For the vast majority of patients, Dr. Adams will be able to treat most orthodontic problems without having teeth extracted or removed. However, Dr. Adams’ experience has taught him that if a patient presents with severe crowding or other orthodontic issues that require teeth to be extracted or removed, then teeth must be removed. Dr. Adams has the experience, competence, and confidence to make that decision for patients. This decision is not made of out of arrogance or ego, but out of genuine concern for the patient’s long-term well-being and what is truly in his or her best interests in order to achieve excellent and stable results.

Not extracting teeth when it is truly needed will always lead to very bad consequences. These consequences include one or more of the following:

• Upper and lower teeth do not fit properly, promoting wear and tear of teeth
• Poor aesthetic result, for example, flaring of front teeth, looks terrible
• Patient in braces or clear aligners/Invisalign® for many years, resulting in gum disease, cavities, and tooth scarring
• Teeth relapsing back to their crowded state after braces are removed or after clear aligner/Invisalign treatment terminates
• Bone loss
• Receding gum lines
• Teeth being moved right out of bone
• Tooth/teeth non-vitality

In Dr. Adams’s 25 plus years of experience, not one patient has ever complained about having teeth removed for their severe crowding issues or issues necessitating removal of teeth once the excellent and stable result was achieved. To the contrary, these patients were ecstatic about the results achieved and were smiling from ear to ear. More importantly, these excellent results are more likely to remain stable for a lifetime because teeth were removed.