extraction of four premolars, tongue crib, fixed braces: front view of the teethBefore treatment: Severely proclined upper incisors, crowding, tongue-thrust habit

Extraction of four premolars, tongue crib, fixed braces

Severely proclined upper incisors, crowding, tongue-thrust habit

All photos (2 stages)
After, extraction of four premolars, fixed braces: front view of the teethBefore treatment: Proclined front teeth, strained lip closure, severe lower crowding, left-side crossbite

Extraction of four premolars, fixed braces

Proclined front teeth, strained lip closure, severe lower crowding, left-side crossbite

All photos (2 stages)
After, extraction of four premolars and fixed braces to retract the lips: front view of the teethBefore treatment: Large, protrusive teeth, lips cannot close at rest, moderate crowding, bite shifted to the right

Extraction of four premolars and fixed braces to retract the lips

Large, protrusive teeth, lips cannot close at rest, moderate crowding, bite shifted to the right

All photos (2 stages)
After, extraction of four premolars, fixed braces: front view of the teethBefore treatment: Open bite, severe crowding, bilateral Class II, proclined upper teeth

Extraction of four premolars, fixed braces

Open bite, severe crowding, bilateral Class II, proclined upper teeth

All photos (5 stages)
After, extraction of four premolars to retract the teeth, fixed braces: front view of the teethBefore treatment: Proclined front teeth and strained lip closure – the main concern of the patient and parents

Extraction of four premolars to retract the teeth, fixed braces

Proclined front teeth and strained lip closure – the main concern of the patient and parents

All photos (2 stages)
After, asymmetric premolar extractions, fixed braces: front view of the teethBefore treatment: Severe crowding, open bite at tooth 13 13

Asymmetric premolar extractions, fixed braces

Severe crowding, open bite at tooth 13 13

All photos (2 stages)
After, extraction of two upper premolars to retract the upper teeth and relax the lips, fixed braces: front view of the teethBefore treatment: Narrow upper jaw, protrusive upper incisors, upper crowding, moderate lower crowding

Extraction of two upper premolars to retract the upper teeth and relax the lips, fixed braces

Narrow upper jaw, protrusive upper incisors, upper crowding, moderate lower crowding

All photos (2 stages)
After, extraction of the rotated premolar to restore midline symmetry, clear aligners: front view of the teethBefore treatment: Congenitally missing upper left lateral incisor, severely rotated upper right first premolar

Extraction of the rotated premolar to restore midline symmetry, clear aligners

Congenitally missing upper left lateral incisor, severely rotated upper right first premolar

All photos (4 stages)
After, compensating extraction of two lower premolars to correct the bite, fixed braces: front view of the teethBefore treatment: Two upper premolars previously extracted, anterior crossbite, open bite at the canines

Compensating extraction of two lower premolars to correct the bite, fixed braces

Two upper premolars previously extracted, anterior crossbite, open bite at the canines

All photos (2 stages)
After, extraction of two upper premolars to retract the upper teeth and of one lower incisor for periodontal reasons; sapphire braces: front view of the teethBefore treatment: Severely proclined upper incisors with spacing, compromised periodontium (gum disease)

Extraction of two upper premolars to retract the upper teeth and of one lower incisor for periodontal reasons; sapphire braces

Severely proclined upper incisors with spacing, compromised periodontium (gum disease)

All photos (4 stages)
After, distalization or extraction was discussed; the patient chose extraction of four premolars. fixed braces: front view of the teethBefore treatment: Upper and lower crowding, narrow arches, Class II on the right

Distalization or extraction was discussed; the patient chose extraction of four premolars. Fixed braces

Upper and lower crowding, narrow arches, Class II on the right

All photos (2 stages)
After, extraction of four premolars to gain space and retract the teeth, fixed braces: front view of the teethBefore treatment: Proclined upper and lower incisors, severe crowding, high risk of gum recession, crossbite of tooth 12

Extraction of four premolars to gain space and retract the teeth, fixed braces

Proclined upper and lower incisors, severe crowding, high risk of gum recession, crossbite of tooth 12

All photos (3 stages)
After, compensating extraction of the upper left premolar to correct the midline, fixed braces: front view of the teethBefore treatment: Midline shift and crowding on the right, upper right premolar previously extracted

Compensating extraction of the upper left premolar to correct the midline, fixed braces

Midline shift and crowding on the right, upper right premolar previously extracted

All photos (2 stages)
After, extraction of four premolars, fixed braces: front view of the teethBefore treatment: No space for the upper and lower incisors, open bite at the canines, crossbite of 12 and 22

Extraction of four premolars, fixed braces

No space for the upper and lower incisors, open bite at the canines, crossbite of 12 and 22

All photos (3 stages)

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