Tooth Extractions in Orthodontics – Diagnostic and Therapeutic Recommendations

Abstract

The correct diagnosis of orthodontic cases with malocclusions that require the extraction of the teeth is not always an easy task. Traditional extraction considerations have to be reconsidered to satisfy the patient’s needs. A proper extraction decision is the key for a good case finish. The factors which affect the decision about teeth extraction should be seriously determined during planning orthodontic therapy. These include: tooth asymmetries, alveolar bone and teeth discrepancies, and maxillomandibular relationships, as well as skeletal maturation, facial pattern and profile, and patient cooperation. Extractions of specific teeth are required in the various presentations of malocclusion. The goal is always to improve facial aesthetics for the patient and to achieve a stable, well-aligned occlusion.