No, I pulled out four, two above and two below. Since the doctor asked you to pull it out, it may mean that your gums are too crowded. When the appliance is worn.

Teeth will loosen, otherwise how to extract teeth. Correction is only effective after tooth extraction. After the correction, the teeth will grow strong again. I don't think tooth extraction has any effect. My lips are back, and I don't pout. If the teeth are too crowded, it may also cause looseness.