Crowding
Whilst extractions are avoided wherever possible, in certain cases it may be necessary to alleviate crowding. Extractions are often performed just prior to fitting braces. Teeth usually removed are the bicuspid teeth, the fourth or fifth tooth from the front, and are most often symmetrical in nature, i.e. one from each side of the jaw. Occasionally unilateral extractions, i.e. from one side only, are necessary to treat midline discrepancies.

Prominent teeth
In some cases extractions will be performed to treat the appearance of "buck teeth". The extractions are usually symmetrical and provide a space into which the prominent front teeth can be moved. A dentist will normally perform extractions under the direction of your orthodontist.