Second Premolar Extraction: A Case Report

To correct the malocclusion is the chief aim of an orthodontist. For each individual, ideal facial esthetics would result when the teeth were placed in ideal occlusion. Malocclusion is caused by two ways either spacing or crowding in which crowding is the most common cause.Treatment of a crowded arch requires space gaining. This has been achieved through two ways of treatment – extraction or non extraction modality. In extraction , premolars are the most common tooth being spared in orthodontic treatment1.Conveniently located between the anterior and posterior segments, premolars would appear to be the obvious choice for correcting crowding and anterior-posterior discrepancies.Different premolar extraction patterns provide space in different locations of the arches. For example, this extra space can be used to reduce protrusion or to camouflage skeletal Class II or Class III problems. An extraction pattern can also be selected that removes abnormally small or large premolars that contribute to a Bolton discrepancy.Second-premolar extractions often are utilized in situations that present with mild anterior crowding and no protrusion2, posterior crowding anterior open bites3, or when the molar anchorage needs to be intentionally lost4.TSALD is the most Second Premolar Extraction: A Case Report