scholarly journals METHOD OF HEALTHY TEETH EXTRACTION IN ORTHODONTIC TREATMENT

2021 ◽  
pp. 48-52
Author(s):  
V.D. Kuroiedova ◽  
A.L. Nelyubina ◽  
H.A. Kravchuk ◽  
A.V. Doskovska ◽  
K.L. Pomortseva ◽  
...  

In the treatment of orthodontic patients, the most difficult and controversial is the question of removing healthy teeth. The aim was to evaluate the 30-year orthodontic clinical experience of the staff of the Postgraduate Education Department of Orthodontists for the use of medical methods of removal of individual healthy teeth in the treatment of dental anomalies. The aim of our study is to evaluate 30 years of orthodontic clinical practice of the staff of the Postgradu- ate Education Department of Orthodontists for the use of medical removal of individual healthy teeth in the treatment of dental anomalies. 1340 dental outpatient cards of orthodontic patients who underwent orthodontic treatment and completed it with a positive result were reviewed at two clinical bases of the Postgraduate Education Department of Orthodontists. The analysis of selected outpatient cards was performed taking into account the age and sex of patients, as well as depending on the type of pathological occlusion (according to Angle) and the type of teeth removed. Cards of patients with Angle's class I and II pathology were selected for scientific analysis. 241 patient underwent tooth extraction at both bases in total in terms of treatment, which is 17.99%. The number of patients with removed temporary teeth was 59.39% (143/241), patients with removed permanent teeth - 40.7% (98/241). Permanent teeth were removed 1.45 times more often at the clinic "Orthodontist", which is explained by the higher frequency of requests for orthodontic care from adults and adolescents. On the basis of the Postgraduate Education Department of Orthodontists, patients with deciduous teeth predominate - 69% (51/74) against 45% (75/167) in the clinic "Orthodontist". This is due to the fact that the main contingent of patients who seek help from the department are patients in the age of variable occlusion, which means that the Hotz method and the author's method of corrective removal of temporary molars are used more often. A detailed analysis of the documentation of patients was performed at the base of the Postgraduate Edu- cation Department of Orthodontists who were treated with the use of individual teeth extraction by periods of occlusion. Children in the period of the first half of the variable occlusion accounted for 39.19% (29/74), chil- dren in the second half of the variable occlusion - 25.67% (19/74), and patients older than 13 years - 35.14% (26/74). In female patients, regardless of age, tooth extraction is performed 13% -15% of cases more often than in men, which is due to a more attentive attitude to the appearance of girls by their parents. Among patients with various types of pathological occlusions treated with the method of removal of individual healthy teeth, children, adolescents and adults with Angle class I occlusion pathology accounted for 53.94% (130/241). Assessing the frequency of application of the method of extraction of healthy teeth by age, we can say that in pathology of class II according to Angle most often the method is used in patients with permanent occlusion in 38.73% (43/111). In the treatment of pathology of class I according to Angle, the removal of healthy teeth is twice as often performed in alternating occlusion than in permanent. In the treatment of pathology of class II according to Angle, the method of removing individual teeth is more often used in patients with permanent occlusion. Research on the consequences of removing individual healthy teeth in orthodontic treatment is relevant and timely. Both in the private sector of orthodontic care and on the clinical basis of the Postgraduate Education Department of Orthodontists, about a fifth of patients of any age and any orthodontic pathology are treated orthodontically using the clinical method of removing individual healthy teeth.

2018 ◽  
Vol 25 (03) ◽  
pp. 424-427
Author(s):  
Zahida Najam ◽  
Rehmat Ullah Khan ◽  
Anum Tariq ◽  
Usman Ahmed ◽  
Ayesha Aslam

Introduction: The extraction of permanent teeth for orthodonticreasons has been a hot topic of debate in the past and continues to be of interesteven today. There is a considerable controversy concerning extraction as a treatmentadjunct which sometimes reaches to the intensity of sacred beliefs. Objective: Theaim of this study was to report the frequency of tooth extraction and its pattern inPakistani orthodontic patients. Study Design: Descriptive cross-sectional. Setting: ArmedForces Institute of Dentistry (AFID), Rawalpindi. Period: 1st July 2012 to 30th June 2014. Material& Methods: The study sample consisted of 489 patients reporting to the orthodonticdepartment at AFID. Patients between the age of 7 – 21 years were selected. Patientsbeing treated with the extraction of permanent teeth (excluding third molars) wereincluded in this study. Data was analyzed using SPSS version 24. Descriptive statisticswere calculated. Results: A total of 296 patients did not require any extraction. Theremaining 193 patients required and experienced extraction of permanent teeth aspart of their orthodontic treatment plan resulting in an over-all extraction frequencyof 39.5%. Most of the extracted teeth were first premolars especially from the upperarch. Association of extraction status (extraction vs non-extraction) with gender wasfound to be statistically insignificant (p = 0.393). Conclusion: There is a moderatefrequency of extraction in the orthodontic patients with less than half of the totalpatients requiring extraction as part of their treatment.


2021 ◽  
pp. 146531252110654
Author(s):  
Nusaybah Elsherif ◽  
Jose Rodriguez ◽  
Farooq Ahmed

Background: Hypodontia is one of the most common anomalies in dentistry. Hypodontia has a negative impact on oral health-related quality of life with patients best seen in a multidisciplinary clinic to improve treatment outcomes. Aim: To investigate the prevalence of hypodontia and its association with other dental anomalies, as well as malocclusion, and to investigate the treatment planned for patients attending the clinic and whether the type of missing teeth affected the proposed treatment. Materials and Methods: Analysis of consecutive patients attending the hypodontia clinic at a dental hospital between February and November 2020. A total of 100 patients who met the inclusion criteria were identified. Data collected included the following: age/sex; number and type of missing teeth; pre-treatment occlusion; presence of other dental anomalies; and planned treatment. Results: A total of 100 patients (55% female; age range = 7–41 years; mean age = 18 years) were included. Of the cohort, 47% had a class I skeletal relationship and participants were significantly less likely to have a class III skeletal or incisor relationship; 45% had another dental anomaly with the most common being microdontia. Space opening was the preferred treatment option for those managed by orthodontic treatment with resin-bonded bridges most likely to be used for restoration of spaces, 86%. Conclusion: Lower second premolars were the most commonly missing teeth. Participants were significantly less likely to have a class III incisor or skeletal relationship than class I or II. Space opening was the favoured approach for orthodontic treatment, particularly for maxillary lateral incisors.


2015 ◽  
Vol 26 (1) ◽  
pp. 9-12
Author(s):  
Naznin Sultana ◽  
Gazi Shamim Hassan ◽  
Digamber Jha ◽  
Towhida Nashrin ◽  
Lutfun Nahar ◽  
...  

Crossbite is one of the most prevalent malocclusion, posterior crossbite occurs in 8% to 22% of orthodontic cases and anterior crossbite has been seen in Class III cases, which accounts for 3.4% of orthodontic cases. The etiology of posterior crossbite can include any combination of dental, skeletal, and neuro muscular functional components, but the most frequent cause is reduction in width of the maxillary dental arch. Patients/cases seeking comprehensive orthodontic treatment in between 5 to 35 years were diagnosed for crossbite with diagnostic model and care record file. Out of 300 cases 163(54.3%) had crossbite, 90(30%) had anterior crossbite and 109(36.3%) had posterior cross bite. Among posterior crossbite 60(20%) had unilateral and 49(16.3%) had bilateral crossbite. Posterior crossbite was more prevalent than anterior crossbite. Cases with Class I molar relation showed more crossbite. Crossbite was more prevalent in cases with congenitally missing teeth.Bangladesh J Medicine Jan 2015; 26 (1) : 9-12


2017 ◽  
Vol 7 (1) ◽  
pp. 11-13 ◽  
Author(s):  
Hemant Kumar Halwai ◽  
Vanita Gautam

Objectives: To determine the pattern of distribution of dental malocclusion in a sample of Nepalese orthodontic patients in Western Nepal.Materials & Method: A sample consisted of 200 study casts of patient who visited Department of Orthodontics, UCMS, Bhairahawa who had never undergone orthodontic treatment previously. The total sample size was divided into male and female groups, age was divided into 3 groups: 8-11 years, 12-17 years, and 18-36 years. All data was recorded and analyzed with SPSS software version 22.Result: Among the total 200 casts examined; the distribution of malocclusion according to Angle’s classification was: Class I malocclusion in 101(50.5%), Class II malocclusion in 90(45%) sample and Class III in 9(4.5%) samples.Conclusion: Angle’s Class I malocclusion was the most prevalent malocclusion among orthodontic patients visiting UCMS College of Dental Surgery. 


2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Khalid H. Zawawi

Mandibular incisor extraction for orthodontic treatment is considered an unusual treatment option because of the limited number of patients that meet the criteria for such treatment. Accurate diagnosis and treatment planning is essential to achieve the desired results. Adult orthodontic patients are increasingly motivated by esthetic considerations and reject the idea of conventional fixed appliances. In recent years, Invisalign appliances have gained tremendous attention for orthodontic treatment of adult patients to meet their esthetic demands. In this case report, a case of Class I malocclusion was treated with mandibular incisor extraction using the Invisalign appliance system. Successful tooth alignment of both arches was achieved. The use of Invisalign appliance is an effective treatment option in adult patients with Class I malocclusion that requires incisor extraction due to moderate to severe mandibular anterior crowding.


2020 ◽  
Vol 53 (4) ◽  
pp. 223
Author(s):  
Dewi Sartika Santoso ◽  
C. Christnawati ◽  
Cendrawasih Andusyana Farmasyanti

Background: Bimaxillary and bidental protrusion Class I Angle malocclusions have a characteristic convex facial profile and protrusion lips due to the labial inclination of the anterior teeth. Extraction of the first four premolars is the most common choice for orthodontic treatment of these cases when all the permanent teeth are complete and in good condition. Orthodontic treatment can be performed using the Begg or Straightwire techniques. Purpose: This study aims to investigate the difference in the effect of orthodontic treatment with Begg and Straightwire appliances on molar position, occlusal plane, and anterior and posterior facial height. Methods: Sixty pairs of lateral cephalograms before and after the treatment of patients with bimaxillary and bidental protrusive Angle malocclusion Class I, aged 18–35 years old, who underwent orthodontic treatment using the Begg and Straightwire techniques with the extraction of all first premolars that met the inclusion criteria. Data analysis was performed using two-way repeated analysis of variance (p<0.05) and Pearson correlation (p<0.05). Results: Molar position, occlusal plane angle, and anterior and posterior facial heights increased significantly after the Begg technique treatment and decreased significantly after the Straightwire technique treatment (p<0.05), but there were no significant differences between the four variables in the two techniques (p>0.05). Medium correlation was found between variables in both the Begg and Straightwire techniques. Conclusion: Molars were extruded and mesialized and the occlusal plane angle and height of the anterior and posterior faces increased after the Begg appliances treatment. The molars moved mesially and occlusally and there was a decrease in the occlusal plane angle, as well as the height of the anterior and posterior faces, after treatment with the Straightwire appliances. However, there was no difference between the two techniques.


2012 ◽  
Vol 2012 ◽  
pp. 1-3
Author(s):  
B. H. Durgesh ◽  
Prashanth Prakash ◽  
Ravikumar Ramakrishnaiah ◽  
Basavaraj Subashchandra Phulari ◽  
Abdul Aziz A. Al Kheraif

The aim of the study was to assess the pattern of malocclusion in different ethnic group of Mauritian population visiting the Orthodontic Department at Mauras College of Dentistry and Hospital, Republic of Mauritius. The study population comprised of 624 patients who visited the orthodontic department during 2010. The clinical examination was conducted by a well-calibrated orthodontist. The data were recorded in the case sheets and was analyzed for presence of angles class I, class II, and class III malocclusion in both male and female patients of Asian, African, Caucasian, and Chinese ethnicity aged 5–55 years. Malocclusion was found to be high in females compared to males. 414 patients (150 male + 264 female) presented with class I, 182 patients (52 male + 130 female) presented with class II, and 28 patients (12 male + 16 female) presented with class III. Asian ethnic group were more affected and patient seeking orthodontic treatment was high in 11–15 years age group.


2015 ◽  
Vol 5 ◽  
Author(s):  
Iman Abdelgader ◽  
Tyisir Gnaiber ◽  
Kadija Emnina ◽  
Sulieman Orofi

Aim: The purpose of this study was to evaluate the prevalence of dental anomalies in different Libyan orthodontic malocclusions.Materials and Methods: Pretreatment orthodontic records of 252 Subjects (57 Males and 195 Females) were classified as Class I (159), Class II Division I (66), Class II Division II (8) and Class III (19). The incidence rates of specific dental anomalies were investigated and analyzed to study the differences of rates of each anomaly according to sex and malocclusion using descriptive analysisResult: It was found that (53.5%) of the patients had at least one dental anomaly in this study. ectopic eruption was the most prevalent dental anomaly (34.9%) followed by thin pipette-shaped roots and short blunt root (30.1%, 24.2%) respectively.Conclusions: Male subjects showed more ectopic eruption and short blunt root then female, Class I malocclusion had the most prevalent dental anomalies compared to the other malocclusion groups.


2018 ◽  
Vol 8 (2) ◽  
pp. 41-44
Author(s):  
Bashu Raj Pandey ◽  
Shailendra Kumar Singh ◽  
Rajan Singh ◽  
Rajeev Mishra ◽  
Srijana Mishra ◽  
...  

Introduction: Various forms of malocclusion is most common dentofacial abnormality found in human population. People seek tteatment for such abnormalities based on the severity. The objective of this research is to evaluate Pattern of Malocclusion in Patients Seeking Orthodontic Treatment at Medical Colleges and Teaching Hospitals of Chitwan, Nepal. Materials & Method: Two hundred thirty nine pre-operative study casts of orthodontic patients aged from 12-50 years selected from 550 patient’s records of departments of orthodontics of Chitwan Medical Colleges and Colleges of Medical Sciences, Bharatpur of Chitwan. Standard protocol of Angle’s classification of malocclusion was used to classify malocclusion and its attributes were recorded. Pearson’s Chi square test was performed to justify the result. Result: The prevalence of malocclusion were 61.92% , 33.47% and 4.60% for Angle’s class I, Angle’s class II and Angle’s class III malocclusion respectively. Among various attributes of malocclusion, deep bite had highest frequency with 67.36% followed by overjet 58.99%, crowding 53.13% and spacing 35.98%, Anterior cross bite 11.71% reverse overjet 4.6%, posterior cross bite 1.2% and scissor bite 0.041%. Pearson Chi square test showed no relation among these attributes and sex and age at p < .05. Conclusion: Angle’s class I malocclusion is most prevalent followed by Angle’s class II and Angle’s class III.


2021 ◽  
Vol 11 (17) ◽  
pp. 8004
Author(s):  
Raisa Daoud ◽  
Maria-Angelica Bencze ◽  
Cristina-Crenguța Albu ◽  
Elina Teodorescu ◽  
Anca-Oana Dragomirescu ◽  
...  

Dento-alveolar disharmony with crowding is a common reason for orthodontic treatment with not fully understood or unequivocally demonstrated causes. This study investigated the correlations between teeth dimensions, arch lengths, and crowding during the mixed dentition period. A cross-sectional study on 100 dental casts of patients with class I malocclusions was performed. Dental arches were classified as non-crowded, moderately crowded, severely crowded, and spaced. The mesio-distal widths, bucco-lingual sizes, and crown proportions of permanent teeth were assessed. The results indicated that arch length measurements showed smaller values in crowded arches. The mesio-distal dimensions of upper central incisors and lower lateral incisors were larger in patients with crowding. The bucco-lingual dimensions of upper incisors were decreased, the bucco-lingual dimensions of lower central incisors and permanent first molars were increased in crowded arches. Upper incisors and lower lateral incisors presented larger crown proportions in crowding cases. Low negative correlations were found between mesio-distal diameters of maxillary central incisors, lower lateral incisors, lower permanent first molars, and the values of arch space discrepancies. In conclusion, crowding in the mixed dentition could be associated with reduced arch lengths, increase in mesio-distal sizes of incisors and lower permanent first molars, and variations of bucco-lingual dimensions and crown proportions of incisors and lower permanent first molars.


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