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For four sixes, revisited.

Andrew DiBiase1, Cara Sandler2, Paul Jonathan Sandler3

  • 1Department of Orthodontics, William Harvey Hospital, East Kent Hospitals University NHS Foundation Trust, Kent, United Kingdom.

American Journal of Orthodontics and Dentofacial Orthopedics : Official Publication of the American Association of Orthodontists, Its Constituent Societies, and the American Board of Orthodontics
|March 27, 2021
PubMed
Summary
This summary is machine-generated.

Extracting four first molars in orthodontics is rarely ideal, especially for adults. Careful planning and modern techniques can overcome challenges like extended treatment times and anchorage issues for complex cases.

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Area of Science:

  • Orthodontic treatment
  • Dental surgery

Background:

  • Extraction of four first molars is a debated orthodontic approach, particularly for adult patients.
  • While offering potential benefits, this strategy presents challenges such as prolonged treatment duration, anchorage concerns, and managing second molar movement during space closure.

Observation:

  • This case report examines the complexities and potential solutions associated with first molar extraction in orthodontics.
  • Focuses on challenges encountered in adult patients requiring extensive orthodontic intervention.

Findings:

  • Contemporary materials and techniques can facilitate high-quality orthodontic outcomes despite the complexities of first molar extraction.
  • Successful management of anchorage and space closure is achievable with advanced orthodontic methods.

Implications:

  • This approach, when carefully considered and executed, can be a viable option for specific complex malocclusions in adult orthodontics.
  • Highlights the importance of utilizing modern orthodontic materials and techniques to achieve optimal results in challenging cases.