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UPPER PROTRUSION. 761
(d) Thumb-sucking—acquired. (See Fig. 757.)
(e) Lack of development of the lower maxilla (the upper protrusion
is then apparent rather than real)—constitutional.
Fig. 754.
Protrusion—cause (c) (Talbot
(/) Premature loss or injudicious extraction of the first permanent
molars—acquired. Prof. Guilford says of such extraction : " The re-
sult is that the lateral pressure so necessary to proper expansion is lack-
ing in one jaw while in the other normal enlargement continues."
Fig. 751 Fig. 756.
Apparent protrusion due to lack of develop- Dr. Louis Jack's drawing (in Dental Cusmos)
ment of lower maxilla (Talbotj. showing deformity from too early extrac-
tion of first permanent molar.
(g) Weak structure of the upper maxilla, which allows the teeth to
be forced forward by occlusion with a large lower maxilla of hard and
dense structure with short rami—acquired. (See Fig. 757.)