No, you will not need to have teeth removed

James J. Awbrey IV, DMD answers: Will crowded teeth need pulling before Invisalign?

My bottom teeth are pretty crowded. Would I have to get them pulled for Invisalign?


James J. Awbrey IV, DMD
3 months ago

Looking at your photos I feel expansion with orthodontic treatment could eliminate the crowding without the need to remove teeth. In this situation, I will many times start a case non-extraction and evaluate in approximately 4 to 6 months whether to extact teeth or not. I would, however, highly recommend fixed appliances rather than invisalign to treat your case. There are significant angulations issues with your teeth and to properly parallel the roots is very difficult to accomplish without fixed appliances(braces). Without properly paralleling the roots in the bone during treatment will only result in relapse after your braces are removed.

Helpful?

A: Crowded teeth pulling before Invisalign?

Susan Goode Estep, DMD
3 months ago

From your photo, it does not appear that any of your front teeth will need to be pulled.  In most cases it is ideal to keep your teeth (except your wisdom teeth) and use the Invisalign process to properly align them.

Post your question

Invisalign: 308 reviews

80% said it was worth it

Invisalign before & after photos

Post your question
IMPORTANT: As noted in our Terms of Service, the information found on RealSelf.com, including that provided by professionals in the Questions & Answers area, is a general educational aid. The Questions and Answers contain opinions and views created by community members. RealSelf.com is not responsible for the accuracy of any information posted by community members. Do not rely on this information as a substitute for personal medical or healthcare advice, or for diagnosis or treatment purposes.