If extraction is needed for braces, is it better to do it before or after having them fitted?

ideally extractions should be done very soon (either before or after) braces are placed as teeth move more quickly into fresh extraction spaces.  If you get the teeth out first then you will need to wait a week or so to heal before the braces are placed...not necessary if the braces go on first but then you need to have the wires removed and replaced after the extractions

In most cases, it doesn't really matter whether you do extractions before or after braces are placed.  Many doctors prefer to have extractions first so the braces don't get knocked off during the extractions.  However, doing the braces first makes the spaces a little more noticeable when the extractions are done.  Like many choices in life, it usually doesn't matter.  There are specific cases however where extractions MUST be done after braces are placed.  Please let us know if you would like some help with this.