Has anyone had a lower front tooth extraction to accomodate Invisalign?

I had a consultation for Invisalign and I have the option of a tooth extraction or filing. I have concerns with filing and how it might impact my teeth down the road, but more so because my orthodontist cannot guarantee I wont need additional measure or regular braces to aide with movement. I was leaning more towards extraction because I feel that if I had one of my lower four front teeth between my canines removed, no one would notice it. Is there anyone who had an extraction? Any advice you have for me? Overjet issues?

2 answers to “Has anyone had a lower front tooth...”

A: Lower incisor extraction is a viable treatment in certain lower crowded situations

Jason K. Tam, DDS

There is a specific ratio of the widths of the top teeth to the bottom teeth that is required to allow the proper bite and alignment of the teeth.  In certain situations, there are small upper lateral incisors, causing what is known as a Bolton discrepancy.  In these cases, these teeth can be built... more

A: In any orthodontic case, the extraction of lower front tooth will give you some symmetry problem.

Victoria Olshansky, DDS

In any orthodontic case, the extraction of lower front tooth will give you some symmetry problem. We do not take such a risk.

Comments

Emziccle
2 posts
28 Mar 2009

Hi, I had a lower incisor removed last year due to severe overcrowding, there was no room for it and over the years it had moved further and further back until it sat over half a centimetre back from the rest. I was originally going to go down the veneers route for my crooked teeth until my dentist went on the invisalign course and offered me a a large discount to be one of her 1st 4 patients. I don't know if invisalign would have been able to correct the lower overcrowding but my teeth moved by themselves to close the gap completely months before I started the invisalign, so it is not even noticeable.

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