For decades, the orthodontic standard for crowded or excessively protruding teeth was the removal of one or two pairs of premolars. Today, thanks to modern skeletal anchorage techniques, in most cases we can avoid this.
The philosophy of extraction-free treatment is based on distalising the posterior teeth – moving the molars towards the back of the arch, which frees up space for the front teeth. The key is precise anchorage of forces – so that the energy acts only where it should.
The result? A full set of teeth preserved in the jaw – no gaps, no risk of gum recession, no loss of facial dimension.