One of the most common fears about orthodontic treatment is:
“Will they have to pull out my teeth?”
If you have mild or moderate dental crowding, the answer is often no – especially with modern planning techniques and Invisalign clear aligners.
At Milim Dental Bursa, orthodontist Dr Begum Ulasan evaluates every case individually before deciding between braces, aligners and whether extractions are really necessary.
To align crowded teeth, we need space. There are several ways to create it:
Slightly expanding the arches
Proclining (moving teeth forward) within safe limits
Doing small enamel reductions between teeth (IPR)
Or in some cases, extracting a tooth
Extractions may be recommended when:
The crowding is severe
The lips are already very protrusive
Moving the teeth forward would not be stable or aesthetic
For many adults and teens with mild to moderate crowding, Invisalign or braces combined with careful arch design and minimal IPR can straighten teeth without removing any healthy teeth.
At Milim Dental, Dr Begum Ulasan uses:
Photos, X-rays and sometimes 3D scans
Digital simulations of tooth movement
to plan how much space can be created without extractions.
Not always. Forcing very crowded teeth into a narrow arch without enough space can:
Push teeth out of the bone
Create unstable results and higher relapse risk
Compromise the profile and lip position
The goal is not “never extract” or “always extract”, but to choose the safest, most stable option for your specific anatomy.
In some cases, Dr Begum Ulasan will say:
“We can treat your crowding with Invisalign or braces without extractions.”
In other cases, she may explain that removing one or more teeth will:
Protect your facial profile
Reduce relapse risk
Make hygiene and function better long term
Either way, the decision is made with you, not for you.
If you are in Bursa and worried about extractions, an evaluation at Milim Dental can clarify whether your dental crowding is mild enough for a no-extraction Invisalign plan, or if a mixed approach is safer.
You can also check our article on Invisalign vs braces in adults to see how different systems handle space issues.
For many patients, the dream of having dental implants has long felt impossible. Advanced bone loss, failed grafts, and long treatment times often leave individuals feeling hopeless. But what if we told you there’s a solution designed specifically for the “impossible” cases?
Choosing the right dental implant solution can be overwhelming—especially for patients with severe upper jaw bone loss. Many are offered bone grafting procedures, sinus lifts, or long treatment timelines. But an increasingly popular alternative, zygomatic implants, offers a faster, graft-free solution.
With continuous advancements in technology, modern dental crown methods are replacing traditional techniques. Zirconium crowns, offered as an alternative to metal-supported crowns, are highly durable and aesthetically pleasing.
Milim Dental Hospital isn't just a clinic—it's where confident smiles begin. With a team of world-class specialists, advanced technology, and a patient-first approach, we turn dental care into a premium experience.
We prioritize hygiene, comfort, and tailor-made treatments designed just for you. Don’t just take our word for it—explore real stories from real patients.
Your perfect smile starts here. Join the Milim experience.
Milim Dental Hospital provides comprehensive dental services in a spacious 1,000 m² facility, supported by a wide team of dental professionals including specialists in Oral and Maxillofacial Surgery, Prosthodontics, Orthodontics, Pediatric Dentistry, and Periodontology.