Extraction in orthodontics remains a relatively controversial approach. Despite a marked shift towards non-extraction methodologies in orthodontic treatment over recent decades, it remains impractical to address all forms of malocclusions without the removal of teeth. While the premolars have been always considered the black sheep of the family, some factors including patient’s history, specific malocclusions types, periodontal condition, status of teeth, oral hygiene and others, might modify the diagnosis, and accordingly influence the decision-making process regarding the choice of the teeth to extract. Some extractions that have been considered controversial among both the general public and dental professionals, are becoming more acceptable when properly justified. This might require specific biomechanical considerations and thoughtful application of therapeutic skills. Through a comprehensive review of current practices, this presentation aims to shed light on the nuanced considerations that inform the decision to extract teeth in orthodontic treatment, advocating for a more informed and case-specific approach to orthodontic care.


Learning Objectives
After this lecture, you will be able to identify some specific indications where teeth in different sectors of the arch are diagnosed to be removed
After this lecture, you will be able to highlight the advantages and consequences of unusual therapeutic decisions
After this lecture, you will be able to apply useful biomechanical considerations in different clinical situations