Balancing extraction refers to the removal of a tooth on one side of the dental arch and a corresponding tooth on the opposite side of the same arch to maintain dental midline symmetry and occlusal balance. This procedure helps prevent the shifting of teeth and midline deviation, ensuring proper alignment and function. It is particularly important when an extraction is necessary due to caries, trauma, or orthodontic requirements, and maintaining the midline is critical for both aesthetic and functional outcomes in dental treatment planning.

Reference: Shafer’s Textbook of Oral Pathology, 7th Edition.