An Ambidirectional Cohort Evaluation of Soft Tissue and Dentoalveolar Changes after Orthodontic Treatment with Bimaxillary Distalization vs First Premolar Extraction

To extract or not to extract has always been a dilemma orthodontists face, especially in borderline cases. The advent of extraradicular screws has largely simplified this problem since full arch distalization is now possible. This approach is particularly beneficial for patients hesitant about extractions or when extractions might undesirably flatten the facial profile. Considering the dearth of evidence, this study was taken up to compare treatment outcomes of a conventional premolar extraction approach vs a non-extraction approach with full arch distalization. The findings offer valuable insights for practitioners to make evidence-based treatment decisions. How to cite this article: Sanman R, Desai A, Natarajan S, <i>et al</i>. An Ambidirectional Cohort Evaluation of Soft Tissue and Dentoalveolar Changes after Orthodontic Treatment with Bimaxillary Distalization vs First Premolar Extraction. J Contemp Dent Pract 2025;26(7):699-704.