牙列拥挤是最常见的错(牙合)畸形。对于严重拥挤错(牙合)的矫治常需考虑拔牙的问题,而拔牙的选择在很大程度上影响了矫治的效果。拔哪颗牙更好?本文通过对临床114名拥挤病例中的82名拔除恒牙的病例进行了统计分析,发现:每颗牙都可能成为拔除对象。其中以拔除第一双尖牙为首选。同时,拔除哪颗牙在很大程度上还取决于矫治器的性能。 Dental crowding is the most common malocclusion. For serious overcrowding (occlusion) correction often need to consider the issue of tooth extraction, and the choice of tooth extraction to a large extent affected the effect of orthodontic treatment. Which tooth is better? In this paper, we analyzed the clinical data of 82 cases of permanent tooth removal in 114 crowded cases and found that each tooth may be the target of removal. Which to remove the first pair of canine as the first choice. At the same time, which tooth is removed depends largely on the appliance's performance.