Page 829 - My FlipBook

PHYSIOGNOMY AND THE SAVING OF TEETH. 827
greater importance, there Avould have been a satisfactory result in the
dental arch and physiognomy. Or even further, had the upper first
bicuspids been extracted as soon as they erupted, together with the
deciduous canines, as will be outlined in the second phase of the subject,
the case would have required little or no other treatment.
Fig. 879 shows the present position of teeth after regulation, by re-
truding the anterior teeth to fill spaces caused by the extraction of the
bicuspids. Fig. 880 is from a model of the face after treatment. It

will be seen that the interproximal spaces between the teeth are restored,
while the retrusion of the anterior teeth allows the lips to fall gracefully
into proper position. The improvement in the facial aspect of this and
all other cases cannot be fully shown
Fig. 881.
by a plaster model of the face. Fig.
881 was made from a photograph of
this patient, taken a few months after
the completion of treatment.
There are many instances where the
early extraction of the bicuspids, as soon
as they can be reached with the forceps,
is demanded.
For example, adult faces with ab-
normal protruding upper jaws and
teeth, and with a bulged appearance
lfe»^
about the lower portion of the nose
should have been thus treated. The teeth are commonly large, prom-
inent, and crowded, though not always labially inclined.
The ordinary upper protrusions which come under this head are
so common they will require no further explanation or illustration.
Upper protrusions where the teeth are not labially iucliued are not
quite so common.