Extraction CALCULATOR
The extraction CALCULATOR is based on two important concepts
1) Katz classification of malocclusion
Katz MI. Angle classification revisited 1: is current use reliable? American Journal of Orthodontics and Dentofacial Orthopedics 1992;102(2):173-79.
Katz MI. Angle classification revisited 2: a modified Angle classification. American Journal of Orthodontics and Dentofacial Orthopedics 1992;102(3):277-84.
2) Creekmore’s Rules of Thumb for space closure
Creekmore TD. Where teeth should be positioned in the face and jaws and how to get them there. Journal of Clinical Orthodontics: 1997;31(9):586-608.
Let’s review each of these concepts and then explore how they can be used in tandem to calculate the optimal extraction pattern for your case.
Planning your extractions based upon these principles simplifies anchorage considerations. Clinically, what this translates to is a decreased dependence on patient compliance with rubber band wear to sock in the occlusion.
Watch the video below for examples of space closure with a Class II and a Class III extraction pattern
Remember, the extraction calculator can be seen as the third step in the calculator sequence:
If the Space Calculator indicates no TSALD, but there is an A-P discrepancy (Katz ≠ 0) between the arches, you may choose to extract to improve the Katz malocclusion. If this is the case, you should then go back to the space calculator and rework the numbers knowing that you will gain space from extractions.
If the Space Calculator indicates a TSALD which requires extractions, but there is no A-P discrepancy (Katz = 0), you may choose to extract U4s/L5s, which has a net differential of 0, to keep the Katz at 0.
If there is a TSALD and an A-P discrepancy (Katz ≠ 0), extractions can help resolve both issues.