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Updated: Feb 2, 2026

Proper Care and Cleaning of the Microscope
Published on: August 11, 2008
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).
Abstract:
The esthetic benefits are among the main goals of orthodontic treatment; therefore, tooth extractions have been avoided as a protocol for orthodontic treatment because they may impair the facial profile. The present article discusses aspects as the magnitude and response of soft tissue profile due to changes in incisor positioning, and the effect of different sequences of premolar extraction. One case report illustrates the subject, with favorable and stable esthetic and occlusal outcomes five years after orthodontic treatment with extraction of second premolars.
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