A SYSTEMATIC REVIEW

The characteristics of patients undergoing orthodontic treatment tend to change over time, and the number of adults seeking active orthodontic treatment has been increasing over the past several decades. Older patients tend to show a greater demand for esthetic considerations during and after active treatment. Nowadays, the tendency towards choosing non extraction approaches has been increasing because of the availability of effective and minimally invasive treatment modalities. Several strategies have been introduced to address the arch length discrepancy by gaining space through enamel stripping, arch expansion, and distalization of dentition. Moreover, the introduction of temporary anchorage devices (TADs) has enhanced the efficiency of non extraction therapies via improved anchorage management. Therefore, this systematic review aimed to Comparison of skeletal, dental and soft tissue changes associated with retraction of anterior maxillary teeth by extraction and mini-implant assisted distalization.