Article: Volume 14 Number 2 Page 72 - April 2021

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  Orth Update 2021; 14: 72-79

Orthodontics:  Orthodontic conundrums part 3: indications for the loss of a lower incisor

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Abstract: The final article in our series on orthodontic conundrums considers the extraction of a single lower incisor as part of a wider orthodontic treatment plan. This is a relatively uncommon approach; however, when used in the appropriate clinical scenario, it can be highly effective. Extraction of a lower incisor may be required to provide space for alignment of the teeth and serve as a pragmatic way to facilitate treatment while preserving posterior units. This article explores some of the possible orthodontic indications and contraindications for extraction of a lower incisor.

Clinical relevance: In certain clinical situations, extraction of a lower incisor has significant advantages. Dental professionals should be aware of this extraction pattern and its limitations.

Author notes: Naeem I Adam, BDS(Hons), MJDF RCS(Eng), Specialty Registrar in Orthodontics, Leeds Dental Institute. Minnie Lyons-Coleman, BDS, MFDS RCS (Ed), General Dental Practitioner, Swaby’s Dental Practice, Beverley. Adam Jowett, BDS(Hons), MFDS RCS(Ed), Specialty Registrar, Leeds Dental Institute. Trevor Hodge, BDS, MFDS RCS(Ed), MPhil, MOrth RCS (Ed), FDSOrth RCS (Ed), FDS RCS(Eng), FHEA, FDTF RCS(Ed), Consultant Orthodontist, Leeds Dental Institute. Email:

Objective: To provide an overview of the possible indications and contraindications for lower incisor extraction as part of an orthodontic treatment plan.