A far better choice would be to utilize a DNA Appliance to grow your maxilla to make the premolars fit. This will give you a fuller more attractive smile. Removing the premolars increase your risk of chronic daily headaches, migraines, TMJ Disorders, Snoring and Sleep Apnea.There are two types of orthodontics, Expansion Orthodontics and contraction orthodontics. You are almost always better off with expansion orthodontics.Ira L Shapira DDSDiplomat, American Academy of Pain ManagementDiplomate, American Board of Dental Sleep MedicineFellow and Regent, International College of CranioMandibular OrthopedicsChair, American Alliance of TMD OrganizationsThinkBetterLife.com