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CONTRAINDICATIONS Patients who are susceptible to caries. Proximal stripping is avoided in young individual as their teeth may possess large pulp chambers
ARCH EXPANSION
Orthodontic Expansion Widens buccal segments (usually by tipping crowns) using fixed appliances Done only in permanent dentition Orthopedic Expansion Palatal expansion with a fixed appliance Can be used in mixed dentition
PROXIMAL STRIPPING
the selective reduction of the mesiodistal width of certain teeth to create space. The teeth that are usually proximally stripped are the mandibular incisors.
DISTALIZATION OF MOLARS
push the maxillary and/or mandibular terminal molars posteriorly. This increases the arch length by the same length as the amount of distalization achieved.
EXTRACTION
most common methods of gaining space in the arch. If the dentition is too large to fit in the dental arch without irregularity, it may be necessary to reduce the dentition size by the extraction of teeth.
usually undertaken before the eruption of the second permanent molars. Guidelines for extraction The appliances distalization of molars can be Less than 4 mm arch length discrepancy exclassified as: traction rarely indicated. Extraoral distalizing appliances ( Head gear) 5-9 mm arch length discrepancy borderline non-extraction or extraction possible; depends on the details of the therapy 10 mm or more arch length discrepancy extraction almost always required