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1. SERIAL EXTRACTION AND
GROWTH CHANGES
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2. INTRODUCTION
 A program of selective extraction of deciduous and
sometimes permanent teeth over a period of time,
with the objective of relieving crowding and
facilitating the eruption of remaining teeth into
improved positions
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3.  DIAGNOSIS
 AGE
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4. PROCEDURE
1. AGE 8 YEARS APPROXIMATELY
 D
 MAINTAIN C
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5. 2. 4- 10 MONTHS LATER
 4
 C
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6. 3 MIGRATES DISTALLY
IRREGULARITIES SELF CORRECTED
LINGUAL TIPPING OF MANDIBULAR INCISORS
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7. EXCEPTIONS
EARLY LOSS OF
DECIDUOUS CANINE
PERMANENT CANINE
MOVES MORE RAPIDLY
GETS AHEAD OF 4
NO CHOICE BUT
ENUCLEATION OF 4
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8. BLOCKED OUT LATERAL INCISOR
EXTRACTION OF DECIDUOUS CANINE &
DECIDUOUS FIRST MOLAR
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9. PRECAUTIONS
 ANY APPLIANCE THAT PREVENTS
LOWER PERMANENT INCISORS TO
ERUPT SHOULD NOT BE GIVEN.
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10. BENEFITS
 LINGUAL TIPPING OF MANDIBULAR
INCISORS
ELIMINATION OF DISTAL MOVEMENT OF
CANINE AND RETRACTION OF INCISORS
7-9 MONTHS SAVED
 SELF CORRECTION OF IRREGULARITIES
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11. SHORTCOMINGS
 DEEP BITE
 CURVE OF SPEE
 SOME MESIAL
INCLINATION OF
SECOND PREMOLARS
 0-3 mm SPACE LEFT
BETWEEN SECOND
PREMOLAR AND
CANINE
 EARLY PERIODONTAL
PROBLEM
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12. CONTRAINDICATIONS
 PRESENCE OF DEEP OVERBITE
 TYPE B GROWTH TREND
 FMA < 300
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13. CASE M.L. : CLASS II MALOCCLUSION
TYPE C GROWTH TREND
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16. CASE C.S : CLASS I MALCCLUSION
TYPE C GROWTH TREND
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23. Conclusion
 No one other than those capable of making the
necessary treatment corrections following serial
extraction procedures should attempt to do so.
 The result is likely to be a disservice rather than a
service to a child, endangering rather than
enhancing the longevity of the denture.
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