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![]() ![]() There is general agreement that orthodontic treatment can influence the facial profile, but there is still disagreement on the magnitude of soft tissue response as a consequence of changes in tooth position and alveolar process. 6 In other words, although non-extraction treatment has become popular, many orthodontic patients have some shortage of space or crowding requiring extractions for a favorable treatment outcome. The ideal approach is to apply the correct extraction protocol for each type of malocclusion. Treating patients without extraction simply not to remove teeth or to simplify the treatment is not justified, because it may impair the result and stability of orthodontic treatment. However, extractions can benefit the profile when properly indicated. 4 The fact that dental extractions may cause a flat face 4 - 7 due to excessive incisor retraction has discouraged the orthodontists to adopt this treatment protocol. ![]() ![]() 1, 2 The esthetic benefits are among the main goals of orthodontic treatment, 3 and clinicians are often asked about possible changes in the profile caused by the treatment. In recent years, there has been a noticeable increase in awareness and interest in facial esthetics. ![]()
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