Extraction must be considered as the last option for severely damaged teeth.It should be known that alveolar bone starts to resorb after extractions. Therefore, if it is planned to place a dental implant to the extraction site it is very important to use a bone preservation protocol just after the extraction.This approach will eliminate or minimize the bone resorption and increase the implant success rate.

The extraction decision in orthodontic treatments must be taken after detailed clinical and cephalometric analysis of the patient. It must be known that the fixed treatment technique used by the orthodontist has also an important role in extraction decision. As a general rule, it must be avoided to perform extractions to force patient's values to the population norms