Why is serial extraction done?

The purpose of serial extraction is to encourage the early eruption of the first premolars ahead of the permanent canines and should only be considered where there is an arch discrepancy of >4 mm.
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What are the indications of serial extraction?

Indications
  • The absence of physiologic spacing.
  • Unilateral or bilateral premature loss of deciduous canines with a midline shift.
  • Mal-positioned or impacted lateral incisors which erupt palatally outside of the arch.
  • Markedly irregular or crowded maxillary and mandibular anteriors.
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Why posterior teeth are extracted first?

Why are Maxillary Teeth Extracted before Mandibular teeth? It prevents any fall of enamel or restorative debris from falling into the extraction sockets of the lower arch.
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Why do premolars get extracted?

Conventionally, premolar extraction is aimed to resolve the tooth size arch size discrepancy, to permit correction of axial inclination of anterior teeth, or to reduce vertical height of the face.
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For which of the following malocclusion is serial extraction most appropriate?

The most favorable morphologic factors for serial extraction include class 1 malocclusion, a favorable morphogenetic pattern – one that does not change, a flush terminal plane or a mesial step relationship of the primary second molars, minimum overjet and minimum overbite.
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Orthodontics - Serial Extraction



When do we do serial extraction?

The purpose of serial extraction is to encourage the early eruption of the first premolars ahead of the permanent canines and should only be considered where there is an arch discrepancy of >4 mm.
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Which parameter is a contraindication for serial extraction?

Contraindications. Serial extraction should not be performed in the following circumstances: Class I malocclusions where the lack of space is slight and the teeth show only mild crowding. Where there is a skeletal discrepancy in the dental arches.
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Are first or second premolars extracted for braces?

Treatment options

Her choice, therefore, was to conduct only the corrective orthodontic treatment with extractions. The first premolars were selected because the space created in both dental arches would allow for the retraction of the anterior teeth, correcting malocclusion and improving her facial profile.
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Does removing premolars change face shape?

When you have a tooth extracted, all roots are removed. Because the roots of your teeth are an integral part of your facial structure, changes in your face shape are possible with tooth extraction. While it won't necessarily ruin your face, a change in face shape or structure may occur.
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Is it okay to remove second premolar?

The basic indication for second premolar extraction is when there is moderate anterior crowding with no protrusion and the patient has good facial balance. Removing the second premolars will give enough space to resolve minor crowding while not changing the profile.
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What is the most common tooth to be extracted?

The most commonly extracted tooth type in all age groups was the molars (60%), followed by premolars (30.8%) and anterior teeth (9.2%, Table 3).
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Which teeth are the easiest to extract?

Most upper teeth are easy to get numb for an extraction. Most lower teeth are also easy except the back molars. The lower back molars are much more difficult to get numb because the bone is so thick around them that anesthetic has trouble soaking through and there are several different nerves that go to them.
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Which teeth is usually removed?

Wisdom teeth are a third set of molars in the back of your mouth. They usually come in between the ages of 17 and 25, and they're spotted on X-rays. Most people have them removed for one of these reasons: They're impacted.
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What causes midline diastema?

The most common etiology for midline diastema was supernumerary teeth followed by morphology labial frenum and nasal airflow condensation. The quality analysis of these studies based on NOS showed one study with unsatisfactory, four studies with satisfactory, and three with good quality.
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When do you extract primary canines?

One suggested intervention to prevent ectopic eruption of the permanent canine is to extract the primary canine in individuals aged 10 to 13 years, provided that normal space conditions are present.
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What is ditching in orthodontics?

ditching n.

A defect at the junction between a restoration and the tooth.
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Does removing teeth affect brain?

It's a very common myth that tooth extraction may effect brain and eyes or a person's hearing. It does not. You need to understand that the blood and nerve supply of the teeth is very different from that of eyes or brain. There will be no side effects to brain or eyes or ears after extraction.
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Do extractions make your lips smaller?

1. The lip vermilion was significantly smaller and thinner after extraction orthodontic treatment.
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Does removing teeth affect jawline?

But more important than a dazzling smile is the importance of teeth themselves. Teeth are crucial for many reasons, not the least of them is chewing and speaking. Missing teeth affect your ability to consume food and the shape of your face and your jawline. It can cause jawbone loss and facial collapse.
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Is second premolar important?

The benefit of second premolar extraction is limited lingual migration of the mandibular anterior segment, minimal increase in the curve of spee and overbite. The maintenance of lower incisor position minimizes facial profile flattening during the reduction of an arch length deficiency malocclusion.
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Is it safe to remove premolars for braces?

It can damage your other teeth

Your dentist or orthodontist will usually suggest removing your premolars (the back teeth located between your molars and canine teeth). But these teeth are there for a reason: they chew smaller bits of food that have already been pre-chewed by the molars.
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Is extracting teeth necessary for braces?

What to Expect with Braces. Thankfully, you won't always need an extraction if you have crowded teeth. Instead, your dentist will evaluate your smile and develop a personalized plan for your braces. Orthodontics will typically take between 8 and 18 months, but this will all depend on your alignment.
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What is ectopic eruption of teeth?

Ectopic eruption is a disturbance in which the tooth does not follow its usual course. The purpose of this manuscript is to provide a brief review regarding the incidence, etiology, classification and different management techniques used for correcting ectopically erupting permanent first molar.
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What is Crossbite in dentistry?

What Is a Crossbite? A crossbite happens if your teeth don't line up properly when your mouth is closed. It can affect a single tooth or groups of teeth, like your front or back teeth. Normally, your upper teeth are wider and sit on the outside of your bottom teeth.
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What is space maintainer?

What is a Space Maintainer in Dentistry? Dental space maintainers are devices used to leave enough space open for permanent teeth to grow in after baby teeth are lost prematurely. While it might not seem like a big problem at first, not taking care of a gap can lead to expensive problems down the road.
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