If the “wisdom teeth” are counted, a person usually has 32 permanent teeth. Twenty of those 32 permanent teeth replace the 20 primary teeth. Some people do not have enough room in their jaws for all of the permanent teeth and crowding results. In some people, there is enough room for the permanent teeth but their facial profile looks out of harmony. Dr. Boyd may advise the removal of permanent teeth in order to achieve the best dental and facial result for you. Spaces that occur where permanent teeth are removed will be closed during the course of orthodontic treatment.