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Will Crowded Teeth Need Pulling Before Invisalign?

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

Asked 30 months ago by kelso2011 in Houston, TX
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+1

Unable to be determined from your photo

With no disrespect to previous answers, I am unable to determine whether you require extractions from this photo you have taken.  There are many considerations other than crowding that determine the need for tooth removal including profile and periodontal health.  This photo alone is not diagnostic, which is why you require a complete orthodontic diagnosis including x-rays, photos, and an examination before coming up with a treatment plan. With Invisalign, some dental... more
Jason K. Tam, DDS
Toronto Orthodontist
+1

No, you will not need to have teeth removed

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... more
James J. Awbrey IV, DMD
Atlanta Orthodontist
+1

Teeth pulling before Invisalign depends on your age

From the photo it seems like your arch can be widened and thus no need for pulling any teeth. We do so much now days without ever pulling teeth. Plus you can have all your models taken and sent to Invisalign and the doctor can then tell you for sure whether or not its needed before you even start your treatment.
Michael J. Thomas, DDS
Los Angeles Cosmetic Dentist
+1

Crowded teeth pulling before Invisalign?

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.
Susan Goode Estep, DMD
Atlanta Cosmetic Dentist
+1

Crowded teeth are pulled less frequently today

It used to be very common to have teeth pulled for orthodontic purposes.  Today, we do that much less often.  From what I can see in your attached photo, I would NOT think pulling teeth would be necessary.
Lance Timmerman, DMD
Seattle Cosmetic Dentist
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