Although there are ongoing controversies, tooth extraction as a solution for various malocclusions has been a well-established practice for decades. While premolar extractions are the most common, there are cases where atypical extractions are indicated. While decision-making can be challenging, when cases are carefully selected, the treatment outcomes are comparable to, and sometimes better than, those achieved with conventional extraction patterns. This article presents three clinical cases successfully managed through the extraction of a single lower incisor. Given the limited scientific research on this topic, we provide a clear and practical clinical framework that orthodontists can use as a reference in their daily practice, highlighting the advantages, indications, limitations, and stability of this therapeutic approach.
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