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The purpose of fixed treatment is to move the teeth in the right place, adjust the crowded teeth and improve the handling of the teeth in the jaws. In the fixed orthodontic phase, the brackets are fixed to the teeth and a wire is passed through the brackets which is fixed between the brackets with a very fine rubber band. These bars can be white or colored. These rubber bands are replaced every session, but the wires may not be changed every session, and the brackets remain in the mouth until the end of the treatment period. In some cases, the patient needs tooth extraction based on the type and severity of the abnormality and the age of the patient at revision which can be any type of tooth which is usually the maxillary and mandibular recess. But as a general rule, canines should never be pulled out, even if they are completely exposed or impacted unless the case is such that the affected tooth is in a position where it is impossible to move. The small molars are usually pulled out and the canine tooth is placed in the appropriate position. Sometimes, a tooth may be pulled from the lower jaw in front, depending on the circumstances. Dental spaces are filled by reducing the overhang of other teeth or by pulling the teeth of the upper and lower jaws.
The breaks resulting from tooth extraction by the movement of other teeth are completely closed at the end of treatment, and the patient does not face any problem with the distance between the teeth. Patients usually worry that their teeth will be left empty (a void) if the teeth are pulled, but this concern is unnecessary if the tooth extraction is properly arranged. As a result of orthodontic treatment and movement of the teeth, space may be made for wisdom teeth to grow. Wisdom molar extraction does not align the front teeth, and the space of the wisdom molars cannot be used to align the front teeth or canines. Provided that the teeth and gums are healthy, it is possible to move the teeth with fixed orthodontics at any age. However, with a slight increase in age, the rate of tooth movement decreases. However, as a general rule, it is advisable to see a doctor before puberty to get a better result when correcting the abnormality. Fixed orthodontics is not taught in general dentistry due to its complexity, high sensitivity, and longer treatment period, and education for this type of orthodontics is provided only in the specialized orthodontic course. Therefore, you should refer to the best orthodontist for treatment only.