Asymmetric 3-premolar extraction for an adult class II division 2 subdivision with deep bite and midline deviation: A case report

For selected adult class II subdivision cases with division-2 features and deep bite, asymmetric 3-premolar extraction offers a predictable, compliance-light alternative to 4-premolar extraction or distalization. Intentional functional class II finishing on the affected side can be compatible with stable occlusion when midlines, overjet, overbite, and incisor torque are properly managed.