Extraction of teeth can lead to a decrease in facial profile due to a reduction in the size, volume, and position of the jaws. When teeth are removed and braces are used, the mouth shrinks as the teeth move backwards, taking bone with them. This can cause much of the facial bone to be lost or deformed during retraction. However, tooth extraction for braces is still a safe procedure. Orthodontists are highly trained and experienced in treating complex cases that require tooth extraction, and they can authorize the removal of additional teeth if it is necessary to achieve quality results such as a proper bite and a beautiful smile.