Is it true that with the Damon System there is no need for extraction? If the answer to this question were affirmative, the Damon system of self - ligating would be a miracle. In spite of this, no orthodontist likes to extract healthy teeth unnecessarily and, whenever we can, we try to perform a treatment without extractions. There are cases in which the extractions are almost "mandatory" to improve the occlusion, aesthetics and periodontal health (of the gums) like this patient here. No system or technique can avoid extraction when it is necessary, either with self-ligating orthodontics , Invisalign or invisible lingual orthodontics .
The need for extractions is not determined by the type of bracket, or by the orthodontic technique that is used, but by a correct specific and specific diagnosis for each patient. The shape and facial pattern, the discrepancy of the osteopenia (the lack or lack of space), the amount of overbite and / or protrusion, type of malocclusion, etc., are some of the multiple factors that we analyze and consider before and during the orthodontic treatment. Dental extractions can be very detrimental to dental, facial and smile aesthetics. Although, if a correct diagnostic analysis has been carried out and a treatment has been carried out correctly, they can be beneficial for all the previous ones.
The decision not to perform extractions in cases that require them, can often be harmful to the patient's health; for gums, for dental and facial aesthetics. There are no brackets or any method that prevents extractions. What should tell us whether to extract or not extract teeth is the real need that exists.