How severe is this?Do i have to extract?Xrays provided

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simules

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doesnt look like you NEED extraction but it is pretty crowded I'm not too educated on Ortho so idrk
 
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Reactions: Vyaghra
Bit of crowding, that upper wisdom looks bad. Def extract that. You can look into expanders after you get that taken care of, trust me its gonna be a pain in the ass if you dont fix it now
 

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