Local dentist explains a 'better way' to achieve a 'Beautiful Smile'
- Jenny Cross
- 3 days ago
- 5 min read

In this insightful opinion piece, Leicester-based Dr. Nora Albaldawi, Principal Dentist at Beautiful Smiles, shares her perspectives on the evolving landscape of dental care.
With her extensive experience and commitment to patient wellbeing, Dr. Albaldawi offers valuable insights that aim to enhance our understanding of oral health and the importance of maintaining a beautiful smile.
Words by Dr. Nora Albaldawi, Principal Dentist at Beautiful Smiles

When it comes to orthodontic treatment, many of us grew up hearing about teeth being extracted to make space for braces. For decades, this was considered the standard solution for crowded teeth.
However, advancements in modern orthodontics have shown that this approach isn’t always necessary – and it may not be the best way to achieve a healthy, beautiful smile.
As a dentist passionate about creating beautiful, confident smiles, I believe it’s important to embrace more advanced methods. Removing teeth is often an outdated practice, and there are now techniques that treat the jaw rather than resorting to extractions. By focusing on jaw development, you can achieve a wider, more natural-looking smile that harmonises with your facial features.
Let’s explore why you shouldn’t rush to extract teeth for braces and how modern techniques can help you achieve your dream smile without losing a single tooth.
The Problem with Removing Teeth for Braces
Extracting teeth to create space for braces has been a traditional method for treating crowding. While it can create immediate space for alignment, it often comes with several downsides that patients may not realise:
1. Narrower Smile
When teeth are removed, the arch of the mouth can become narrower. This can result in a smile that appears “pinched” or less full, which may not complement the natural proportions of your face.
2. Facial Structure Changes
Your teeth and jaws play a significant role in supporting the structure of your face. Removing teeth can sometimes affect the overall facial profile, potentially causing a flatter appearance around the cheeks or lips. For many, this is an unwanted side effect of extractions.
3. Increased Risk of Relapse
When teeth are removed, the gaps created by extractions can sometimes lead to instability in the alignment. Without proper long-term retention, there’s a higher risk that teeth could shift back into their original positions over time.
4. Unnecessary Invasiveness
Let’s not overlook the fact that tooth extractions are invasive and can be uncomfortable. Avoiding extractions means a more pleasant treatment experience and fewer risks associated with surgical procedures.
A Modern Approach: Treat the Jaw, Not Just the Teeth
Instead of removing teeth to make space, modern orthodontics focuses on creating space by treating the jaw. This approach involves guiding and expanding the jaw structure to naturally accommodate all the teeth. The result? A fuller, wider smile that looks natural and enhances your facial harmony.
How Does Jaw Treatment Work?
Jaw-focused orthodontics aims to gently expand the dental arches (the upper and lower jaws) rather than extracting teeth. By creating space naturally, the teeth can move into their correct positions without removing healthy tooth structure. This approach also promotes better long-term stability and overall oral health.
The Benefits of Jaw Treatment for Orthodontic Crowding
Jaw-focused orthodontic techniques offer a range of benefits compared to traditional tooth extraction methods:
1. A Wider, More Natural Smile
When the jaw is expanded, the dental arch can accommodate all the teeth without crowding. This creates a smile that is broad, full, and natural-looking, rather than narrow or “gappy.”
2. Enhanced Facial Aesthetics
By supporting proper jaw development, orthodontic treatments that focus on the jaw can improve the overall balance of your facial features. This can result in a more youthful, harmonious appearance.
3. Better Breathing and Oral Health
A wider jaw can improve airflow through the nasal passages and reduce issues like mouth breathing or snoring. Additionally, a properly aligned jaw can make it easier to maintain oral hygiene, reducing the risk of gum disease and decay.
4. Long-Term Stability
When teeth are aligned without extractions, there is often better long-term stability. The jaw provides a stable foundation for the teeth, reducing the likelihood of relapse and the need for additional orthodontic treatment in the future.
Advanced Technology: Braces That Support Jaw Development
Modern braces, such as Damon braces, are designed with this jaw-focused approach in mind. These braces use light, continuous forces to guide teeth into their ideal positions while promoting natural jaw expansion. They eliminate the need for traditional tightening and can reduce the overall treatment time compared to older methods.
Unlike traditional braces that often rely on extraction to create space, these systems work harmoniously with the body’s natural biology. By focusing on treating the jaw, they deliver a more comfortable, efficient, and aesthetic result.
Why You Should Think Twice Before Choosing Extractions
While tooth extraction is still necessary in rare cases, it’s no longer the default solution for crowding. Many patients are now achieving stunning, natural smiles without the need for invasive procedures.
If you’re considering orthodontic treatment, here’s why you should explore alternatives before agreeing to extractions:
Comfort and Confidence: Non-extraction methods are often less invasive, meaning less discomfort and a more positive experience.
A Long-Term Investment: By focusing on jaw development, you’re investing in a smile that will last a lifetime.
Aesthetic Results: A wider smile simply looks more natural and attractive, complementing the rest of your face.
What to Expect During Treatment
If you decide to pursue a jaw-focused orthodontic approach, your treatment journey will likely involve:
Initial Assessment: A thorough examination of your teeth, jaw, and facial structure to determine the best course of action.
Customised Treatment Plan: Your orthodontist will create a tailored plan designed to expand your jaw and align your teeth without extractions.
Advanced Braces or Aligners: Modern orthodontic appliances gently guide your teeth and jaw into the desired positions over time.
Throughout the process, you’ll see gradual improvements not just in your smile but in your overall facial balance and oral health.
Choose a Smile That’s Built to Last
Removing teeth for braces may seem like a quick fix, but it’s often not the best way to achieve the smile you want.
With advancements in orthodontic techniques, treating the jaw rather than extracting teeth offers a more effective, aesthetic, and stable solution. By embracing modern approaches, you can enjoy a wider, more natural-looking smile that enhances your facial features and boosts your confidence for years to come.
If you’re considering orthodontic treatment, don’t settle for outdated methods. Explore the benefits of jaw-focused orthodontics and take the first step toward the beautiful smile you deserve.
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