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What are the alternatives to removing pre-molars? (Photos)

TahjSHAug 5, 2025
Hi! I went in for an orthodontic consult yesterday. I have an overjet and I was told I could have moderate success with Invisalign/ Angel Aligners or Braces, but that the most sucessful result would come from removing 4 pre-molars. My mother had this treatment done when she was a child but I am pretty opposed. I know its common but it feels invasive. Based on my photos, do you feel there could be any alternative options? or should I just settle for the moderate correction?

Answers (1)

From board-certified doctors and trusted medical professionals
Dr. Nirav Patel, MDS, PhD
Dentist
Answered on Sep 5, 2025
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Nirav Patel, MDS, PhD

That depends on the plan you finalised with your dentist. As you said, 59 trays, so it meant that it is the comprehensive plan (unlimited trays for three years or five years). In my practice, when I go for a comprehensive package means full correction, and I give the result accordingly. But many...

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Steven Davidowitz, DDS

It depends on the severity of your gum recession. In your situation, it appears healthy enough to move the teeth into a better position and bite prior to grafting. This approach can actually help the graft take better and last longer. When you move your teeth into their ideal positions with...

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Nirav Patel, MDS, PhD

Yes, go back to tray no 5 and start your regular protol. clean tray no 11 and put it back into no11 pouch.

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