Orthodontics extractions were
performed by a student of present batch, Dr. Arpit. He is now proficient in
doing RCTs and extractions. Extraction is necessary part of the treatment in
some cases, but in others it is contraindicated. Before extractions are
considered, an exhaustive study of the case must be made by a clinical
examination of the patient, paying particular attention to caries or restored
or traumatized teeth which might subsequently give rise to symptoms.
Radiographs should be scrutinize to ensure the presence of all teeth. The
degree of dental discrepancy (crowding) and patient age play important roles in
the decision to treat a malocclusion (poor bite) with or without the extraction
of permanent teeth. A patient who presents in the permanent dentition with a
severe enough discrepancy in arch length (the size of the teeth versus the size
of the jaw) might very well require extraction treatment. There are also
situations in which the upper front teeth need to be retracted in order to
reduce the horizontal space (overjet) between the upper and lower front teeth.
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