Evidence map›Paper›PMID 40821255›Full record

ReviewCureus2025

Choosing the Right Extraction Pattern: First Premolars vs. Second Premolars.

Ahmed S Khalil, Rawan S Alrehaili, Salwa Hakami, Maram Darraj, Ghada Alshehri, Joud Alrajhi, Basmah Farooqi, Fatimah Alshayook, Yara Abdulbari, Zayan Alsaif and 1 more

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Ahmed S KhalilOrthodontics, Private Practice, Medina, SAU.
Rawan S AlrehailiDentistry, Private Practice, Medina, SAU.
Salwa HakamiCollege of Dentistry, Jazan University, Jazan, SAU.
Maram DarrajCollege of Dentistry, Jazan University, Jazan, SAU.
Ghada AlshehriCollege of Dentistry, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, SAU.
Joud AlrajhiCollege of Dentistry, King Saud bin Abdulaziz University for Health Sciences, Riyadh, SAU.
Basmah FarooqiFaculty of Dentistry, King Abdulaziz University, Jeddah, SAU.
Fatimah AlshayookFaculty of Dentistry, King Abdulaziz University, Jeddah, SAU.
Yara AbdulbariFaculty of Dentistry, King Abdulaziz University, Jeddah, SAU.
Zayan AlsaifCollege of Dentistry, Riyadh Elm University, Riyadh, SAU.
Alanoud SuhaqiOrthodontics and Dentofacial Orthopedics, Ministry of Health, Riyadh, SAU.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Premolar extraction is a widely used orthodontic intervention to manage crowding, correct malocclusion, and achieve balanced facial aesthetics. Several factors, including the severity of crowding, facial profile requirements, and anchorage demands, influence the choice between extracting first or second premolars. However, this decision is complicated by the distinct impacts each extraction pattern has on tooth movement, soft tissue profile, vertical dimension, and third molar eruption. The debate continues over which extraction pattern provides more favorable outcomes, highlighting the need for a thorough understanding of their respective advantages and limitations. This review aims to comprehensively analyze the effects of first versus second premolar extractions on anchorage loss, tooth movement, vertical dimensions, lip position, and third molar eruption in order to provide evidence-based insights for optimizing orthodontic treatment outcomes and guiding future research. The findings demonstrate that both extraction patterns have distinct clinical implications and should be selected based on individual patient characteristics, including crowding severity, facial esthetics, anchorage needs, and third molar considerations. Clear aligner therapy requires particular attention to anchorage control, especially following second premolar extraction. Further longitudinal studies are recommended to strengthen clinical guidelines and improve treatment predictability.

Indexed as

airwayanchorageextractionfirst premolar extractionorthodontic treatmentsecond premolar extractionvertical dimension

Identifiers

PMID40821255
PMCPMC12357756

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.