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Possible to Go for Invisalign Without Tooth Extraction?

Recently, I just had a consultation for Invisalign and the doctor told me that he try not to do extraction for me because my side profile is quite flat, extraction make my upper row to move inward and it will make my upper row of teeth become flatter and look older. But before that I was told by another dentist that I need extraction as my teeth are too crowded and too big (front tooth about 10.5mm), he think arch widening cannot create enough space to move the teeth. Who should I listen to?

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7 Doctor Answers | Asked by Asian woman in Singapore

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Do I need extractions with Invisalign

Whether to extract or not is NOT an Invisalign question...it is an orthodontic question. Although it its almost always possible to treat a patient without extractions, this does not mean that nonextracftion treatment is the best way to go...it may mean a less stable, less esthetic result. Once the decision is made whether to extrac,t then the type of appliance can be chosen...In general, Invisalign is not the best appliance if multiple teeth have to be extracted.. Bottom line..... more

Invisalign and extractions

I notice that you have been told that with Invisalign you would not need extractions. This is true in the sense that your teeth can be straightened without any extractions with Invisalign. The question I would ask is, would extractions be indicated for you regardless of the appliance system used? When you have extractions the appliance system needs to be good at moving tooth roots through the bone and keeping them parallel. Invisalign is not good at this. So if... more

Invisalign without tooth extraction

I see that you have crowded teeth. However you should try invisalign treatment. It might work. I have had a case similar to this and it worked really well without any extraction. I am not saying that this might aply to your case as well but you have a good chance to achieve your goal without extracting any tooth

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Non extraction Invisalign

Good question and many answers. My advice woudl be as follows: You have a slighty convex upper lip which is being pushed out by the 2 front teeth. The profile is nice and should not be flattened too much. Your chin point is slightly forward as well so again moving the upper teeth into extraction spaces may flatten the upper lip and make your chin look slightly long. The front teeth may also have an open bite as well. The crowding is quite severe and yes you need lots of space.... more

Not an Invisalign Question.

Whether or not to extract is not dependant on whether you choose Invisalign or braces. The question is; Can you treat your teeth orthodontically without extractions, and acheive the result you want? If the answer is yes, then I would say don't extract.

Invisalign Without Extractions?

This is a GREAT question. It is clear (based on the records you have provided) that you have a LOT of crowding of your teeth. Let me say right from the start that you have made a wise choice to straighten your teeth. Straight teeth not only make a more beautiful smile but also create a healthier mouth. Typically, with Invisalign (and with traditional forms of orthodontics as well) it is easier and requires less time to treat a patient using extractions than it would without taking... more

Who to trust...

When you have more than one consultation you will get varying solutions for the same problem. (I generally recommend 3 consultations for my friends that live out of town and can't see me.) The proposed solutions likely will make sense while each doctor is explaining them. You want to trust both doctors, and you should. Bottom line: Go with the doctor whose result you think you'll like better in the end and you felt you could talk to more easily. It is my... more

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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

Invisalign: Q&A