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Do premolar extractions necessarily result in a flat face? No, when properly indicated.
Susiane Allgayer1, Maurício Barbieri Mezomo2
1Professor of Orthodontics at Associação Brasileira de Odontologia - Seção Rio Grande do Sul (Porto Alegre/RS, Brazil).
Dental Press Journal of Orthodontics
|November 15, 2018
Summary
Tooth extractions in orthodontic treatment can impact facial aesthetics. This study shows that extracting second premolars can lead to favorable and stable esthetic and occlusal outcomes.
Area of Science:
- Dentistry and Orthodontics
- Facial Aesthetics and Profile Analysis
Background:
- Orthodontic treatment prioritizes esthetic outcomes, often leading to avoidance of tooth extractions.
- Extractions may negatively affect the soft tissue facial profile.
Observation:
- This article examines soft tissue profile changes related to incisor positioning.
- It also investigates the effects of different premolar extraction sequences.
Findings:
- A case report demonstrated favorable and stable esthetic and occlusal results.
- These outcomes were achieved five years post-orthodontic treatment involving second premolar extraction.
Implications:
- Second premolar extraction can be a viable orthodontic protocol for achieving desirable esthetic results.
- Careful planning regarding incisor positioning and extraction sequence is crucial for stable outcomes.
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