Ans: The decision as to whether teeth need to be removed, or not, comes after a full consultation with the patient and a thorough assessment of the pretreatment records (models, photos and xrays). Sometimes teeth do need to be removed to treat cases with excessive crowding, very prominent teeth or teeth with very poor prognosis. We do not like removing teeth and if there is a possibility of a healthy attractive smile without the removal of teeth we will begin without removing them and reassess treatment response before making a final decision.