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Just one tooth extracted for braces for 17-year-old son?

3 replies

starlitnight · 06/05/2026 11:08

My 17 year old son has resisted braces for years... but now has agreed while still an option with the NHS. The orthodontist suggested 4 teeth out which my son is adamant he will not do. So the other option that is possible for the lower jaw where the crowding is severe is to have just one tooth out. I don't think it will be too obvious that the midline doesn't quite align and my son isn't bothered about having perfect teeth but I think they would be easier to keep clean if there was a bit more space. Has anyone had this experience and was it ok visually and in terms of how it affects bite? Thank you!

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Littlefish · 06/05/2026 18:01

My Dd has 3 bottom teeth (born that way) You would never know to look at her. She had 4 teeth taken out at the top and then top and bottom braces to straighten everything out and alter the angle of her teeth as they all sloped inwards, slightly. Her teeth are beautiful now.

momz1 · 14/05/2026 04:40

Removing just one tooth may not affect the appearance too much, especially if your son is not concerned with perfect alignment. It’s worth checking with the orthodontist if it will impact his bite or long-term dental health.

Maray1967 · Yesterday 12:15

starlitnight · 06/05/2026 11:08

My 17 year old son has resisted braces for years... but now has agreed while still an option with the NHS. The orthodontist suggested 4 teeth out which my son is adamant he will not do. So the other option that is possible for the lower jaw where the crowding is severe is to have just one tooth out. I don't think it will be too obvious that the midline doesn't quite align and my son isn't bothered about having perfect teeth but I think they would be easier to keep clean if there was a bit more space. Has anyone had this experience and was it ok visually and in terms of how it affects bite? Thank you!

If you’re still reading replies - yes, DS18 had exactly this at 17. Our usual dentist said he would need four teeth out. Orthodontist said no, that is no longer the best practice. DS had the shark tooth which was completely behind the other lower incisors removed, and the braces have pushed his bottom teeth into line. The orthodontist says the aim is to get the middle bottom tooth centred underneath the gap between the top two, and it is good. Braces off now. I was initially concerned and questioned the orthodontist because i thought it would look odd. DS preferred to have only the one out, so it was his choice - but orthodontist was very insistent that it is the new standard.

If your DC is now having the treatment please be reassured - you don’t actually notice it.

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