Here are 100 multiple-choice questions (MCQs) on the topic of serial extraction in

orthodontics, with five choices each, and answers based on the provided text:

Serial Extraction in Orthodontics

1.​ Serial extraction is best described as:​
a) Extraction of all primary teeth at once.​
b) Extraction of all permanent teeth at once.​
c) Planned removal of specific primary and permanent teeth.​
d) Extraction of teeth to correct Class II malocclusion.​
e) Extraction of teeth to correct Class III malocclusion.​
Answer: c
2.​ Serial extraction is typically performed during:​
a) The primary dentition period.​
b) The mixed dentition period.​
c) The permanent dentition period.​
d) Infancy.​
e) Adulthood.​
Answer: b
3.​ The primary goal of serial extraction is to:​
a) Correct Class II malocclusions.​
b) Correct Class III malocclusions.​
c) Relieve crowding and guide erupting teeth.​
d) Increase arch length.​
e) Decrease overbite.​
Answer: c
4.​ Serial extraction is most commonly used to treat:​
a) Class II malocclusions with crowding.​
b) Class III malocclusions with crowding.​
c) Class I malocclusions with crowding.​
d) Open bite cases.​
e) Deep bite cases.​
Answer: c
5.​ In a typical serial extraction, which teeth are commonly extracted?​
a) Primary molars and permanent canines.​
b) Primary canines and first premolars.​
c) Primary incisors and second premolars.​
d) Permanent molars and primary incisors.​
e) Second primary molars and permanent canines​
Answer: b
6.​ Which of the following is a contraindication for serial extraction?​
a) Severe tooth size-jaw size discrepancy.​
b) Class I malocclusion with crowding.​
c) Minimal overjet and overbite.​
d) Class II malocclusion with skeletal abnormalities.​
e) Mesial step mixed dentition​
Answer: d
7.​ The term "serial extraction" was first introduced by:​
a) Robert Bunon.​
b) Bourdet.​
c) Kjellgren.​
d) Nance.​
e) Hotz​
Answer: c
8.​ Who is considered the "Father of Serial Extraction" technique?​
a) Robert Bunon.​
b) Bourdet.​
c) Kjellgren.​
d) Nance.​
e) Hotz​
Answer: d
9.​ Hotz (1970) recommended which term instead of "serial extraction"?​
a) Guided extraction.​
b) Guidance of occlusion.​
c) Serial extraction.​
d) Dewel's Method​
e) Tweed's Method​
Answer: b
10.​Which of the following is NOT a commonly used method of serial extraction?​
a) Dewel's method.​
b) Nance method.​
c) Tweed's method.​
d) Grewe's method.​
e) Angle's method.​
Answer: e
11.​ In Dewel's method, which teeth are extracted first?​
a) Primary first molars.​
b) Primary canines.​
c) First premolars.​
 d) Primary second molars.​
e) Permanent Canines​
Answer: b
12.​In Dewel's method, when are the primary first molars extracted?​
a) At the same time as primary canines.​
b) After the first premolars erupt.​
c) When first premolars reach half root length.​
d) Before the primary canines.​
e) When the permanent canines erupt​
Answer: c
13.​In Dewel's method, when are the first premolars extracted?​
a) Before the primary canines.​
b) After the primary first molars.​
c) When permanent canines have developed beyond half root length.​
d) At the same time as primary canines.​
e) When the primary first molars erupt.​
Answer: c
14.​The main objective of extracting primary canines in serial extraction is to:​
a) Accelerate eruption of premolars.​
b) Establish integrity of incisors.​
c) Facilitate eruption of permanent canines.​
d) Increase arch length.​
e) Decrease overbite​
Answer: b
15.​Extraction of primary first molars aims to:​
a) Align the incisors.​
b) Accelerate eruption of first premolars.​
c) Facilitate eruption of permanent canines.​
d) Correct deep bite.​
e) Correct open bite​
Answer: b
16.​Extraction of first premolars facilitates:​
a) Alignment of incisors.​
b) Eruption of first premolars.​
c) Eruption and alignment of permanent canines.​
d) Closure of midline diastema​
e) Correction of crossbite​
Answer: c
17.​In the Tweed and Nance method, which teeth are extracted at 8 years of age?​
 a) Primary canines.​
b) Primary first molars.​
c) First premolars.​
d) Primary second molars.​
e) Permanent Canines​
Answer: b
18.​In the Tweed and Nance method, when are the first premolars extracted?​
a) At 8 years of age.​
b) After extraction of primary canines.​
c) When their eruption is about the level of the alveolar crest.​
d) Before extraction of primary molars.​
e) After extraction of permanent canines​
Answer: c
19.​Grewe's method addresses the issue of:​
a) Incisor crowding.​
b) Premolar impaction.​
c) Canine spacing.​
d) Molar relationship.​
e) Overbite correction​
Answer: b
20.​In Grewe's method, if the canine erupts before the premolar, what might happen?​
a) Premolar eruption is accelerated.​
b) Premolar impaction.​
c) Canine impaction.​
d) Incisor crowding is relieved.​
e) Molar relationship improves​
Answer: b
21.​In Grewe's method, to avoid premolar impaction, one option is to:​
a) Extract primary canines early.​
b) Extract primary second molars.​
c) Surgically enucleate first premolars.​
d) Retain primary first molars.​
e) Extract permanent canines​
Answer: c
22.​Early enucleation of premolars in Grewe's method can lead to:​
a) Increased bone density.​
b) A bone defect.​
c) Faster premolar eruption.​
d) Reduced arch length.​
 e) Improved incisor alignment​
Answer: b
23.​Another approach in Grewe's method to prevent premolar impaction involves:​
a) Extracting primary canines early.​
b) Retaining primary canines and extracting primary first molars.​
c) Extracting primary second molars first.​
d) Placing a transpalatal bar.​
e) Extracting permanent canines​
Answer: b
24.​In Grewe's method, extraction of primary first molars while retaining primary
canines has a minimal effect on:​
a) Premolar eruption.​
b) Canine eruption.​
c) Incisor crowding.​
d) Molar relationship.​
e) Overbite​
Answer: c
25.​A complication of early primary canine loss is:​
a) Accelerated premolar eruption.​
b) Ectopic eruption of laterals.​
c) Distal migration of canines.​
d) Reduced overbite.​
e) Closure of midline diastema.​
Answer: b
26.​In Grewe's method, what is done as the premolars emerge?​
a) Primary canines are retained​
b) Primary first molars are retained​
c) First premolars are extracted.​
d) Primary second molars are extracted​
e) Permanent canines are extracted.​
Answer: c
27.​The technique in Grewe's method involving extraction of primary molars and then
premolars can also prevent:​
a) Maxillary incisor proclination.​
b) Lingual tipping of lower incisors.​
c) Distal canine migration.​
d) Mesial molar migration.​
e) Reduced overjet​
Answer: b
28.​In another variation of Grewe's method, after extracting primary first molars, what
is extracted 6 months later?​
a) Primary canines.​
b) Primary second molars.​
c) First premolars.​
d) Permanent canines.​
e) Permanent incisors​
Answer: b
29.​In the variation mentioned in the previous question, what appliance is placed?​
a) A transpalatal bar.​
b) A lingual bar.​
c) A face mask.​
d) A headgear.​
e) A Herbst appliance​
Answer: b
30.​The appliance in the previous question prevents:​
a) Distal migration of premolars.​
b) Mesial migration of permanent first molars.​
c) Lingual tipping of incisors.​
d) Labial tipping of incisors.​
e) Rotation of canines​
Answer: b
31.​In the same variation, unerupted first premolars move in which direction?​
a) Mesially.​
b) Distally.​
c) Labially.​
d) Lingually.​
e) Apically​
Answer: b
32.​The rationale of serial extraction is to correct dental irregularities while
maintaining:​
a) Increased overjet.​
b) Decreased overbite.​
c) Facial harmony.​
d) Class II relationship.​
e) Class III relationship​
Answer: c
33.​Arch expansion is NOT an ideal option in serial extraction cases because:​
a) It is too expensive.​
 b) It is too time-consuming.​
c) Teeth may be unstable off their apical base.​
d) It can cause root resorption.​
e) It can lead to TMJ problems​
Answer: c
34.​Delaying premolar extraction until all permanent teeth erupt may lead to:​
a) Spontaneous correction of malocclusion.​
b) Reduced need for mechanotherapy.​
c) Severely displaced teeth.​
d) Decreased treatment time.​
e) Improved patient cooperation​
Answer: c
35.​Serial extraction aims to intercept malocclusion at which stage?​
a) Primary dentition.​
b) Early mixed dentition.​
c) Late mixed dentition.​
d) Permanent dentition.​
e) Adulthood​
Answer: b
36.​By guiding eruption, serial extraction intends to minimize the extent and need for:​
a) Orthognathic surgery.​
b) Prosthodontic treatment.​
c) Corrective orthodontic treatment.​
d) Periodontal treatment.​
e) Endodontic treatment​
Answer: c
37.​Which of the following is an advantage of serial extraction?​
a) Increased treatment duration.​
b) More physiologic treatment.​
c) Increased need for retention.​
d) Compromised tissue health.​
e) Increased need for patient cooperation​
Answer: b
38.​Serial extraction results in:​
a) Increased treatment time.​
b) Reduced need for fixed treatment.​
c) Decreased treatment stability.​
d) Increased need for retention.​
e) Increased need for extraction of permanent teeth​
 Answer: b
39.​Serial extraction helps in preserving the health of:​
a) Pulp tissue.​
b) Investing tissues.​
c) Enamel.​
d) Dentin.​
e) Cementum​
Answer: b
40.​Compared to conventional orthodontic treatment, serial extraction typically
requires:​
a) More retention.​
b) Less retention.​
c) The same amount of retention.​
d) No retention at all.​
e) Longer retention period​
Answer: b
41.​The results of serial extraction are generally considered to be:​
a) Less stable.​
b) More stable.​
c) Equally stable.​
d) Unpredictable.​
e) Dependent on patient cooperation.​
Answer: b
42.​Which of the following is a disadvantage of serial extraction?​
a) It is indicated for Class II and Class III malocclusions.​
b) It has no psychological impact on the child.​
c) Deepening of bite can occur.​
d) It requires less patient cooperation.​
e) It does not lead to residual spaces.​
Answer: c
43.​In serial extraction, extraction in Class II malocclusion, if any, is carried out in:​
a) The lower arch only.​
b) Both arches.​
c) The upper arch only.​
d) Neither arch.​
e) Depends on the patient​
Answer: c
44.​A potential psychological impact on the child in serial extraction is due to:​
a) Prolonged treatment time.​
 b) Multiple extractions.​
c) Need for appliances.​
d) Regular follow-up visits.​
e) Post-extraction pain​
Answer: b
45.​A possible complication of serial extraction is:​
a) Opening of bite.​
b) Deepening of bite.​
c) Improved overjet.​
d) Reduced overbite.​
e) Closure of midline diastema​
Answer: b
46.​Serial extraction requires:​
a) Short patient follow-up.​
b) Prolonged patient cooperation and follow-up.​
c) No patient cooperation.​
d) Minimal follow-up.​
e) Intermittent follow-up​
Answer: b
47.​A disadvantage of serial extraction is that it can lead to:​
a) Closure of diastemas.​
b) Residual spaces between canine and second premolar.​
c) Improved canine position.​
d) Reduced treatment time​
e) Decreased need for mechanotherapy​
Answer: b
48.​Serial extraction alone is:​
a) Sufficient to bring impacted canines into position.​
b) Not sufficient to bring impacted canines into position.​
c) Not indicated for impacted canines.​
d) Always contraindicated.​
e) The only treatment for impacted canines​
Answer: b
49.​Early extraction in serial extraction can lead to:​
a) Accelerated eruption.​
b) Loss of space.​
c) Increased arch length.​
d) Improved alignment.​
e) Decreased need for retention​
 Answer: b
50.​Early extraction can also result in:​
a) Early eruption of permanent teeth.​
b) Delayed eruption of permanent teeth.​
c) Increased eruption rate.​
d) No effect on eruption.​
e) Spontaneous tooth movement​
Answer: b
51.​A rare complication of serial extraction is:​
a) Prognathic profile​
b) Retrognathic profile​
c) Flat face with prominent chin.​
d) Increased overjet​
e) Decreased overbite​
Answer: c
52.​Serial extraction can sometimes result in:​
a) Labial inclination of incisors.​
b) Lingual inclination of incisors.​
c) No change in incisor inclination.​
d) Increased overjet​
e) Decreased overjet​
Answer: b
53.​The timing of primary tooth extraction in serial extraction depends on:​
a) Patient's age only.​
b) Patient's gender only.​
c) Effect on permanent successor, root formation, and timing of root
development.​
d) Arch length only​
e) Tooth size only​
Answer: c
54.​Dental age in serial extraction is assessed by:​
a) Chronological age.​
b) Skeletal age.​
c) Root length.​
d) Height of the patient.​
e) Weight of the patient.​
Answer: c
55.​Knowledge of which of the following is mandatory in timing serial extraction?​
a) Only root development.​
 b) Only eruptive rates.​
c) Root development, eruptive rates, emergence of permanent teeth, and root
resorption of primary teeth.​
d) Only emergence of permanent teeth.​
e) Only root resorption of primary teeth.​
Answer: c
56.​Serial extraction creates space for:​
a) Primary teeth.​
b) Permanent teeth.​
c) Both primary and permanent teeth.​
d) Deciduous teeth​
e) Supernumerary teeth​
Answer: b
57.​Serial extraction helps in:​
a) Preventing future teeth crowding.​
b) Causing future teeth crowding​
c) Increasing the need for complex orthodontic treatments later​
d) Making orthodontic treatment unnecessary​
e) Causing TMJ problems​
Answer: a
58.​By intervening early, serial extraction aids in:​
a) Hindering teeth eruption.​
b) Guiding teeth eruption.​
c) Increasing the need for surgery​
d) Complicating orthodontic treatment​
e) Causing periodontal problems​
Answer: b
59.​Which of the following is a primary indication for serial extraction?​
a) Class II malocclusion with minimal crowding​
b) Class III malocclusion with severe crowding​
c) Severe hereditary tooth size-jaw size discrepancy​
d) Open bite cases​
e) Deep bite cases​
Answer: c
60.​In serial extraction, minimal overjet and overbite relationship of incisor teeth is
considered:​
a) A contraindication​
b) An indication​
c) A complication​
 d) A risk factor​
e) A normal finding​
Answer: b
61.​Presence of midline diastema is:​
a) An indication for serial extraction​
b) A contraindication for serial extraction​
c) A normal finding​
d) A complication of serial extraction​
e) A reason to accelerate serial extraction​
Answer: b
62.​Congenitally missing teeth are considered:​
a) An indication for serial extraction​
b) A contraindication for serial extraction​
c) A normal variation​
d) A complication of serial extraction​
e) A reason to delay serial extraction​
Answer: b
63.​Serial extraction is contraindicated in:​
a) Collapsed arch​
b) Mesial step mixed dentition​
c) Orthognathic facial pattern​
d) Slight alveolodental protrusion​
e) Severe crowding​
Answer: a
64.​Which of the following is a contraindication for serial extraction?​
a) Class I malocclusion with minimal arch length tooth size discrepancy​
b) Class I malocclusion with severe arch length tooth size discrepancy​
c) Mesial step mixed dentition​
d) Minimal overjet and overbite​
e) Orthognathic facial pattern​
Answer: a
65.​In which type of malocclusion is serial extraction generally NOT indicated?​
a) Class I​
b) Class II​
c) Class III​
d) Both Class II and Class III​
e) All of the above​
Answer: d
66.​The primary aim of serial extraction in the early mixed dentition period is to:​
 a) Correct skeletal abnormalities​
b) Guide the remaining erupting permanent teeth​
c) Eliminate the need for any future orthodontic treatment​
d) Accelerate jaw growth​
e) Modify soft tissue behavior​
Answer: b
67.​Which of the following is a commonly used method of serial extraction?​
a) Angle's classification​
b) Tweed-Merrifield technique​
c) Dewel's method​
d) Beggs technique​
e) Ricketts analysis​
Answer: c
68.​In Dewel's method, the extraction of deciduous canines is typically done around:​
a) 6-7 years of age​
b) 8-9 years of age​
c) 10-11 years of age​
d) 12-13 years of age​
e) 14-15 years of age​
Answer: b
69.​The extraction of deciduous first molars in Dewel's method is performed when
the first premolars reach:​
a) One-fourth of the root length​
b) Half of the root length​
c) Three-fourths of the root length​
d) Full root length​
e) Cervical third of the crown​
Answer: b
70.​In Dewel's method, the extraction of first premolars facilitates:​
a) Eruption of second premolars​
b) Eruption of permanent canines​
c) Eruption of permanent molars​
d) Closure of leeway space​
e) Increase in arch length​
Answer: b
71.​Which method of serial extraction involves extraction of all four deciduous first
molars at 8 years of age?​
a) Dewel's method​
b) Nance method​
 c) Tweed method​
d) Grewe's method​
e) Hotz method​
Answer: c
72.​In the Tweed and Nance method, the extraction of first premolars is done when
their eruption is:​
a) At the level of the CEJ​
b) At the level of the alveolar crest​
c) Halfway through the crown​
d) At the occlusal plane​
e) One year after deciduous canine extraction​
Answer: b
73.​Grewe's method of serial extraction is based on:​
a) A single extraction sequence for all patients​
b) Planning a sequence for different clinical conditions​
c) Extracting the same teeth in every case​
d) Avoiding extraction of any permanent teeth​
e) Extracting only primary teeth​
Answer: b
74.​According to Grewe's method, if a canine erupts before the premolar in the lower
arch, it can lead to:​
a) Accelerated premolar eruption​
b) Distal migration of the canine​
c) Facial displacement of the canine​
d) Lingual eruption of the premolar​
e) Mesial migration of the premolar​
Answer: c
75.​To avoid premolar impaction in Grewe's method, one option is to extract
deciduous first molars and:​
a) Retain the deciduous canines​
b) Extract the deciduous second molars​
c) Surgically enucleate the first premolars​
d) Extract the permanent canines early​
e) Place a lingual arch​
Answer: c
76.​Early enucleation of premolars, as mentioned in Grewe's method, can result in:​
a) Increased alveolar bone formation​
b) A persistent bone defect​
c) Faster eruption of adjacent teeth​
 d) Reduced risk of infection​
e) Decreased need for orthodontic treatment​
Answer: b
77.​In Grewe's method, if primary canines are retained and primary first molars are
extracted, it primarily aims to:​
a) Relieve incisor crowding​
b) Accelerate canine eruption​
c) Speed up premolar eruption​
d) Prevent lingual tipping of incisors​
e) Correct molar relationship​
Answer: c
78.​In Grewe's method, the primary canines are removed allowing the permanent
canines to erupt:​
a) Mesially​
b) Distally​
c) Labially​
d) Lingually​
e) Vertically​
Answer: b
79.​Which method can also be used to prevent lingual tipping of lower incisors?​
a) Dewel's method​
b) Nance method​
c) Tweed method​
d) Grewe's method​
e) Hotz method​
Answer: d
80.​In Grewe's method, after extracting deciduous first molars, what is extracted 6
months later?​
a) Deciduous canines​
b) Deciduous second molars​
c) First premolars​
d) Permanent canines​
e) Permanent incisors​
Answer: b
81.​What appliance is placed to prevent permanent first molars from migrating
mesially in Grewe's method?​
a) Transpalatal bar​
b) Lingual bar​
c) Headgear​
 d) Face mask​
e) Herbst appliance​
Answer: b
82.​In Grewe's method, the unerupted first premolars move distally into the alveolar
bone as the:​
a) Second premolar erupts​
b) Canine erupts​
c) First molar erupts​
d) Second molar erupts​
e) Incisor erupts​
Answer: b
83.​The rationalebehind serial extraction is to correct dental irregularities while
maintaining:​
a) A Class II molar relationship​
b) A Class III molar relationship​
c) Facial harmony​
d) Increased overjet​
e) Decreased overbite​
Answer: c
84.​In patients with severe tooth size-arch length discrepancy, arch expansion is
often not ideal due to:​
a) High cost​
b) Prolonged treatment time​
c) Insufficient alveolar basal bone​
d) Increased risk of TMJ problems​
e) Unpredictable results​
Answer: c
85.​Delaying the extraction of premolars until all permanent teeth erupt may lead to:​
a) Spontaneous correction of malocclusion​
b) Reduced need for mechanotherapy​
c) Severely displaced teeth​
d) Decreased treatment time​
e) Improved patient cooperation​
Answer: c
86.​Serial extraction aims to intercept the malocclusion during the:​
a) Primary dentition period​
b) Early mixed dentition period​
c) Late mixed dentition period​
d) Permanent dentition period​
 e) Adolescent growth spurt​
Answer: b
87.​By intercepting early, serial extraction helps in minimizing the need for:​
a) Orthognathic surgery​
b) Prosthodontic treatment​
c) Corrective orthodontic treatment​
d) Periodontal treatment​
e) Endodontic treatment​
Answer: c
88.​Which of the following is considered an advantage of serial extraction?​
a) Increased treatment duration​
b) More physiologic treatment​
c) Increased need for retention​
d) Compromised tissue health​
e) Increased need for patient cooperation​
Answer: b
89.​Serial extraction typically results in:​
a) Increased treatment time​
b) Reduced duration of fixed treatment​
c) Decreased treatment stability​
d) Increased need for retention​
e) Greater need for extraction of permanent teeth​
Answer: b
90.​Serial extraction helps in preserving the health of:​
a) Pulp tissue​
b) Investing tissues​
c) Enamel​
d) Dentin​
e) Cementum​
Answer: b
91.​Compared to comprehensive orthodontic treatment, serial extraction usually
requires:​
a) More retention​
b) Less retention​
c) The same amount of retention​
d) No retention at all​
e) Longer retention period​
Answer: b
92.​The results obtained from serial extraction are generally considered to be:​
 a) Less stable​
b) More stable​
c) Equally stable​
d) Unpredictable​
e) Dependent on patient compliance​
Answer: b
93.​Which of the following is a disadvantage associated with serial extraction?​
a) It is indicated for Class II and Class III malocclusions​
b) It has no psychological impact on the child​
c) Deepening of bite can occur​
d) It requires less patient cooperation​
e) It does not lead to residual spaces​
Answer: c
94.​In serial extraction, if extractions are performed in Class II malocclusion, it is
typically limited to:​
a) The lower arch only​
b) Both arches​
c) The upper arch only​
d) Neither arch​
e) Depends on the severity​
Answer: c
95.​A potential psychological impact on the child from serial extraction can be due to:​
a) Prolonged treatment time​
b) Multiple extractions​
c) Need for orthodontic appliances​
d) Frequent follow-up visits​
e) Post-extraction discomfort​
Answer: b
96.​A possible complication that may arise from serial extraction is:​
a) Anterior open bite​
b) Deepening of the bite​
c) Improved overjet​
d) Reduced overbite​
e) Closure of midline diastema​
Answer: b
97.​Successful serial extraction necessitates:​
a) Short patient follow-up​
b) Prolonged patient cooperation and follow-up​
c) No patient cooperation required​
 d) Infrequent follow-up visits​
e) Intermittent follow-up​
Answer: b
98.​A disadvantage of serial extraction is the potential for:​
a) Closure of diastemas​
b) Residual spaces between the canine and second premolar​
c) Improved canine position​
d) Reduced treatment time​
e) Decreased need for mechanotherapy​
Answer: b
99.​Serial extraction alone is generally:​
a) Sufficient to correct impacted canines​
b) Not sufficient to correct impacted canines​
c) Not indicated for impacted canines​
d) The primary treatment for impacted canines​
e) Always contraindicated​
Answer: b
100.​ Early extraction in serial extraction procedures can lead to:​
a) Accelerated eruption of permanent teeth​
b) Loss of space and delayed eruption of permanent teeth​
c) Increased arch length​
d) Improved alignment of teeth​
e) Decreased need for retention​
Answer: b