Light force technique combining the sliding section and laminated arches

Do premolar extractions necessarily result in a flat face? No, when properly indicated

“… 2 , 10 , 13 , 15 The extractions with orthodontic purpose, for correction of tooth crowding or intermaxillary discrepancies, have been controversial since the concepts of normal occlusion were initially enhanced, in the early 20 th century. 3 , 11 , 16 , 17 , 27 - 29 Any tooth may be extracted, depending on each case, to provide more satisfactory esthetic and functional outcomes. Within this sense, there is consensus that the planning of orthodontic treatment should be customized.…”

“… 16 , 17 , 33 James 6 and Dewel 3 , 28 described the moderate space deficiency, which is characteristic of borderline cases in individuals with balanced facial contours, as one of the basic diagnostic requirements for indication of extractions of second premolars. According to Carey, 29 better results were achieved when malocclusions with discrepancies between 2.5 and 5 mm were treated by extraction of second premolars. However, according to Schoppe, 34 the main indication included cases with discrepancies up to 7.5 mm, in individuals with muscular balance, proportional facial contour and incisors well-positioned in the dental arches.…”