EXTRACTIONS IN FUNCTION OF FACIAL BALANCE AND STABILITY

Orthodontic treatment in 21 century brings question haw often we need extractions? Can expansion or distalization replace extractions in many cases? One thing is for sure, contemporary orthodontics try to avoid extractions as much as its possible. Why is that so? On one hand aesthetics criteria are changing faster than before. It is recommended to have wider smile without black buccal corridors. We consider that prominent lips and faces are more attractive. Fast treatment is also imperative and extractions means that spaces in dental arches should be closed using good bio mechanical tools that require more time. One should never forget that beside occlusion we must consider facial appearance and that we need to achieve stabile results. Because of that reasons good and detail diagnosis is essential before we make decision are we going to extract or not. The aim of the lecture is to show haw extraction treatment can be used to improve facial aesthetic, to obtain more stabile results and haw to identify patients who can be treated without extractions.