The effect of first and second premolar extractions on third molars: A retrospective longitudinal study

Abstract Objectives To analyse the effect of first and second premolar extractions on eruption space for upper and lower third molars and on third molar position and angulation during orthodontic treatment. Methods The sample consisted of 296 patients of which 218 patients were orthodontically treat...

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Veröffentlicht in:Journal of dentistry 2017-06, Vol.61, p.55-66
Hauptverfasser: Miclotte, A, Grommen, B, Cadenas de Llano-Pérula, M, Verdonck, A, Jacobs, R, Willems, G
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container_start_page 55
container_title Journal of dentistry
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creator Miclotte, A
Grommen, B
Cadenas de Llano-Pérula, M
Verdonck, A
Jacobs, R
Willems, G
description Abstract Objectives To analyse the effect of first and second premolar extractions on eruption space for upper and lower third molars and on third molar position and angulation during orthodontic treatment. Methods The sample consisted of 296 patients of which 218 patients were orthodontically treated without extraction and 78 patients with extraction of first or second premolars. The eruption space for third molars was measured on pre– and posttreatment lateral cephalograms, whereas the angulation, vertical position, the relation with the mandibular canal and the mineralization status of third molars were evaluated using pre– and posttreatment panoramic radiographs. All data were statistically analyzed. Results The increase in eruption space and the change in vertical position of upper and lower third molars significantly differed between patients treated with and without premolar extractions, whereas the change in angulation, relationship with the mandibular canal and mineralization status of the third molars did not significantly differ between patients treated with and without premolar extractions. Conclusions The retromolar space and the position of third molars significantly change during orthodontic treatment in growing patients. Premolar extractions have a positive influence on the eruption space and vertical position of third molars, whereas they do not influence the angular changes of third molars. Due to the retrospective character of the study, these conclusions should be carefully considered. Further prospective research is necessary for better insights into this complex topic. Clinical significance This study stresses the importance of considering the possible effects of orthodontic treatment on third molars during treatment planning.
doi_str_mv 10.1016/j.jdent.2017.03.007
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Methods The sample consisted of 296 patients of which 218 patients were orthodontically treated without extraction and 78 patients with extraction of first or second premolars. The eruption space for third molars was measured on pre– and posttreatment lateral cephalograms, whereas the angulation, vertical position, the relation with the mandibular canal and the mineralization status of third molars were evaluated using pre– and posttreatment panoramic radiographs. All data were statistically analyzed. Results The increase in eruption space and the change in vertical position of upper and lower third molars significantly differed between patients treated with and without premolar extractions, whereas the change in angulation, relationship with the mandibular canal and mineralization status of the third molars did not significantly differ between patients treated with and without premolar extractions. Conclusions The retromolar space and the position of third molars significantly change during orthodontic treatment in growing patients. Premolar extractions have a positive influence on the eruption space and vertical position of third molars, whereas they do not influence the angular changes of third molars. Due to the retrospective character of the study, these conclusions should be carefully considered. Further prospective research is necessary for better insights into this complex topic. Clinical significance This study stresses the importance of considering the possible effects of orthodontic treatment on third molars during treatment planning.</description><identifier>ISSN: 0300-5712</identifier><identifier>ISSN: 1879-176X</identifier><identifier>EISSN: 1879-176X</identifier><identifier>DOI: 10.1016/j.jdent.2017.03.007</identifier><identifier>PMID: 28359700</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Adolescent ; Angular position ; Bicuspid - surgery ; Cephalometry - methods ; Child ; Correlation analysis ; Data processing ; Dental Arch - pathology ; Dentistry ; Extraction ; Female ; Humans ; Longitudinal Studies ; Male ; Malocclusion - classification ; Mandible - diagnostic imaging ; Mandible - pathology ; Mandibular canal ; Maxilla - diagnostic imaging ; Maxilla - pathology ; Medicin och hälsovetenskap ; Mineralization ; Molar, Third - anatomy &amp; histology ; Molar, Third - diagnostic imaging ; Molar, Third - growth &amp; development ; Molar, Third - physiopathology ; Molars ; Orthodontics ; Orthodontics, Corrective - methods ; Patients ; Premolar extraction ; Premolars ; Radiographs ; Radiography ; Radiography, Panoramic ; Retromolar space ; Retrospective Studies ; Sampling methods ; Serial Extraction ; Studies ; Teeth ; Third molars ; Tooth Calcification ; Tooth Eruption - physiology ; Tooth Movement Techniques ; Tooth, Impacted - prevention &amp; control ; Vertical orientation ; Young Adult</subject><ispartof>Journal of dentistry, 2017-06, Vol.61, p.55-66</ispartof><rights>The Author(s)</rights><rights>2017 The Author(s)</rights><rights>Copyright © 2017 The Author(s). 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Methods The sample consisted of 296 patients of which 218 patients were orthodontically treated without extraction and 78 patients with extraction of first or second premolars. The eruption space for third molars was measured on pre– and posttreatment lateral cephalograms, whereas the angulation, vertical position, the relation with the mandibular canal and the mineralization status of third molars were evaluated using pre– and posttreatment panoramic radiographs. All data were statistically analyzed. Results The increase in eruption space and the change in vertical position of upper and lower third molars significantly differed between patients treated with and without premolar extractions, whereas the change in angulation, relationship with the mandibular canal and mineralization status of the third molars did not significantly differ between patients treated with and without premolar extractions. Conclusions The retromolar space and the position of third molars significantly change during orthodontic treatment in growing patients. Premolar extractions have a positive influence on the eruption space and vertical position of third molars, whereas they do not influence the angular changes of third molars. Due to the retrospective character of the study, these conclusions should be carefully considered. Further prospective research is necessary for better insights into this complex topic. 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Methods The sample consisted of 296 patients of which 218 patients were orthodontically treated without extraction and 78 patients with extraction of first or second premolars. The eruption space for third molars was measured on pre– and posttreatment lateral cephalograms, whereas the angulation, vertical position, the relation with the mandibular canal and the mineralization status of third molars were evaluated using pre– and posttreatment panoramic radiographs. All data were statistically analyzed. Results The increase in eruption space and the change in vertical position of upper and lower third molars significantly differed between patients treated with and without premolar extractions, whereas the change in angulation, relationship with the mandibular canal and mineralization status of the third molars did not significantly differ between patients treated with and without premolar extractions. Conclusions The retromolar space and the position of third molars significantly change during orthodontic treatment in growing patients. Premolar extractions have a positive influence on the eruption space and vertical position of third molars, whereas they do not influence the angular changes of third molars. Due to the retrospective character of the study, these conclusions should be carefully considered. Further prospective research is necessary for better insights into this complex topic. Clinical significance This study stresses the importance of considering the possible effects of orthodontic treatment on third molars during treatment planning.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>28359700</pmid><doi>10.1016/j.jdent.2017.03.007</doi><tpages>12</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; SWEPUB Freely available online; Access via ScienceDirect (Elsevier)
subjects Adolescent
Angular position
Bicuspid - surgery
Cephalometry - methods
Child
Correlation analysis
Data processing
Dental Arch - pathology
Dentistry
Extraction
Female
Humans
Longitudinal Studies
Male
Malocclusion - classification
Mandible - diagnostic imaging
Mandible - pathology
Mandibular canal
Maxilla - diagnostic imaging
Maxilla - pathology
Medicin och hälsovetenskap
Mineralization
Molar, Third - anatomy & histology
Molar, Third - diagnostic imaging
Molar, Third - growth & development
Molar, Third - physiopathology
Molars
Orthodontics
Orthodontics, Corrective - methods
Patients
Premolar extraction
Premolars
Radiographs
Radiography
Radiography, Panoramic
Retromolar space
Retrospective Studies
Sampling methods
Serial Extraction
Studies
Teeth
Third molars
Tooth Calcification
Tooth Eruption - physiology
Tooth Movement Techniques
Tooth, Impacted - prevention & control
Vertical orientation
Young Adult
title The effect of first and second premolar extractions on third molars: A retrospective longitudinal study
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