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Mild Dental Crowding: Do I Really Need Extractions or Just Invisalign?

Mild Dental Crowding: Do I Really Need Extractions or Just Invisalign?

9 December Tue, 2025

One of the most common fears about orthodontic treatment is:

“Will they have to pull out my teeth?”

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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.

Why Are Extractions Sometimes Recommended?

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

When Invisalign or Braces Can Avoid Extractions

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.

Is It Safe to Avoid Extractions at All Costs?

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.

Honest Planning in Bursa

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.

Category: Orthodontics

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Milim Dental Hospital is the first dental centre to receive the "Health Tourism Authorisation Certificate" issued by the Ministry of Health of the Republic of Turkey.
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