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VOLUME 11 , ISSUE 4 ( July, 2010 ) > List of Articles


Management of Crowded Class 1 Malocclusion with Serial Extractions: Report of a Case

Hayder A. Hashim

Citation Information : Hashim HA. Management of Crowded Class 1 Malocclusion with Serial Extractions: Report of a Case. J Contemp Dent Pract 2010; 11 (4):41-48.

DOI: 10.5005/jcdp-11-4-41

License: CC BY-NC 3.0

Published Online: 01-01-2007

Copyright Statement:  Copyright © 2010; The Author(s).



The purpose of this article is to show the value of serial extractions in a young patient with severe crowding.


Serial extraction is a technique advocated for use by Kjellgren1 in 1948 due to a shortage of orthodontists at the time. This form of treatment was intended to facilitate the treatment of orthodontic cases by general dentists to minimize the demand upon the orthodontist.

Case Description

An eight-year-old Sudanese female did not like the appearance of her anterior teeth. Clinical examination revealed a Class I molar relationship, severe crowding of the maxillary and mandibular arches, minimum overjet, and minimum overbite.


The patient's treatment included serial extractions. The treatment resulted in improved esthetics, good arch alignment, and occlusion while maintaining her Class I molar relationship, overjet, and overbite.


This case demonstrated that despite the criticism some may direct toward this interceptive technique, good clinical results can be achieved in carefully selected cases.

Clinical Significance

There are certain clinical situations when treatment planning the use of serial extractions can prove beneficial to young patients.


Hashim HA. Management of Crowded Class 1 Malocclusion with Serial Extractions: Report of a Case. J Contemp Dent Pract [Internet]. 2010 July; 11(4):041-048. Available from: volume11-issue4-hashim

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  1. Serial extraction as a corrective procedure in dental orthopedic therapy. Acta Odontol Scand. 1948;8(1):17-43.
  2. Serial extraction: its limitations and contraindications in orthodontic treatment. Am J Orthod. 1967; 53(12):904-21.
  3. Guidance of eruption versus serial extraction. Am J Orthod. 1970; 58(1):1-20.
  4. Effect of serial extraction alone on crowding: spontaneous changes in dentition after serial extraction. Am J Orthod Dentofacial Orthop. 2000; 118(6):611-6.
  5. Serial extraction … nobody does that anymore! Am J Orthod Dentofacial Orthop. 2000; 117(5):564-6.
  6. Management of space problems in the primary and mixed dentitions. J Am Dent Assoc. 1999; 130(9):1330-9.
  7. Serial extraction in orthodontics: Indications, objectives, and treatment procedures. Am J Orthod. 1954; 40(12): 906-26.
  8. Serial extraction as a treatment procedure. Am J Orthod. 1956; 42(10):728-39.
  9. Effects of extraction of deciduous molars on the formation and eruption of their successors. Angle Orthod. 1962;32:44-53.
  10. Serial extraction—orthodontics at the crossroads. Dent Clin North Am. 1968;Jul:341-62.
  11. Guidance of occlusion: Serial extraction. In: Graber TM, Swain BF, editors. Orthodontics: Current principles and techniques. St. Louis: Mosby; 1985. p. 259-366.
  12. Prediction of tooth emergence. J Dent Res. 1962; 41:573-85.
  13. Comparison of soft tissue profile changes in serial extraction and late premolar extraction. Angle Orthod. 1999; 69(2):165-73.
  14. Contemporary orthodontics. 2nd ed. St. Louis: Mosby; 1993. p. 399.
  15. An introduction to orthodontics. 2nd ed. New York: Oxford University Press; 2001. p. 30.
  16. Am J Orthod Dentofacial Orthop. 1996; 109(4):445-52.
  17. Textbook of orthodontics. 1st ed. Philadelphia: WB Saunders; 2001.
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