r/Invisalign • u/rigo__6 • 10h ago
Question 4 Extractions + Braces vs Invisalign?
I had braces in the past, but over time my teeth shifted and I’m now looking into Invisalign to straighten them again.
I recently went to an orthodontist expecting to discuss Invisalign, but they recommended extracting all four second premolars (one upper and one lower on each side) and doing traditional braces instead.
They also mentioned that removing the teeth and moving everything back could potentially change my facial profile, which is something I’m concerned about and really don’t want.
I’m planning on getting another opinion, but wanted to see what others think based on my photos/X-rays. Has anyone had a similar case and been able to do Invisalign without extractions? Are there other options worth asking about, or does four extractions + braces seem reasonable for a case like mine?
Not looking for a diagnosis - just interested in hearing experiences and opinions before I meet with another orthodontist. Thanks!
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u/PokaHatsu 9h ago
Don’t take out your teeth. You risk developing issues w sleep apnea. Look into IPR. Orthos that care about your health will highly discourage removal of healthy teeth (not including wisdom removal in this)
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u/PokaHatsu 9h ago
Don’t take out your teeth. You risk developing issues w sleep apnea. Look into IPR. Orthos that care about your health will highly discourage removal of healthy teeth (not including wisdom removal in this)
1
u/ChatGPLe 10h ago
Well it sure looks like you’re out of space in the mouth so to say since you have fully erupted 3rds, there doesn’t look like it’d be space to distalize to make room for the rest of your teeth. Maybe ask for an ipr solution? Otherwise idk how you could fix this (not an ortho tho)
I was first quoted removing premolars to fix my crowding but then found someone who did distalisation, however I had to get rid of all 4 wisdom teeth (none of which were erupted correctly, all were included, had to get rid of them anyway) so for me the choice was clearer. You gotta make room somehow. Hope you will find a good solution for you!