Tooth extraction for orthodontic purposes has been a controversial topic for the past century . This conflict is still brewing among orthodontists nowadays. Modern practitioners seem to have reached a middle ground when it comes to the decision to extract or not to extract. Space closure can be achieved using one of the two methods either sliding mechanics (frictional mechanics) or closing loops (frictionless mechanics). En-masse retraction is a valuable technique in orthodontics offering benefits in anchorage preservation and treatment efficiency. However its application should be individualized considering the specific needs and conditions of each patient.
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