Absolutely Not! – not if we can avoid it.
The decision as to whether teeth need to be removed, or not, comes after a full consultation with the patient and a thorough assessment of the pre-treatment records (models, photos and x-rays).
Sometimes teeth do need to be removed to treat cases with excessive crowding, very prominent teeth or teeth with very poor prognosis. We do not like removing teeth and if there is a possibility of a healthy, attractive and confident smile without removing teeth we will begin without removing them and reassess treatment response before making a final decision.