Premolar Extraction

The premolar is the tooth that is present between your canine and molar. The premolars are the most common teeth that are extracted to create space before orthodontic treatment. It is used in the treatment of crowding or profile change.

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My 13-year-old daughter had a congenitally missing pre-molar. What is the best treatment?

Query: Hi doctor, I have a 13-year-old daughter who learned that she is congenitally missing a top premolar. She is starting braces and I am being asked whether we want to save the tooth or space for a future implant when she is older, or whether we would like to remove the tooth now and shift the molars o...  Read Full »

Dr. Malika Balamurugan

Answer: Hi, Welcome to I would suggest you go for extraction. And fill up the same by moving the molars over. By creating space there would be much space for us to align the upper teeth perfectly. There are no cons as such. I can see only the pros like space for aligning the whole of the uppe...  Read Full »

I put on braces last month for my upper teeth. They want to extract four teeth. I want a second opinion.

Query: Hi doctor, I put on braces last month for my upper teeth. I notice that if I am put on an expander, I will not need extraction. They want to extract four teeth. I want a second opinion. How long does it take for an expander to work? I only have 17 months left on my duty station.  Read Full »

Dr. Mayank Khandelwal

Answer: Hello, Welcome to Hope you are doing well. I thoroughly read your query and understand your concern. Orthodontics has changed a lot since its inception about 120 years ago. Previously, it was a non-extraction protocol that was in the trend, followed by extraction protocols in the 19...  Read Full »

Do I need extraction of two premolar teeth for the braces to be placed properly?

Query: Hello doctor, My upper and lower teeth do not meet properly when I bite. I wanted to go for braces; however, my orthodontist suggested to extract two of my front teeth so that the braces could be placed properly. Will the extracted teeth grow back or never come again? Kindly advise.  Read Full »

Dr. Nazima Anjum

Answer: Hello, Welcome to I understand your concern and would be happy to help. You have an orthodontic problem; your jaws are small compared to your teeth size. Therefore, your teeth are not in a proper bite position. Your orthodontist has suggested removing two teeth called premolars which ...  Read Full »

Should I undergo premolar extraction after I have been on orthodontic treatment for the past two and a half years?

Query: Hi doctor, I have been on orthodontic treatment for the past two and a half years, and now my orthodontist tells me I have to take out four teeth (premolars) to stop the flare of my front upper teeth. Is that something I can trust? This flare was present during the first year of treatment, and it...  Read Full »

Dr. Mayank Khandelwal

Answer: Hi, Welcome back to There are certain borderline cases wherein the orthodontist is always in a dilemma whether the case can be finished without extractions or will be required. However, there is also a middle option for the same, that is IPR (interproximal reduction), where certain...  Read Full »

When is the extraction of permanent teeth needed in orthodontic treatment?

Query: Hi doctor, My son has overcrowding and overbite issues and has been recommended to get teeth extracted for braces. But, I am very nervous about removing permanent teeth and their long-term side effects. What can I do?  Read Full »

Dr. Kandi Disha Dnyanendra

Answer: Hello, Welcome to I have gone through your query and OPG (orthopantomogram) attachment (attachment removed to protect the patient's identity). There is crowding, but I cannot predict the severity of crowding from OPG. Clinical examination and photographs are necessary. One has ...  Read Full »

Is it necessary to remove premolars to create space for orthodontic treatment?

Query: Hello doctor, I had my wisdom teeth pulled out a couple of times back, now I am putting on braces. My orthodontist said that I have to remove my premolars in order to make room, but I feel like you could just push back my molars somewhat where the wisdom teeth used to be. Is it possible? Very simi...  Read Full »

Dr. Geethanjali. S. S

Answer: Hi, Welcome to First of all, you have to understand the fact that not all wisdom teeth are functional. What I mean is most of the wisdom teeth are removed not to create space but it does not serve the purpose to chew well instead of harm the surrounding gums. And in orthodontic treat...  Read Full »

How long does it take to correct an open bite with braces?

Query: Hi doctor, I have a quite wide open bite. I am 24 years old and want to get them fixed with braces. The open bite is so big that I can thrust a pencil in my mouth with my teeth closed. I have attached a photo for your reference. Will it require surgery or can it be fixed with braces? How long will i...  Read Full »

Dr. Geethanjali. S. S

Answer: Hi, Welcome to I have seen the picture you have attached (attachment removed to protect patient identity). The open bite can be corrected effectively with braces treatment. Surgery would not be a choice for this type of bite correction. The braces treatment will take approximately one y...  Read Full »

My front teeth was bent inward during ortho treatment is moving back now. Why?

Query: Hello doctor,I had two upper premolars removed during my ortho treatment and the front two teeth bent inward. The new doctor corrected it, but now the same thing is happening again. Why?  Read Full »

Dr. Varun Pratap Singh

Answer: Hello, Welcome to Removing upper premolars is a part of orthodontic treatment if space requirements make it mandatory. This is done to take back your forwardly placed front teeth. The doctor should maintain the inclinations of the front teeth while taking them back. Failure of which l...  Read Full »

Why is the second premolar paining?

Query: Hello doctor, I have pain in my left second premolar. The x-rays do not show anything, and it does not hurt if I tap on it or drink cold water. It seems to hurt near the root of the tooth, but only on one side, that is, the side facing the first molar. When I touch this side, I feel a short, sharp p...  Read Full »

Dr. Naveen Thomas

Answer: Hello, Welcome to By your description, it seems maybe your premolar might have a vertical fracture involving the nerves inside. This might be either due to a large filling, which may have caused more pressure on the remaining tooth structure or even biting on a very hard object or food...  Read Full »

How to correct teeth length with veneers?

Query: Hi doctor, My two front teeth are much longer than the adjacent ones. For braces, I will have to remove four teeth, which I am not in favor and grinding will remove much of enamel layer. I have heard about porcelain veneers and composite bonding techniques for altering the shape of teeth. What shoul...  Read Full »

Dr. Geethanjali. S. S

Answer: Hi, Welcome to I saw the photograph you have attached (attachment removed to protect patient identity) and I found that your front two teeth look bigger, but it is not, though. They are slightly forward from the dental arch (protruding front). By the law of nature, all the four front te...  Read Full »

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