ATYPICAL TOOTH EXTRACTIONS IN ORTHODONTICS: INDICATIONS, PLANNING, AND CLINICAL IMPLICATIONS

Abstract

The purpose of orthodontic treatment involves achieving aesthetics, proper function, and maintaining periodontal health. To accomplish these goals, it is often necessary to reduce dental volume through tooth extractions. Traditionally, first premolar extractions are the most commonly performed; however, in specific situations, atypical extractions may represent an effective alternative, facilitating orthodontic mechanics, reducing treatment time, and enabling satisfactory outcomes.The decision regarding which tooth to extract is a critical step in orthodontic planning and should consider not only mechanical aspects but also aesthetic, functional, periodontal, and long-term stability factors. This study aims to review the literature on atypical extractions in orthodontics, addressing their indications, advantages, disadvantages, and clinical implications, as well as presenting an illustrative clinical case.