The whole tooth (orthodontic tooth) plan needs to be pulled out four times. The doctor said that it can be adjusted without pulling out, and the mouth may swell. Should I insist on not pulling my teeth and expect the conscience dentist to come back? Hello! Well, adult orthodontics, especially protrusion treatment, has not improved much without tooth extraction. I haven't seen your teeth and X-rays, so I can't make a very specific analysis. According to your description, if a tooth grows out of the dentition, the degree of crowding is still there. If the tooth is not extracted, the labial process is likely to appear later. If the congestion is not serious, you can also consult a doctor by slicing to see if it is feasible. In addition, you can use the implant technique, and hit the implant nail up and down, and the whole dental arch will retreat. But this technology can't be done in general stomatological hospitals. You can consult a doctor about this.