Arch dimensional changes following orthodontic treatment with extraction of four first premolars
Publish Year: 1395
نوع سند: مقاله ژورنالی
زبان: English
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شناسه ملی سند علمی:
JR_JOHOE-5-2_005
تاریخ نمایه سازی: 17 مرداد 1403
Abstract:
BACKGROUND AND AIM: Tooth extraction as a part of orthodontic treatment plan to create space for leveling and aligning teeth or causing tooth movement leads to changes in arch width and length. The outcome of these changes is important for the clinicians and affects the treatment and retention plans. Despite some previous studies, data in this regard are still scarce and further investigation is required on this subject. The purpose of this study was to evaluate dental arch dimensional changes following four first premolars extraction orthodontic treatment.MATERIALS AND METHODS: In this study, ۱۰۰ pairs of dental casts and respective patient records that fulfilled the inclusion criteria were randomly selected from the archives of the Department of Orthodontics, School of Dentistry in Shahid Beheshti University of Medical Sciences, Tehran, Iran. Length and width of dental arch were measured on the initial and final casts of patients using a digital caliper with ۰.۱ mm precision. The mean, standard deviation (SD) and standard error of variables were determined, and the data were analyzed using SPSS software. Paired t-test was applied to compare changes before and after treatment.RESULTS: The obtained results showed that the maxillary and mandibular inter-canine widths significantly increased as the result of fixed appliance therapy with the extraction of four first premolars. The arch width at the second premolar and molar at mesiobuccal cusp tip and distobuccal cusp tip regions in the maxilla and mandible showed a significant reduction (P < ۰.۰۰۱). In this study, arch length at different points was measured. In the maxilla, the incisor-canine distance in both quadrants experienced a significant increase (P < ۰.۰۰۱). Furthermore, the canine-molar distance and the incisor-molar distance in both quadrants and the total arch length showed a significant reduction (P < ۰.۰۰۱). In the mandible, the incisor-canine distance in the right quadrant significantly increased (P < ۰.۰۵۰), but the reduction in the incisor-canine distance in the left quadrant was not statistically significant. Moreover, the canine-molar and the incisor-molar distance in both quadrants and the total arch length all decreased significantly (P < ۰.۰۰۱).CONCLUSION: Orthodontic treatment with extraction of four first premolars significantly increased the inter-canine width and incisor-canine distance in both jaws; but, the inter-premolar and inter-molar widths, canine-molar distance, incisor-molar distance, and total arch length significantly decreased.
Authors
Asghar Ebadifar
Associate Professor, Dentofacial Deformities Research Center AND Department of Orthodontics, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Mohammad Hossien Shafazand
Dentist, Private Practice, Isfahan, Iran
Massoud Seifi
Professor, Department of Orthodontics, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran
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