Answers to common patient questions.

No. Many patients achieve a beautifully aligned smile without losing permanent teeth. Whether extractions are needed depends on age, the severity of crowding, jaw development, and whether expansion is still possible.

This is an important concern the team evaluates carefully. When extractions are part of a treatment plan, orthodontic mechanics are planned to maintain tongue space, facial balance, and long-term function.

The American Association of Orthodontists recommends a first orthodontic evaluation by age 7. Early evaluation does not always mean early braces; it helps identify jaw-development, crowding, eruption, and bite concerns while more options may still be available.

Traditional palatal expansion is usually most effective while a child is still growing, before the palatal suture has fused. Adult patients may still have orthodontic options, but the right approach depends on anatomy, bite, airway considerations, and treatment goals.

An impacted tooth is one that cannot fully erupt through the gum line on its own. It may be blocked by other teeth, bone, or soft tissue. Wisdom teeth are commonly impacted, but canines and other teeth can also become trapped beneath the gum.

Not always. In some cases, especially with canines, an impacted tooth may be guided into position through coordinated surgical exposure and orthodontic treatment. The best option depends on imaging, tooth position, root health, and timing.

It depends on the case. If wisdom teeth are actively blocking other teeth, causing infection, damaging a second molar, or creating other problems, removal before braces may be recommended. In many cases, orthodontic treatment can begin first and wisdom tooth evaluation can be coordinated during or near the end of treatment.

Yes. When appropriate, wisdom tooth extraction can be coordinated while a patient is still in braces. Sonrisas can align orthodontic and surgical planning so the extraction timing fits the overall treatment plan.

Yes. Sonrisas Dental Center provides bilingual support in English and Spanish so patients can understand their diagnosis, treatment options, timing, and next steps clearly.