A practical treatise on the technics and principles of dental orthopedia and prosthetic correction of cleft palate . rude thefront teeth. While this might result in a partial improvement in the facial out-lines, the teeth would always remain in unpleasant evidence, with an awkward,strained management of the lips, and in a very large proportion of cases, little orno correction is possible in that way. It is a pity to think these patients shouldbe allowed to go through life in that way when perfect correction of the facialoutlines is a comparatively easy and sure operation by extracting the firs


A practical treatise on the technics and principles of dental orthopedia and prosthetic correction of cleft palate . rude thefront teeth. While this might result in a partial improvement in the facial out-lines, the teeth would always remain in unpleasant evidence, with an awkward,strained management of the lips, and in a very large proportion of cases, little orno correction is possible in that way. It is a pity to think these patients shouldbe allowed to go through life in that way when perfect correction of the facialoutlines is a comparatively easy and sure operation by extracting the first pre- CHAPTER XXIX. DIVISION 2. CLASS I. 235 molars and placing the remaining buccal teeth in normal occlusion, and retrudingall the labial teeth. Unfortunately, this type is not at present fully recognized by the strict adherentsof the Angle system, as belonging to marked malocclusions which demand correc-tion, because in its typical form, the dentures are in normal occlusion. Yet if thereis any type in dental orthopedia which demands extensive correction when it occursin the white race, it is this. Fig. When these cases present for treatment, especially as they frequently^do afterthe eruption of the second molars, with the teeth crowded closely together in archesof nearly or quite normal width, with receding chins, and decidedly protrudinglips which are closed with difficulty over the protruding dentures, every competentorthodontist must see that there is no way to correct the facial outlines of thesepatients by an orthopedic movement of the teeth without extraction. Special attention is called to the two lower cases illustrated in Fig. 157 and fullyillustrated in Figs. 159 and 160. In the case shown in Fig. 159, the dentures, withthe exception of a slight malposition of the upper right lateral, were in absolutenormal occlusion and normal arch width and alignment, and notwithstanding thefact that four premolars were extracted, as shown, followed by the appUcationof the


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