Serial Extraction: A Review

Abstract

Serial extraction or eruption with guidance is a pre-planned, premature extraction of certain primary teeth
to create space that has been compromised. It is followed by the extraction of certain permanent teeth to
maintain the proper proportion of tooth size and dentoalveolar bone space. However, this procedure is
challenging as it requires in-depth clinical knowledge and skill. This article provides essential insights to the
clinicians to identify and categorize the cases meticulously for serial extraction, apply both theoretical and
practical aspects of growth and development, and diagnose the alarming signs of primary crowding in early
mixed dentition period.