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Print Posted by The Look Orthodontics - Williamstown on 01/23/2018

Do you have to have teeth pulled for braces?


The Look Orthodontics

Published on Oct 18, 2017


Video Transcript auto-generated by YouTube:

hello I'm Martin Riley a specialist

00:02

orthodontist at the local photonics what

00:05

I'll be talking about today is when do

00:08

we take teeth out

00:09

now the first important thing to say is

00:12

some people need to taken out as part of

00:14

their orthodontic treatment but a large

00:16

number of patients don't need to taken

00:18

out it really depends upon the

00:20

individual problem that you present with

00:22

and what treatment is required so the

00:25

first thing we do at the local

00:27

orthodontics is thoroughly analyze and

00:30

diagnose what your issues are first to

00:33

decide what treatments required and as

00:35

part of that treatment requirement do we

00:37

or don't we we're party to be removed

00:40

and it's basically three categories when

00:43

it may be necessary to remove teeth the

00:47

first category is the patient around

00:49

about seven years of age who presents at

00:52

the orthodontist with the top and lower

00:54

front teeth coming through having

00:56

replaced their baby teeth before them

00:59

those teeth come through and sometimes

01:01

there's just nowhere near enough room

01:03

for those teeth to fit in but I'm sure

01:06

we've all seen patients with a very

01:07

crooked front teeth and these little

01:09

cute kids looking like a cross between a

01:12

crocodile and a shark now no one wants

01:14

that and commonly what we need to do is

01:17

simply take a little baby tooth out in

01:19

each corner of the map to make room the

01:22

top and lower front teeth to spread in

01:24

their position that enables a natural

01:27

improvement in the alignment of the top

01:29

and the lower front teeth and any

01:31

required orthodontic treatment down the

01:33

line can be undertaken when the

01:35

remaining permanent teeth are up a few

01:37

years down the line some people need

01:40

this treatment others don't we need to

01:42

look at your individual circumstances to

01:45

decide whether it's appropriate the next

01:48

common category of patients where a

01:49

tooth removal is required is the patient

01:52

who has got what we call a crowded now

01:55

the typical scenario of the patient

01:58

presenting essentially with some age

02:00

twelve teeth but only size out jaws

02:02

they're just simply not going to fit

02:05

attempts to fit in this excessively

02:08

large teeth in

02:09

more jewels does it really work it leads

02:13

to long-term instability of alignment

02:16

and over after other problems in those

02:18

patients who have got what we call a

02:21

fundamental tooth size - jaw size

02:24

discrepancy it's necessary to remove

02:27

teeth sometimes a small premolar tooth

02:30

is removed in each corner of the mouth

02:32

to make room so that the braces or

02:35

whatever appliances we've decided upon

02:37

we can line the tip up and give a lovely

02:41

straight set of teeth with the best

02:43

chance of stability of alignment in the

02:45

long term the next category of patients

02:48

where tooth removal is required is

02:50

people who have compromised teeth they

02:53

have a tooth that's broken down as a

02:56

root canal treatment that hasn't been

02:58

successful or a tooth that is just a

03:01

poor prospect - sometimes there's

03:03

nothing necessary to remove these teeth

03:05

with our war photonic treatment close up

03:08

the spaces and give the people a really

03:11

lovely straight set of teeth and

03:12

minimize the need for false teeth in the

03:15

long term the last category of patients

03:19

where it's sometimes necessary to remove

03:21

teeth is people who have protruding top

03:23

teeth relative to the lower teeth

03:25

sometimes it's necessary to remove a

03:28

small tooth on either side of the top to

03:31

provide some space to the top teeth can

03:34

be brought back to bat correctly with

03:36

the lower teeth as you can see there's

03:39

no one cat fits all there's different

03:42

treatments for different circumstances

03:44

depending on your individual situation

03:47

what we suggest to do is come in have a

03:49

chat to us at the bug orthodontics our

03:52

expert team will analyze and assess

03:54

exactly what's required but you know

03:56

whether or not teeth need to be removed

03:58

and give you a very clear explanation as

04:00

to why the objective at the end of the

04:03

day is to get a stable well aligned set

04:06

of teeth that the function beautifully

04:08

and that's what we'll try to achieve for

04:10

you

04:11

[Music]

04:12

[Applause]

04:15

[Music]

English (auto-generated)

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