A practical treatise on the technics and principles of dental orthopedia and prosthetic correction of cleft palate . mal occlusal relations—the one to the right and the other tothe left. In connection with this lateral movement, the open-bite can be correctedby an extrusive and retrusive movement of the lower front teeth. If the case iscomplicated with an abnormally retruded upper, this feature should be correctedby a bodily labial movement of the upper front teeth in the usual manner, but withforces applied, also to move them laterally toward their normal relations with the 224 PART VI. DENTO


A practical treatise on the technics and principles of dental orthopedia and prosthetic correction of cleft palate . mal occlusal relations—the one to the right and the other tothe left. In connection with this lateral movement, the open-bite can be correctedby an extrusive and retrusive movement of the lower front teeth. If the case iscomplicated with an abnormally retruded upper, this feature should be correctedby a bodily labial movement of the upper front teeth in the usual manner, but withforces applied, also to move them laterally toward their normal relations with the 224 PART VI. DENTO-FACIAL MALOCCLUSIONS lower. In those cases where the lower denture and chin are carried far to one sideby the lateral bending of the mandible, there is very little hope, after twelve yearsof age, of accomplishing anything toward a restoring movement of the mandible,or in other words, a permanent movement of the chin toward the median a stuprising dental and facial correction will always ensue by moving the frontteeth of one denture to the right and the other to the left toward their normal Fig. occluding relations, thus harmonizing the immediate relations of the dental andfacial Hnes. This is well illustrated in the following case. If the lower denture is protruded, as commonly obtains in these cases, a firstlower premolar may be extracted on the protruded side, and the forces applied soas to carry all the front teeth and opposite premolars over to that side mesio-distaUy and lingually, to close the space. Fig. 147 shows this character of lateral malocclusion with the usual open-biteand prognathic mandible and lower denture. On the left it illustrates the facialand dental casts of a miss, seventeen years of age when she presented for treat- CHAPTER XXVII. TYPE F. DIVISION 1. CLASS I. 225 Fig. 148. ment. From some cause, the lower jaw was bent decidedly to the right, as can be seen by the relations of the upper and lower incisors; while all the teeth assumed ex


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