Asymmetric Extraction Decision in Orthodontics

Abstract

During the treatment planning process, extraction decisions are crucial. As a therapy option, the extraction of teeth should be considered in instances where there is a lack of facial harmony and stability in the occlusion. Treatment aims, the kind of malocclusion, aesthetic considerations, and growth patterns are all factors that influence asymmetric extraction. For the most part, premolar extractions are required when there is a significant midline difference or an asymmetrical connection between the teeth. Premolars, which are the first teeth to erupt and occupy the posterior position in chewing, are more vulnerable to injury than other permanent teeth. The optimal time to remove a second molar is at the moment when the connection between the molars has normalized or when a major front cross-bite can be remedied.

Major clinical outcomes of minimally traumatic and aesthetic post-tooth extraction: a systematic review

“…The main purpose of alveolar grafting is to preserve the alveolar ridge anatomy and optimize implant placement in an ideal three-dimensional position required for functional and aesthetic rehabilitation [1,2]. Within the synthetic materials used to fill the alveolus, the deproteined bovine bone (spongy, cortical, or the mixture of associated or not to the use of guided tissue regeneration technique seems to be the most common [3][4][5][6][7][8][9][10][11].…”

“…With current advances in stem cell technology, in the future, it may be possible to regenerate the teeth or maintain the alveolar bone. Promising results were observed with frameworks grown from mesenchymal stem cells of the bone marrow inserted into fresh alveoli [1][2][3][4].…”

“…After tooth extraction, several sequential events arise causing significant qualitative and quantitative changes in the edentulous site. The socket healing process results in dimensional changes of the underlying bone crest as well as the architecture of the overlying soft tissue [1]. The loss of soft tissue contour after tooth extraction may persist after healing, regardless of the SYSTEMATIC REVIEW DOI: 10.54448/mdnt24S210 MedNEXT J Med.…”

“…Also, initially designed to solve cases of total edentulism, according to a specific clinical protocol for fixed dental prosthesis, treatment with osseointegrated dental implants however, became a frequent procedure in replacing a single missing tooth and showed predictable results [1][2][3]. Tooth extraction is a traumatic procedure that usually results in damage to the surrounding alveolar bone and surrounding soft tissues.…”

“…Much research has been done on the use of synthetic materials to replace, repair, or augment biological tissues. Therefore, a careful evaluation of the risks and benefits of the use of biomaterials should be carried out, with full knowledge by the dental surgeon regarding the characteristics, properties, and concentration of the materials [1,12].…”