Treatment plan for modern day orthodontic treatment should be focused on facial result as desired by the patients. It is no longer sufficient just to have straight teeth. Straight teeth achieved by orthodontic treatment must be in harmony with a beautiful face and facial profile. Avoidance of extraction of teeth during orthodontic treatment is often desired as no patient like to have good teeth removed. A low force and low friction technique is recommended. This can be achieved by using self-ligating brackets which encourages alveolar bone growth. With alveolar bone growth, the dental arch can be widened to relieve dental crowding.
Recognize that we may be removing too many teeth for the correction of crowding.
Demonstrate the technique that is used to reduce extraction in crowded cases.
Identify which are the cases that cannot be treated by non extraction.