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Severe Crowding — 5 Extractions, One Remarkable Result

Severe crowding • Forwardly placed teeth • 5 premolars extracted • Fixed braces

What is it?

When there is severe lack of space, teeth erupt forwardly placed, rotated and crowded — pushing the lips outward and creating a protruded profile. In cases this severe, the only way to achieve a stable, functional, and aesthetic result is strategic extraction of premolars to create the space needed to align and retract everything fully.

How we treat it:

  • Full records — X-rays, cephalometric analysis & study models
  • Strategic extraction of 5 premolars to create space
  • Fixed braces — full arch alignment & retraction
  • Space closure with torque control throughout
  • Retainers to maintain the final result
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Before Treatment
BEFORE Before — frontal view showing severe crowding and forward placement
BEFORE Before — lateral view showing protrusion and crowding
BEFORE Before — upper occlusal view showing severe arch crowding Upper arch
After Treatment
AFTER After — frontal view, teeth beautifully aligned
AFTER After — lateral view showing corrected profile
AFTER After — upper occlusal view showing perfectly aligned arch with retainer Upper arch
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