Germectomy (Therapeutic Enucleation) of First Bicuspids and Eruption Guide to Treat Dental Crowding without Using Orthodontic Treatment. Case Report

Germectomy (enucleation) of the first bicuspids has shown to be an effective treatment in management dental crowding mixed dentition because it produces intraosseous decongestion mass between permanent canines and second bicuspids. This provides early available space for autonomic eruption without interference from bicuspid canine which erupts into a highly stable position within arch, facilitating accelerating orthodontic (if required) would terminating before difficult adolescent age. procedure differs extracting after they erupt when are already facing frank crowding, mature periodontal ligament, deformity alveolar process. In our opinion, will replace serial extractions during time treating specialist concentrate on preventive guidance habits general such as tongue, thumb, lips, mouth breathing, addition performing Functional orthopedics jaws deep bites, deficiency or maxillary protrusion among others.