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Do Adults Need Teeth Pulled Before Getting Braces?

Adults Need Teeth Pulled Before Getting Braces
Peter, the patient
Dear Dr. Stosich.,
I’m 41 and am tired of my bad smile. I’m worried about getting braces at my age, though. My brother had braces recently, and his orthodontist had to pull teeth before starting treatment. Do all adults need teeth pulled before undergoing orthodontic treatment?

Does Jaw Size Affect Your Bite?

Does Jaw Size Affect Your Bite
Stephen, the patient

Dear Dr. S.,
My son’s orthodontist says that it appears that his mouth is simply too small for his permanent teeth, which is why the orthodontist is recommending we remove some a couple permanent teeth to make room for braces to help the remaining teeth find the right location. Removing permanent teeth sounds like a big step to me. What should we do?

Joe R.

Dr. Michael Stosich
Dear Joe,
A common reason why teeth get crowded in a patient’s mouth is in fact a jaw that is too small. While in many cases, braces alone are enough to correct a malocclusion, in a patient with severe crowding, and in whom the jaw has stopped growing, removal of one or more permanent teeth might be a way to correct the issue.

Stosich Consulting