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Camardella, L.T., Janson, G., Araki, J.D.V., de Freitas, M.R. and Pinzan, A. (2004) Influence of the Extraction Protocol of Two Maxillary Premolars on the Occlusal Stability of Class II Treatment. American Journal of Orthodontics and Dentofacial Orthopedics, 125, 472-479.

has been cited by the following article:

• TITLE: Management of Class II Malocclusion with Extraction of the Maxillary First Premolars

  AUTHORS: Soukaina Sahim, Amine Majid, Sanaa Alami, Farid El Quars

  KEYWORDS: Class II Division 1, Maxillary First Premolars, Orthodontic, Treatment, Therapeutic Class II

  JOURNAL NAME: Open Access Library Journal, Vol.13 No.4, April 3, 2026

  ABSTRACT: Orthodontic treatment of Class II division 1 malocclusion represents a clinical challenge due to its esthetic and functional implications, as well as the potential risk of relapse. This case report describes the orthodontic management of a 12-year-old patient presenting with a Class II division 1 malocclusion characterized by maxillary incisor protrusion and increased overjet. The treatment plan was based on Class II mechanics combined with the extraction of the maxillary first premolars, aiming to correct the sagittal discrepancy, achieve proper dental alignment, and improve smile esthetics. Management involving extraction of two premolars required careful control of anchorage and sagittal mechanics as well as specific occlusal features. This approach allowed effective anterior retraction and resulted in a stable therapeutic Class II relationship, compatible with a balanced and durable occlusal function.