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Is it necessary to extract my premolars for Braces?

emilycharlotte1
I had braces previously when I was 16, now I am twenty and my upper right cuspid is a little off. My doctor recommends 4 premolar extractions in order to align the cuspid and my bite, which is a little off as well. However, my bite is not an issue for me, but the cuspid is because it bothers me how it looks. Also, they are extracting my wisdom teeth via surgery next month. Is it necesary to remove the 4 premolars or is there another way to fix the upper right cuspid without teeth extractions?

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