Extraction vs. Non-Extraction Therapy

At Manley Orthodontics, we know that the idea of having a tooth removed can be scary. But don’t worry! Dr. Manley and the team always work closely with our patients to determine the best course of action for any given problem, and we’ll never make a decision without your input. Sometimes, extraction therapy is just the best option. However, that isn’t always the case! Read on to learn more about extraction vs. non-extraction therapy. 

Why Consider Extraction Therapy?

Extraction therapy, as the name implies, involves the removal of specific teeth when it’s deemed essential for your overall dental health and a more radiant smile. This decision may stem from various factors, such as tooth-related health issues like severe abscesses or periodontal disorders. By strategically extracting one or more teeth, we can generate additional space, allowing your remaining teeth to align more harmoniously.

We understand that contemplating extraction therapy can be intimidating, but there’s no need for concern. The decision to proceed with this treatment will be made after a thorough evaluation by Dr. Manley. Factors considered during this evaluation include the degree of crowding in your teeth, the alignment of your bite, the contour of your face, and your overall oral health.

Don’t worry; we’ll always work hard to find the very best treatment for you or your family! 

Conditions Treated with Extraction Therapy

At Manley Orthodontics, we resort to extraction therapy sparingly, typically addressing specific dental conditions and concerns. The most common situation that prompts us to consider extraction is dental crowding, where there isn’t sufficient space in your jaw to comfortably accommodate all your teeth. Here are some of the conditions for which extraction therapy can be an effective solution:

  • Dental Crowding: Extraction therapy is a valuable tool for creating space in your mouth by removing one or more teeth. This enables the remaining teeth to align correctly, reducing crowding and resulting in a more balanced and aesthetically pleasing smile.
  • Overlapping Teeth: In cases where teeth severely overlap or exhibit significant misalignment, extraction therapy may be recommended. The removal of specific teeth can create the necessary room for proper alignment, facilitating the movement and alignment of the remaining teeth into a healthier position.
  • Impacted Teeth: Sometimes, a tooth may fail to fully emerge from the gums due to constraints like insufficient space or obstructions. This condition, known as an impacted tooth, often finds an ideal solution in extraction therapy. Removing impacted teeth prevents potential complications such as infections, pain, and damage to neighboring teeth.
  • Bite Irregularities: Extraction therapy can also play a crucial role within a comprehensive orthodontic treatment plan aimed at correcting underlying bite irregularities like overbites or underbites. The strategic removal of specific teeth can contribute to achieving a properly aligned jaw and a healthier bite.

It’s essential to recognize that extraction therapy isn’t the exclusive treatment option for these conditions. Your unique circumstances, oral health, and treatment objectives are all factored into the decision-making process. Dr. Manley will collaborate closely with you to determine the most suitable approach for your orthodontic treatment.

Extraction vs. Non-Extraction Therapy

What to Expect During an Extraction

At Manley Orthodontics, we are fully equipped with state-of-the-art methods and technology. Should you and Dr. Manley decide that extraction therapy is the best course of action for your specific needs, rest assured that the process is straightforward and comfortable. Our highly skilled and experienced team ensures that most patients hardly notice the tooth extraction itself.


We employ a conservative approach that aims to preserve as much dental tissue as possible while delivering optimal results. This approach not only expedites the healing process but also minimizes potential discomfort or any long-term orthodontic issues associated with the missing tooth.

Exploring Alternatives – Non-Extraction Therapy

We will always emphasize treatment approaches that prioritize the health of your teeth and gums above all else. Extraction therapy is rarely the sole option, and depending on your specific circumstances, various alternatives can effectively address orthodontic issues. Here are some non-extraction alternatives to consider:

  • Orthodontic Appliances: Often, orthodontic issues that may seem to require extraction can be successfully managed through primary orthodontic treatments like braces or Invisalign. These treatments gradually reposition teeth over time, eliminating the need for extraction.
  • Interproximal Reduction (IPR): Also known as tooth stripping or slenderizing, IPR involves the precise removal of small amounts of enamel between teeth. This technique can create the necessary space without resorting to extraction.
  • Expansion Therapy: This approach focuses on widening the dental arch, creating additional space for proper teeth alignment. Utilizing orthodontic appliances like expanders, we gently widen the upper or lower jaw to accommodate all your teeth comfortably.
  • Surgical Orthodontics: In more severe cases where a significant discrepancy exists between the jaw and teeth alignment, surgical orthodontics, also known as orthognathic surgery, may be considered. This approach combines orthodontic treatment with surgery to achieve your ideal bite and smile.

Extraction therapy is a valuable orthodontic option for specific conditions, but it’s not always the only solution. Dr. Manley and our dedicated team at Manley Orthodontics are committed to providing customized treatment plans that prioritize your oral health and overall well-being. Your journey to a beautiful and healthy smile begins with a comprehensive evaluation and a personalized treatment approach tailored to your unique requirements.

Should you have any questions or wish to further discuss your orthodontic treatment options, please don’t hesitate to reach out to us. We’re here to support you every step of the way on your path to a confident and radiant smile.

Extraction vs. Non-Extraction Therapy

Call Now For a Free Consultation! 

If you’re in or around Sammamish or Issaquah, we hope you’ll consider Manley Orthodontics for all your orthodontic needs. Our team is passionate about your care, and we’re always here for any questions or concerns. Not only that but consultations are always free! So call now, or just fill out this convenient online form, and we can get you started on the smile of a lifetime today!