Tooth Extraction and Invisible Aligners

Tooth extraction may be needed for proper teeth alignment when there isn’t enough space in the mouth. Sometimes, teeth can be too big for the jaw, causing crowding. Removing a tooth can create the space needed for the remaining teeth to line up correctly, especially when using aligners. Extractions can also help with issues like extra teeth or damaged teeth. By removing specific teeth, orthodontists can improve bite and jaw alignment, making sure teeth look and function better. This is important for effective treatment with braces or aligners.1 

In this blog, we will explore tooth extraction, types of braces, and options for invisible braces in India, including costs.

Types of Braces

When it comes to orthodontic treatment, there are several types of braces available, each designed to address specific orthodontic issues and cater to individual preferences. They include:

  • Metal Braces: They are the most common, featuring stainless steel bands, brackets, and wires. They effectively shift teeth over time and are visible when you smile, although you can choose coloured or clear ligatures for a personalised touch.
  • Ceramic Braces: They function similarly but use tooth-coloured materials, making them less noticeable. However, they are more fragile than metal options.
  • Lingual Braces: These are placed on the back of the teeth, offering a discreet treatment but may interfere with speech and are challenging to clean.
  • Self-ligating braces: They resemble traditional metal braces but use a built-in mechanism to hold the arch wire, reducing friction and potentially shortening treatment time.2,3
  • Clear Aligners: These are clear, plastic trays that fit over your teeth. They gently push your teeth into the right position. These aligners are great for people with mild to moderate problems and can be taken out when eating or brushing. They offer a simple way to straighten your smile without traditional braces.2,4

Here’s a table that compares different types of braces, highlighting their advantages and disadvantages to help you understand which option might be best for you.3,4

Type of BracketAdvantagesDisadvantages
Stainless SteelAffordable, strong, and commonly usedNot very attractive, needs soldering, less flexible, requires more adjustments, can rust
CeramicClear or tooth-coloured, strong, and blends in with your teethMore expensive, can break easily, may stain, bulky, complicated to make
Self-LigatingDifferent materials available, no elastic bands needed, fewer visitsMore complex design, higher cost, parts can break, larger size
LingualHidden behind teeth, less noticeableCan affect speech, harder to place correctly, may irritate the tongue, longer visits
Clear AlignersAlmost invisible, removable, comfortable, and custom-madeMay need additional tools for treating severe cases, need to be worn for at least 22 hours a day

Selecting the right type of braces is important for achieving your ideal smile. Each type has its benefits and drawbacks, so it’s crucial to talk to an orthodontist. They can guide you in finding the best option for your needs and preferences, helping you improve both your dental health and confidence. 

Is Tooth Extraction Needed for Invisible Braces?

A common question about orthodontic treatment is whether tooth extraction is necessary when using invisible aligners. This decision depends on the severity of the dental issue.1 If teeth are overcrowded, extraction may be recommended to create space for the remaining teeth to shift into their proper positions. This is often needed for severe misalignment. However, many patients with mild to moderate crowding may not need extractions, as invisible aligners can gently align teeth without removal.1,5

When extractions are necessary, orthodontists use special planning to ensure the teeth move correctly and to prevent nearby teeth from tipping into the empty space. Additionally, they may use tools like rubber bands to adjust tooth positions, TADs (Temporary Anchorage Devices) to stabilize certain teeth, and small brackets to guide movement. These strategies work together to ensure effective and smooth treatment after extractions.6

Whether tooth extraction is needed when using invisible braces depends on the individual’s orthodontic condition, and careful planning along with additional tools can help achieve the best results.

Invisible Braces in India

Invisible braces have become increasingly popular in India due to their aesthetic advantages and effectiveness in treating a range of orthodontic issues. These clear aligners are custom-made for each patient, allowing for a comfortable fit and a discreet treatment experience.

The Invisible braces cost in India range from ₹80,000 to ₹1,20,000, depending on the complexity of the case. 

Various brands are establishing a strong presence in the Indian dental products market. Toothsi offers affordable aligners priced around ₹50,000. They use high-quality materials and advanced German technology, ensuring effective treatment. Their FDA-approved aligners come with home visits for 3D scans and customized treatment plans, making them a standout choice for both safety and value.8

Snazzy Clear Aligners features a straightforward treatment process that starts with initial scans and includes home delivery of the aligners, making it convenient for patients.9 Additionally, 32 Watts provides custom-made aligners designed to meet individual needs, ensuring quality and effective treatment.10 Invisalign is yet another popular brand for aligners but comes at a higher cost.

With the various options available, patients in India can find a suitable orthodontic solution that fits their needs and budget, whether or not tooth extraction is part of their treatment plan.

Conclusion

Tooth extraction may be necessary when using braces or aligners, especially for severe crowding. Understanding the different types of braces can help you make informed decisions about your treatment. While many individuals with mild to moderate dental issues may not require extractions, those with more complex situations might. Always consult your orthodontist to determine the best approach for your needs. With proper planning and the right tools, you can achieve an effective and beautiful smile even if teeth extraction is recommended with your clear aligner treatment.

References

  1. Al-Ani MH, Mageet AO. Extraction Planning in Orthodontics. The Journal of Contemporary Dental Practice. 2018;19(5):619–23. Available from: https://www.thejcdp.com/doi/pdf/10.5005/jp-journals-10024-2307 
  2. Cleveland Clinic. Dental Braces: Types, Uses, Care [Internet]. Cleveland Clinic. 2023. Available from: https://my.clevelandclinic.org/health/treatments/24601-teeth-braces 
  3. Mundhada VV, Jadhav VV, Reche A. A Review on Orthodontic Brackets and Their Application in Clinical Orthodontics. Cureus [Internet]. 2023 Oct 1 [cited 2023 Nov 23];15(10):e46615. Available from: https://pubmed.ncbi.nlm.nih.gov/37937031/ 
  4. Aligners [Internet]. American Association of Orthodontists. Available from: https://aaoinfo.org/treatments/aligners/ 
  5. AbdulMajeed AlMogbel. Clear Aligner Therapy: Up to date review article. Journal of orthodontic science. 2023 Jan 1;12(1):37–7. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10597356/ 
  6. Angelo Michele Inchingolo, Alessio Danilo Inchingolo, Carpentiere V, Gaetano Del Vecchio, Ferrante L, Angela Di Noia, et al. Predictability of Dental Distalization with Clear Aligners: A Systematic Review. Bioengineering [Internet]. 2023 Dec 4 [cited 2024 Apr 17];10(12):1390–0. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/38135981/ 
  7. Toothsi Aligners Cost in India – Types of Braces & Price Factors [Internet]. makeO. makeO; 2023. Available from: https://makeo.app/blog/oral-care/how-much-do-aligners-cost-in-India 
  8. Best Teeth Straightener Treatment Online in India | toothsi by makeO [Internet]. makeO. 2016 [cited 2024 Aug 27]. Available from: https://makeo.app/toothsi/why-toothsi  
  9. Invisible Braces | At only ₹49,000 – Snazzy Clear Aligners [Internet]. Snazzy.in. 2022 [cited 2024 Aug 13]. Available from: https://snazzy.in/get-snazzy 
  10. 32 watts [Internet]. 32 Watts Clear Aligners. 2023 [cited 2024 Aug 13]. Available from: https://www.32watts.com/index.html  

Image

Link: https://www.freepik.com/free-photo/patient-scared-by-dental-equipment_6260799.htm#fromView=search&page=1&position=0&uuid=4b2b95f7-042d-4914-811e-49956d9419cd 

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