The type of teeth that need to be extracted for braces depends on the individual patient's case. Generally, the premolars (the fourth and fifth teeth from the front) are the most likely to be removed. In some cases, a rear molar may be taken out in addition to or instead of the premolars. For patients with an underbite, the first lower premolars are usually extracted, but it may also be necessary to remove two upper teeth in some cases.
The first premolar teeth are usually taken out for orthodontic reasons. In other words, both the first and second premolars are located between the canine teeth and the molars, meaning that these teeth can be removed without compromising function or aesthetics. In addition to the four premolar teeth, the procedure may include only the two upper or two lower premolar teeth, a single lower incisor tooth, or the second upper and lower molar teeth. Invisalign is not always the best option for straightening teeth, especially for young patients. Orthodontists often have to resort to tooth extraction in order to properly treat the patient. In most cases, dental surgery is performed instead of tooth extraction due to the severity of jaw misalignment.
Understandably, surgery is a patient's last resort. Do adults need to remove their teeth before putting on braces? Yes, they should have extractions if these bumps are pronounced. Otherwise, the teeth cannot be straightened in any other way. Most orthodontists will remove some teeth that are close to the back of the mouth so that the front teeth can simply return to their place.