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Discussion This cephalometric outcome study revealed that extraction of maxillary first molars followed by fixed appliance therapy in normo- and hyperdivergent patients with a Class II division 1 malocclusion leads to comparable changes for skeletal, dento-alveolar and soft tissue profile variables in both facial types. All patients ended with a Class I molar relationship (upper 7th to lower 6th) at the end of treatment and a large improvement of the occlusion.
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