Yes: in most cases orthodontics is possible without extractions. At Clínica Peydro we favor orthodontics without extractions whenever there are alternatives, and we keep extraction for cases where it really is unavoidable.
For years healthy teeth were removed almost routinely to “make room”. Today, orthodontics without extractions is possible in far more cases thanks to digital planning and more precise tooth movement techniques.
Why so many extractions used to be proposed
When there is a lack of space (crowding), the classic solution was to remove premolars. But taking out healthy teeth has consequences for the facial profile and the bite in the long run, so it is worth weighing up the alternatives.
How we achieve orthodontics without extractions
With clear aligners and advanced protocols we can gain space in other ways:
- Controlled expansion of the arches.
- Small interproximal adjustments where appropriate.
- Sequenced movements planned in 3D.
That way we keep your natural teeth and look after the harmony of your face.
When an extraction is necessary
Favoring orthodontics without extractions does not mean ruling them out in every case. In some very specific cases an extraction is the best option, and we will explain that to you with complete transparency.
Shall we look at your case at a free first visit?
Frequently asked questions
I have been told I need four teeth out. Should I get another opinion?
Yes, before an irreversible decision it is worth getting a second opinion from an orthodontist who specializes in avoiding extractions.
Is orthodontics without extractions slower?
Not necessarily; it depends on the case and on the planning.
Your orthodontics without extractions starts with a good diagnosis
If you want to know whether orthodontics without extractions is possible in your case, book your free first visit. We will confirm it with a digital work-up at our orthodontic practice in Valencia.

