A practical treatise on the technics and principles of dental orthopedia and prosthetic correction of cleft palate . ng spaces for the insertion of artificial premolars. Another case similar to the above, sent tothe author from Ohio, is shown in Fig. the letter of introduction from the dentistwho referred the case, he said: I haveextracted the first premolars knowing thatyou would find it necessary. Anyone cansee by the facial lines alone, to say nothingof the fact that the upper front teeth closeback of the lowers, that it was the very heightof orthodontic malpractice to extract teethfr
A practical treatise on the technics and principles of dental orthopedia and prosthetic correction of cleft palate . ng spaces for the insertion of artificial premolars. Another case similar to the above, sent tothe author from Ohio, is shown in Fig. the letter of introduction from the dentistwho referred the case, he said: I haveextracted the first premolars knowing thatyou would find it necessary. Anyone cansee by the facial lines alone, to say nothingof the fact that the upper front teeth closeback of the lowers, that it was the very heightof orthodontic malpractice to extract teethfrom the upper arch. The only excuse forextracting sound permanent teeth—an axiomwhich cannot be too often repeated—is theimpossibility of otherwise correcting the mal-occlusion without leaving a facial remove one or more teeth from immaturearches for the purpose of more easily correct-ing an irregularity that has arisen whollyfrom local causes, will inevitably produce its effect. And the effect upon archesthat would otherwise be ultimately correct in size and occlusion is to abnormally Fig. CHAPTER XII. THE QUESTION OF EXTRACTION 87 contract them and to force the occluding teeth of the opposing jaw into malahgn-ments, besides producing more or less imperfections in esthetic facial under certain circumstances as instanced by the two cases illustrated, it may-result in an actual facial deformity, and, too, when the operation is performed bymen who are supposed to know better. Besides the thousands of occlusal malrelations that have been caused by theneedless and even criminal extraction of permanent teeth, there are numberlessdento-facial imperfections and deformities that have gone through life from thiscause alone. It has frequently been a matter of great surprise to see the results ofpoor judgment shown by dentists, even of advanced standing, in extracting de-ciduous and permanent teeth; and when one considers the thousandis of youngdentists
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