Serial Extraction

For the child with such crowding that the eruption of the permanent teeth is impeded then serial extraction may be the answer.  If the crowding is due to narrow arches then expansion as outlined in section E may alleviate the problem.  If the arches are normal in width then expansion should be cautiously considered as overexpansion may be unstable and leave the unaesthetic appearance of a very large mouth in a small face.  Serial extraction is a “robbing Peter to pay Paul” strategy.  Baby teeth in the anterior portion of the mouth are extracted earlier than average to allow the earlier erupting permanent teeth room to erupt and align.  This transfers the crowding problem posteriorly.   However, as the premolars are smaller than the baby molars there may be sufficient space if the excess space is maintained by a lower lingual holding arch (LLHA).  In a serial extraction case there is a high suspicion that permanent teeth will need to be extracted eventually.  However, during this transition period the jaws continue to develop so a reevaluation is performed before any permanent teeth are extracted.  The payoff for a serial extraction case is that the teeth are able to erupt reasonably well aligned and future orthodontic treatment is both delayed and minimized.  Failure to act early in a severely crowded case means the teeth will either become impacted and unable to erupt or they will erupt in a haphazard fashion requiring more extensive orthodontic treatment.

Montebello Drive West
2575 Montebello Drive West,
Suite 101, Colorado Springs, CO 80918
Tel: (719) 268-7138
Fax: (719) 599-5107
Woodland Park
791 W Kelley's Rd,
Woodland Park, CO 80863
Tel: (719) 687-6129
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Bentele Orthodontics
What our patients say...

We went to an evaluation at an orthodontist before this one and the price seemed kind of high so then I came to an evaluation here & not only was the price lower but immediately we felt very comfortable and loved the atmosphere of the office. The staff is wonderful, always on time & Dr. Bentele is a great Dr. - very knowledgeable, friendly & with excellent communication. I would recommend this practice to everyone!

We highly recommend Dr. Bentele and his practice. He is honest, friendly, skilled & timely - you name it. He and his staff are wonderful! Angela at the front desk is especially kind and helpful. Best of all - Dr. Bentele creates a wonderful outcome of beautiful teeth. I've experienced two other orthodontists with other children and Dr. Bentele definitely outshines all - in every way - even in cost! I can't speak highly enough about Bentele Orthodontics!

This office is extremely thorough in explaining all aspects of orthodontics from finances to procedures. I'm very confident in this office.

Dr. Bentele makes the patient feel comfortable with his skill and calm confidence. He's honest about the treatment needed and tries to keep the patient informed of the treatment.

Dr. Bentele is our orthodontist for our two children. He provided clear treatment plans with a practical approach. Dr. Bentele does all of the banding and bonding himself and the office appointments are appropriately scheduled. Our children get in and out quickly and the office is never overscheduled, resulting in short waits and unhurried treatment. We're very satisfied and would recommend our friends to see Dr. Bentele!

Dr. Bentele and all staff have been very professional and the cost was reasonable. The approach of not having braces on longer than necessary is one area where I have seen other children suffer (children who went to other orthodontists). The way Dr. Bentele explains what he is doing and why has been good for my daughter to learn the importance of her treatment. I appreciate Dr. Bentele's patience with us as we experienced a difficult financial time during the beginning of our process.