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Common Mechanics
www.indiandentalacademy.com
Extraction of Second Molars
www.indiandentalacademy.com
Extraction of second molars
1997 JCO, Efthimia K. Basdra, Gerda Komposch.
Advantages:
• Significant reduction in treatment time and appliance use
• Faster and less problematic distalization of upper first molars
• More promotion of bite opening
• Less adverse effect on profile
• More ease and predictability of upper third molar eruption
Disadvantages include:
• More loss of tooth substance
• Increased distance of extracted teeth from location of crowding
• Increased tendency of lower second molars to overerupt
• More need for patient cooperationwww.indiandentalacademy.com
• Second molar extractions, open the bite.
• Premolar extractions closes the bite.
• Maxillary second molars are not often extracted in place of the more
usual premolars. However, Graber recommends this approach in Class
II, division 1 cases with excessive labial inclination of the maxillary
incisors, no anterior spacing, minimal overbite, and upper third molars
in good position.
• Jarabak suggests second molar extraction for non-skeletal Class II
patients with a distinct horizontal, counterclockwise growth pattern.
• Rees and Witt indicate removal of the upper second molars in Class II
cases with deep bite and a well-formed lower arch.
www.indiandentalacademy.com

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15 extraction of second molars (2)

  • 2. Extraction of Second Molars www.indiandentalacademy.com
  • 3. Extraction of second molars 1997 JCO, Efthimia K. Basdra, Gerda Komposch. Advantages: • Significant reduction in treatment time and appliance use • Faster and less problematic distalization of upper first molars • More promotion of bite opening • Less adverse effect on profile • More ease and predictability of upper third molar eruption Disadvantages include: • More loss of tooth substance • Increased distance of extracted teeth from location of crowding • Increased tendency of lower second molars to overerupt • More need for patient cooperationwww.indiandentalacademy.com
  • 4. • Second molar extractions, open the bite. • Premolar extractions closes the bite. • Maxillary second molars are not often extracted in place of the more usual premolars. However, Graber recommends this approach in Class II, division 1 cases with excessive labial inclination of the maxillary incisors, no anterior spacing, minimal overbite, and upper third molars in good position. • Jarabak suggests second molar extraction for non-skeletal Class II patients with a distinct horizontal, counterclockwise growth pattern. • Rees and Witt indicate removal of the upper second molars in Class II cases with deep bite and a well-formed lower arch. www.indiandentalacademy.com