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[Extraction versus non-extraction. Does the pendulum swing too much?].

G Mayoral Herrero

    L' Orthodontie Francaise
    |January 1, 1992
    PubMed
    Summary
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    Orthodontic extractions are declining, but this study argues against the trend. It finds no link between extractions and TMJ issues, and profile changes depend on technique, not extraction itself.

    Area of Science:

    • Dentistry
    • Orthodontics

    Context:

    • Therapeutic extractions in orthodontics have decreased.
    • Non-extraction approaches are increasingly favored.
    • Concerns exist regarding adverse effects of extractions, such as facial profile changes and temporomandibular joint (TMJ) problems.

    Purpose:

    • To analyze and challenge common arguments against orthodontic extractions.
    • To illustrate the reliability of non-extraction treatment approaches through case studies.

    Summary:

    • The study refutes the notion that extractions are inherently linked to TMJ dysfunctions.
    • Facial profile alterations are attributed to the orthodontic technique employed, not the extraction process itself.
    • Improved facial profiles can be achieved with extractions in cases of alveolar prognathism.

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  • The current trend away from extractions is based more on subjective viewpoints than on clinical evidence.

    • Impact:

    • Challenges the prevailing trend of non-extraction orthodontics.
    • Provides evidence to support the judicious use of therapeutic extractions.
    • Re-evaluates the relationship between orthodontic treatment and facial aesthetics/TMJ health.