The most important preventive procedure in orthodontics is the maintenance of the full deciduous arch length from the distal surface of the second molar around to that of the opposite side until the teeth are replaced by their successors. The permanent first molar thus is guided in eruption to its normal position contacting the distal surface of the second deciduous molar and should be so retained until all the deciduous teeth are replaced at about the twelfth year. It is the most important of all teeth and must be kept in perpetual health and efficiency. This we recognize as the imperative factor in the development of normal occlusion of the permanent teeth. If the full length of the deciduous arch is not maintained, the permanent first molars almost invariably shift to the mesial, resulting in too little jaw area with crowding and malalignment of the premolars and cuspids as they erupt, and orthodontic treatment thus becomes a necessity. In normal cases the deciduous molars and cuspids provide sufficient anteroposterior jaw length to accommodate their permanent successors. Therefore, horizontal growth in this region is not necessary after the fourth year. In extreme cases of mesial shift of the permanent first molar, extraction of good teeth may become necessary for the attainment of a pleasing result. However, it must be regarded as a compromise. Early treatment is the best safeguard against the need for such a procedure. It should be synchronized with the normal growth of each individual child. In the buccal segments, for the correct alignment of premolars and cuspids, the jaw area should be large enough to receive these teeth in advance of their eruption, and the correct distal position of the permanent first molar assuredly provides for this. Mesial shift should be corrected as soon as detected by moving this molar to its normal distal position. Extra-oral pressure, with headcap or cervical anchorage, is often indicated. In the incisal segment, horizontal jaw growth continues after eruption. While the permanent incisors are considerably wider than their deciduous predecessors, there is some latitude in that growth of jaws forward and downward in this section continues during and after eruption. Should developmental spacing of deciduous incisors be insufficient to provide an adequate area for their eruption in alignment, the tongue and lips in function tend to guide them into alignment as growth of the jaw takes place during the two or three years following eruption, provided there is no mechanical interference, as when teeth are in-locked or in crossbite, or when supernumerary teeth are present. These conditions should be corrected without delay and should take only a short time. The appliances should then be removed and Nature given her opportunity. Quite frequently it will be necessary to align them finally during a secondary period of treatment. Protruding upper incisors should be corrected promptly to protect them against the danger of breakage. Deep overbite, when the lower incisors wound the mucous membrane of the palate, should be corrected promptly. Abnormal labial frenum should receive early treatment by appliance pressure from the distal surfaces of the upper central incisors, the frenum thus being compressed with resultant resorption due to diminished blood supply and impoverished nourishment. Open-bite, almost invariably, is due to harmful pressure habits of biting or sucking the tongue, lips, finger, or thumb. This should be corrected as early as is expedient. Relapse of well-aligned teeth will recur unless the causative habit is permanently broken. Certainly, the most harmful advice that can possibly be given the parent is that orthodontic care should be deferred until all the deciduous teeth have been replaced by their permanent successors at about the twelfth year.