Non Extraction philosophy: Distalization using Jone’s Jig appliance- a case report

Abstract

Extraction Vs Non-extraction controversy covers the major part of orthodontic debate since years. Premolar extractions are one of the simplest methods to relieve crowding in majority of the cases. However soft tissue profile, an integral part of orthodontic diagnosis and should be given equal consideration while treatment planning. In this case with severe crowding, where initial diagnosis gave an impression of all first premolar extraction case, considering other factors like cephalometric analysis and soft tissue profile, this case was treated by non-extraction philosophy with distalization using Jone's Jig. This case was completed with good occlusion, maintaining soft tissue profile. Treatment plan should not only base on model analysis or cephalometric numbers without giving much importance to photographic analysis and soft tissue contours. In fact treatment plan should be based on clinical features, model analysis, cephalometric readings, photographic analysis and soft tissue contours.