Case Series
Volume 20 Issue 7 - 2021
Adult Orthodontic Treatment with or without Extraction: Report of Two Cases and Literature Review
Soukaina Sahim1*, Amal El Aouame2 and Farid El Quars3
1Resident, Orthodontics Department, Faculty of Dentistry, University Hassan II, Casablanca, Morocco
2Assistant Professor, Orthodontics Department, Faculty of Dentistry, University Hassan II, Casablanca, Morocco
3Professor, Orthodontics Department, Faculty of Dentistry, University Hassan II, Casablanca, Morocco
*Corresponding Author: Soukaina Sahim, Resident in Orthodontics Department, Faculty of Dentistry, University Hassan II, Casablanca, Morocco.
Received: May 19, 2021; Published: June 28, 2021


Treatment with or without extraction has always sparked a debate in orthodontics. With the new trends in orthodontic practice, extractions are less prescribed giving rise to more conservative treatments. However, neither non-extraction nor extraction treatment should be goals of treatment in themselves. This cases report discusses the two treatment options, their indications and their effects.


Keywords: Adult Treatment; Orthodontics; Extraction; Non-Extraction; Outcomes


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  2. Peck S. “Extractions, retention and stability: the search for orthodontic truth”. European Journal of Orthodontics2 (2017): 109-115.
  3. Konstantonis D., et al. “Soft tissue changes following extraction vs. nonextraction orthodontic fixed appliance treatment: a systematic review and meta-analysis”. European Journal of Oral Sciences3 (2018): 167-179.
  4. Farhadian N., et al. “Comparison of Extraction and Non-extraction Orthodontic Treatment using the Objective Grading System”. Journal of Dentistry of Tehran University of Medical Sciences3 (2005): 91-95.
  5. Mehta F., et al. “Non Extraction philosophy: Distalization using Jone’s Jig appliance- a case report”. Journal of Dental and Medical Sciences9 (2014): 36-41.
  6. Kusnoto J., et al. “The effect of anterior tooth retraction on lip position of orthodontically treated adult Indonesians”. American Journal of Orthodontics and Dentofacial Orthopedics3 (2001): 304-307.
  7. Proffit WR., et al. “Contemporary Orthodontics”. Elsevier Health Sciences (2006): 2069.
  8. Ruellas A., et al. “Tooth extraction in orthodontics: An evaluation of diagnostic elements”. Dental Press Journal of Orthodontics3 (2010):134-157.
  9. Travess H., et al. “Orthodontics. Part 8: Extractions in orthodontics”. British Dental Journal4 (2004): 195-203.
  10. Rinchuse D., et al. “Extraction treatment, part 1: the extraction vs. nonextraction debate”. Journal of Clinical Orthodontics12 (2014): 753-760.
  11. Konstantonis D., et al. “Extraction decision and identification of treatment predictors in Class I malocclusions”. Progress in Orthodontics1 (2013): 47.
  12. Basciftci FA., et al. “Long-term stability of dentoalveolar, skeletal, and soft tissue changes after non-extraction treatment with a self-ligating system”. The Korean Journal of Orthodontics 3 (2014): 119-127.
  13. Chaqués-Asensi J. “The extraction-non extraction dilemma: a case in the border”. L’Orthodontie Française1(2017): 3-13.
  14. Bowman SJ and Johnston LE. “The Esthetic Impact of Extraction and Nonextraction Treatments on Caucasian Patients”. The Angle Orthodontist1 (2000): 3-10.
  15. Umrani S., et al. “A review on Extraction versus Non-extraction on Facial and Smile Esthetics”. International Journal of Oral Health and Medical Research3 (2017): 83-86.
  16. Solem RC., et al. “Three-dimensional soft- tissue and hard-tissue changes in the treatment of bimaxillary protrusion”. American Journal of Orthodontics and Dentofacial Orthopedics2 (2013): 218-228.
  17. Zierhut EC., et al. “Long-Term Profile Changes Associated with Successfully Treated Extraction and Nonextraction Class II Division 1 Malocclusions”. The Angle Orthodontist3 (2000): 208-219.
  18. Herzog C., et al. “Arch-width changes in extraction vs nonextraction treatments in matched Class I borderline malocclusions”. American Journal of Orthodontics and Dentofacial Orthopedics4 (2017): 735-743.
  19. Akyalcin S., et al. “Do long-term changes in relative maxillary arch width affect buccal-corridor ratios in extraction and nonextraction treatment?” American Journal of Orthodontics and Dentofacial Orthopedics 3 (2011): 356-361.
  20. Janson G., et al. “Influence of orthodontic treatment, midline position, buccal corridor and smile arc on smile attractiveness”. The Angle Orthodontist 1 (2011): 153-161.
  21. Işiksal E., et al. “Smile esthetics: perception and comparison of treated and untreated smiles”. American Journal of Orthodontics and Dentofacial Orthopedics1 (2006): 8-16.
  22. Beit P., et al. “Vertical skeletal changes after extraction and non- extraction treatment in matched class I patients identified by a discriminant analysis: cephalometric appraisal and Procrustes superimposition”. Progress in Orthodontics1 (2017): 44.
  23. Kouvelis G., et al. “Effect of orthodontic treatment with 4 premolar extractions compared with nonextraction treatment on the vertical dimension of the face: A systematic review”. American Journal of Orthodontics and Dentofacial Orthopedics2 (2018): 175-187.
  24. Xu T-M., et al. “Comparison of extraction versus nonextraction orthodontic treatment outcomes for borderline Chinese patients”. American Journal of Orthodontics and Dentofacial Orthopedics5 (2006): 672-677.
  25. Guirro,WJG., et al. “Maxillary anterior alignment stability in Class I and Class II malocclusions treated with or without extraction”. The Angle Orthodontist1 (2015): 3-9.
  26. Zafarmand, AH., et al. “Mandibular incisor re-crowding: is it different in extraction and non-extraction cases?” Oral Health and Dental Management3 (2014): 669-674.
Citation: Soukaina Sahim., et al. “Adult Orthodontic Treatment with or without Extraction: Report of Two Cases and Literature Review”. EC Dental Science 20.7 (2021): 56-68.

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