Second molar extraction in conjunction with Orthodontic treatment

Traditionally orthodontic treatment require removing of two or four bicuspids at the start of orthodontic treatment and, later on at oftentimes, four third molars (wisdom teeth). Today, doctors are now removing only two to four second molars at the beginning of treatment with no routine subsequent extractions.


  Traditional Method of orthodontic extraction.  Removal of bicuspids and/or later extraction of third molars.


 “ A clinical review of second molar extraction cases treated over a period of more than 20 years, finding this to be an effective treatment modality in carefully selected cases when combined with adequate orthodontic supervision.” (Extraction of Four Second Molars. Dr Galen W. Quinn. “The Angle Orthodontist, Basic and Clinical Research Related to Dentofacial Orthopedics,” Vol.55, No.1, January 1985.

Research has shown that third molars can cause crowding and, in addition to alleviating that problem, second molar replacement allows healthy, fully- developed third molars to erupt in place of the second molars.  Consider also the following distinct advantages of second molar replacement.

Ninety percent of people who will need orthodontic treatment have crowded or protruding teeth.  Nine out of ten. You or your child may be in this ninety percent and ready to make an important decision about orthodontic treatment. 



Modern Method only requires removal of second molars.


For many years the traditional method of treating crowded and protruding teeth has included removal of premolar, or bicuspid teeth.  The second molar extraction is a new and more acceptable approach, with several advantages, for treating crowded and protruding teeth.  This type of extraction will be beneficial to this patient orthodontic treatment.