A practical treatise on the technics and principles of dental orthopedia and prosthetic correction of cleft palate . dento-facial outlines, after this operation, was con-siderably increased by the necessary movement, it was still hoped that the develop-ing growth would harmonize the relations. But after waiting about one year,and still finding no improvement, and wishing to have time to properly correct itbefore the patient started a course in an Eastern seminary, her parents were con-sulted, and were also found to be dissatisfied with the result. They had no objec-tion to the extraction of th
A practical treatise on the technics and principles of dental orthopedia and prosthetic correction of cleft palate . dento-facial outlines, after this operation, was con-siderably increased by the necessary movement, it was still hoped that the develop-ing growth would harmonize the relations. But after waiting about one year,and still finding no improvement, and wishing to have time to properly correct itbefore the patient started a course in an Eastern seminary, her parents were con-sulted, and were also found to be dissatisfied with the result. They had no objec-tion to the extraction of the four premolars if it promised to perfect her features. CHAPTER XXIX. DIVISION 2. CLASS I. 239 It was at this time, when the patient was between sixteen and seventeen years ofage, that the first facial impression was taken from which the facial cast that isshown on the left was made. The pictures of the facial and dental plaster casts onthe right, which show the finished case immediately upon its completion, do scantjustice to the beauty of the face or the occlusion of the teeth which obtained later. Fig. In an extensive practice, one will be called upon to treat every gradation ofbimaxillary protrusion and retrusion from the most pronounced types to those oflesser degree; and one will understand also, how this type gradually merges withunbroken gradation into the absolutely normal, with beautiful faces. It has beenobserved that the imperfections in the facial outlines in a large proportion of thesecases, pertain almost wholly to the dento-facial area or that part of the face only,which is supported and characterized by the relative position of the dentures andalveolar processes. In other words, the general labial and buccal surface outlineof the dentvires constitute the framework of the overlying facial contours. It ishoped, therefore, that it will not be understood that dento-facial harmony, whichis the composite type between the extremes of bimaxillary protrusions and
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