What is a Serial Extraction?

April 08 01:13 2019 Print This Article

It is defined as a disorder in which there is a removal of the teeth in a planned manner. It is included under the interceptive orthodontics. It is done in the case of mixed dentition. In this case the deciduous as well as permanent teeth are involved. It is done when there is a need of physiologic tooth movement or there is an arch length or a tooth material problem. It must be done where there is an excess of the tooth material.

What are the advantages of Serial extraction?

It includes the decrease in the duration of many bands orthodontic treatment. There is a better oral hygiene. The results are much more stable and the retention period is less. It puts the tooth in normal position as it uses the physiological forces. The health of tissue is preserved. One must avoid the psychological trauma linked with it.

What are the disadvantages of Serial extraction?

It includes the space between the canine as well as second pre molar. It needs a look for the clinical skills as well as judgment. The treatment requires a lot of time and the removal of buccal teeth can lead to deepening of the bite. The extraction spaces close slowly and the patient has an ability to develop a tongue thrust. There may be loss of the permanent teeth somehow. It needs a lot of patient cooperation. The arch length can be decreased by the mesial movement of buccal teeth. So, the conditions may get worse. After the serial extraction procedure is over than the inclination of teeth at the axis level can be seen.

How Serial extraction can be diagnosed?

It includes the use of visual examination and a patient history. It includes the use of x rays, casts as well as the OPG. One must have a complete idea about the skeletal as well as soft tissue assessment. One must also look for the dental assessment. The arch length discrepancy must be more than 5 to 7 mm so that this procedure can be under taken. One can go for the different analysis in the upper as well as lower arch. In the case of upper arch analysis one must go for the arch perimeter analysis and for the Carey analysis in lower arch. One must also go for cephalometric examination with the help of skeletal analysis. This procedure is quite suited in the case of class I mal occlusion. One must not go for it in the case of class 2 and 3. In order to have an idea about the soft tissue one must go for the clinical examination. It is done in the patients with a normal pattern of soft tissues.

How Serial extraction can be treated?

It includes that there is no specific treatment for this disorder. One must identify the cause for it and must act against it.

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