Why is my orthodontist pulling my teeth after my braces are put on?
Most patients and orthodontists hesitate to pull teeth as part of initial orthodontic treatment unless it is very obvious there is not enough room. Quite often, the orthodonist recommends the extractions initially and the patient or their parent refuses extractions. The usually come to an agreement to start orthodontic treatment with the knowledge that extractions may still be necessary. Sometimes they are and sometimes they aren't. I personally like the approach of starting treatment and seeing where it goes. A fuller smile is much more attractive than a sunken upper lip. These comments apply to adolescent orthodontics. Adult orthodontic cases must be approached differently.