L4s seem to be extraction candidates for crowding (Fig.8 (mirror view) *). 

In fact, automatic shifting is striking 2 months post extraction.  For example, distalization of the lower canine is more obvious (Fig.14 arrow) than the upper counterpart.  Oral hygiene appears to improve after extraction of the crowded teeth.

Atypical Extraction Last Next

Xin Wei, DDS, PhD, MS 1st edition 02/04/2018, last revision 10/03/2020