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Early Premolar Extraction: An Uncommon but Very Effective Treatment Option

Orthodontic

The terminology “serial extraction” in Orthodontics was first described in the late 1920’s when Kjellgren decided to plan the extraction of certain deciduous and permanent teeth at early stages of the dentition development.

Since the extractions are under taken at the transitional dentition. This type of treatment is defined as “Early Treatment” in Orthodontics.

The main indication for this treatment approach is for patients with severe crowding caused by tooth size arch discrepancies. In other words, when maxillary and/or mandibular arches cannot accommodate teeth, extraction becomes an interesting option.


Although this treatment option has been used for almost a century in the contemporary orthodontics it’s indication is very specific.

Since it’s an irreversible approach (permanent teeth are early extracted) the clinician should carefully diagnosis the case before selecting this option.

Read Also: ORTHODONTICS : Serial extraction of primary teeth

In addition, as time passed by, orthodontics specialty has dramatically evolved and developed several options to gain space instead of extracting teeth.

On the other hand, the idea to early extract permanent teeth continues to be an interesting treatment option in clinical orthodontics mainly in severely crowded patients.

The aim of this paper is to present a case report of a ten-year-old male patient who presented severe crowding and treatment option was to extract four first premolars at early stages of the dentition development.

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° Adeniyi M J, A O Soladoye. Plasma Lipid Profile and Uric Acid in High Fat Fed Female Rats Treated with Oral Contraceptive. Biomed J Sci & Tech Res 1(3)-2017. BJSTR. MS.ID.000256. DOI: 10.26717/BJSTR.2017.01.000256

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