Extremal contractions which contract divisors to points in projective threefolds with Q-factorial terminal singularities are studied and divided into two categories: index increasing contractions and index strictly decreasing contractions. A complete classification of those in the first category is given. Examples of contractions in the second category are constructed to demonstrate that they are much more difficult to deal with. An extremal contraction which contracts a divisor to a curve is always index decreasing. An example of such a contraction to a curve with a non-Gorenstein terminal singularity is given based on a method of Kollar and Mori. The classification result is then used to find a bound N depending on the Picard number of a smooth projective threefold X of general type such that the linear system NKX defines a birational map. [References: 16]
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