Tooth movement after orthodontic treatment with 4 second premolar extractions

Extraction TypeIncisor Retraction (mm)Space Closure (% Anterior)Anchorage Loss (Molar Advance mm)Key Viva Point 
4 Second PremolarsMax 3.3 / Man 2.950% Max / 46% ManMax 3.2 / Man 3.4Equal anterior-posterior split; reverse Spee controls tipping.
4 First Premolars10.3 combined66.5%5.2High retraction risk; reinforces Tweed’s 1/3 rule exceeded.
Upper 1st/Lower 2nd Premolar9.3 combined56.3%7.2Moderates over-retraction in borderline cases.
4 First Molars6.3 combined31%13.9Minimal anterior pull; boosts third molar eruption (90%).
Non-Extraction1.7 Max / 0.8 Man forwardN/AMinimalBaseline for stability testing.

Mnemonic: “Second Less Pull” – Second premolars: Less incisor retraction than firsts; molars pull more via root area

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