19th Congress of the Czech orthodontic society 
 











Extraction in CL II treatment

Dr. Morten Godtfredsen Laursen, D.D.S., Ph.D.   

Keynote Lecture - Saturday, October 6, 2018

Extractions in CL II malocclusions are often debated and questions are; why do we extract and when is it needed? The indications can be biologic and aesthetic aiming for good occlusion with harmonious position of the incisors in the face and in the bone. The mandibular gingival biotype and the alveolar envelope are determinant factors in the decision to extract. Space closure can be performed on continuous wires or with sectional and segmented technique. The choice of approach depends on the initial malocclusion and aims to prevent side effects from the appliance. Furthermore, anchorage control is required from the beginning of treatment and temporary anchorage devices (TADs) are necessary, when conventional dental anchorage will lead to unwanted anterior movement of the lower incisors, compromising the periodontium. The lecture will focus on: When to extract? Biologic and aesthetic considerations for extraction in class II treatment. Space closure techniques. Predictability in space closure. Anchorage control with dental anchorage and TADs.

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