Tooth extraction and IPRQuestion before treatment

Can we try to straighten my teeth without extractions and take teeth out during treatment if it turns out to be necessary?

Answered byDr Ivelina Ivanova-Koycheva, Orthodontist (MSc)Master's degrees in orthodontics in Rome and in aligner treatment in Turin, international lecturerPublished on 12 November 2026

Some clinical cases can be described as "borderline", meaning that treatment is possible either without or with extractions. If the orthodontist advises taking out some teeth to align the smile, but the patient is very worried about whether they're making the right decision, it's possible to start aligning the teeth without extractions and then, after a certain number of months of treatment, once it's clear that space inevitably has to be created, switch to a plan with extractions. This approach isn't suitable in every case. To start without extractions, we have to be sure that the movements that will happen during this assessment period won't put the health of the teeth and gums at risk. Also bear in mind that changing the treatment plan like this once treatment has already started makes it take longer.

This answer is for general information. Your own case needs an examination by an orthodontist.