My Child Was Told They’ll Need Extractions—What Now?
Why pulling teeth isn’t always the solution—and what to ask before you agree
You sit in the orthodontist’s office. They point to an X-ray and say:
“There’s just not enough room. We’ll need to remove four teeth to make space.”
Your stomach drops. Is this really necessary? What are the long-term effects? What are your options?
Before you agree to extractions, here’s what every parent should know—and the questions you need to ask to protect your child’s airway, facial development, and long-term health.
Why Are Extractions So Common?
In traditional orthodontics, the goal is to straighten teeth and create a neat, aligned smile. If the jaw appears too small to fit all the teeth, pulling out premolars is the go-to solution.
The problem? This treats the symptom, not the cause.
What’s the Risk?
Removing healthy teeth can lead to:
Shrinking of the dental arch
Narrower palate and airway
Less space for the tongue
Facial changes (flatter profile, recessed chin)
Increased risk of sleep apnoea later in life
Tension, TMJ pain, or jaw instability
Permanent tooth shifting requiring lifelong retainers
Crowded teeth are usually the result of an underdeveloped jaw—not “extra” teeth. Your child’s body isn’t designed with spare parts.
What Extractions Don’t Do
They don’t solve airway issues
They don’t widen the jaw
They don’t correct tongue posture or muscle dysfunction
They don’t address the root cause of misalignment
What to Do Instead
Get a Second Opinion
Preferably from an airway-focused or holistic provider.
Explore Palate Expansion
This widens the jaw and creates more space—no teeth removed.
Evaluate Tongue and Breathing
Low tongue posture and mouth breathing are often root causes.
Start Myofunctional Therapy
Strengthens the tongue and facial muscles to support proper growth.
Look at the Whole Picture
Don’t just ask “how can we make room?”—ask “why is there no room?”
Learn Before You Decide
The Mouth Myth offers:
The science behind crowded teeth
A breakdown of the extraction debate
Safer, more holistic alternatives
Bonus: The Hidden Costs of Conventional Treatment included FREE
📘 Get The Book →
You don’t have to say yes to extractions. There is a better way—and this book will show you how.