Influence of initial occlusal severity on time and efficiency of Class I malocclusion treatment carried out with and without premolar extractions

INTRODUCTION: The aim of this retrospective study was to compare the occlusal outcomes, duration and efficiency of Class I malocclusion treatment carried out with and without premolar extractions in patients with different degrees of initial malocclusion severity. METHODS: Complete records of 1...

Full description

Bibliographic Details
Main Authors: Ruben Leon-Salazar, Guilherme Janson, José Fernando Castanha Henriques, Vladimir Leon-Salazar
Format: Article
Language:English
Published: Dental Press Editora 2014-08-01
Series:Dental Press Journal of Orthodontics
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2176-94512014000400038&lng=en&tlng=en
_version_ 1818691271884013568
author Ruben Leon-Salazar
Guilherme Janson
José Fernando Castanha Henriques
Vladimir Leon-Salazar
author_facet Ruben Leon-Salazar
Guilherme Janson
José Fernando Castanha Henriques
Vladimir Leon-Salazar
author_sort Ruben Leon-Salazar
collection DOAJ
description INTRODUCTION: The aim of this retrospective study was to compare the occlusal outcomes, duration and efficiency of Class I malocclusion treatment carried out with and without premolar extractions in patients with different degrees of initial malocclusion severity. METHODS: Complete records of 111 patients were obtained and divided into two groups: Group 1 consisted of 65 patients at an initial mean age of 13.82 years old treated with four premolar extractions; whereas Group 2 consisted of 46 patients at an initial mean age of 14.01 years old treated without extractions. Two subgroups were obtained from each group (1A, 1B, 2A and 2B) with different degrees of malocclusion severity according to the initial values of PAR index. Compatibility was assessed using chi-square and t-tests. The subgroups were compared by means of Analysis of Variance (ANOVA).The variables that might be related to treatment duration and efficiency were assessed using the multiple linear regression analysis. RESULTS: Initial malocclusion severity was positively related to the amount of occlusal correction and consequently to a higher efficiency index. Moreover, extraction protocol showed a positive relationship with treatment duration and a negative relationship with treatment efficiency. CONCLUSION: Extraction and non-extraction protocols for correction of Class I malocclusion provide similar satisfactory results; however, the extraction protocol increases the overall treatment duration. Orthodontic treatment is more efficient in cases with high initial malocclusion severity treated with a non-extraction protocol.
first_indexed 2024-12-17T12:39:15Z
format Article
id doaj.art-c93978783d6242c29a29b7b582172c90
institution Directory Open Access Journal
issn 2177-6709
language English
last_indexed 2024-12-17T12:39:15Z
publishDate 2014-08-01
publisher Dental Press Editora
record_format Article
series Dental Press Journal of Orthodontics
spelling doaj.art-c93978783d6242c29a29b7b582172c902022-12-21T21:48:07ZengDental Press EditoraDental Press Journal of Orthodontics2177-67092014-08-01194384910.1590/2176-9451.19.4.038-049.oarS2176-94512014000400038Influence of initial occlusal severity on time and efficiency of Class I malocclusion treatment carried out with and without premolar extractionsRuben Leon-SalazarGuilherme JansonJosé Fernando Castanha HenriquesVladimir Leon-SalazarINTRODUCTION: The aim of this retrospective study was to compare the occlusal outcomes, duration and efficiency of Class I malocclusion treatment carried out with and without premolar extractions in patients with different degrees of initial malocclusion severity. METHODS: Complete records of 111 patients were obtained and divided into two groups: Group 1 consisted of 65 patients at an initial mean age of 13.82 years old treated with four premolar extractions; whereas Group 2 consisted of 46 patients at an initial mean age of 14.01 years old treated without extractions. Two subgroups were obtained from each group (1A, 1B, 2A and 2B) with different degrees of malocclusion severity according to the initial values of PAR index. Compatibility was assessed using chi-square and t-tests. The subgroups were compared by means of Analysis of Variance (ANOVA).The variables that might be related to treatment duration and efficiency were assessed using the multiple linear regression analysis. RESULTS: Initial malocclusion severity was positively related to the amount of occlusal correction and consequently to a higher efficiency index. Moreover, extraction protocol showed a positive relationship with treatment duration and a negative relationship with treatment efficiency. CONCLUSION: Extraction and non-extraction protocols for correction of Class I malocclusion provide similar satisfactory results; however, the extraction protocol increases the overall treatment duration. Orthodontic treatment is more efficient in cases with high initial malocclusion severity treated with a non-extraction protocol.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2176-94512014000400038&lng=en&tlng=enMá oclusão Classe I de AngleEficiênciaTempoExtração dentária
spellingShingle Ruben Leon-Salazar
Guilherme Janson
José Fernando Castanha Henriques
Vladimir Leon-Salazar
Influence of initial occlusal severity on time and efficiency of Class I malocclusion treatment carried out with and without premolar extractions
Dental Press Journal of Orthodontics
Má oclusão Classe I de Angle
Eficiência
Tempo
Extração dentária
title Influence of initial occlusal severity on time and efficiency of Class I malocclusion treatment carried out with and without premolar extractions
title_full Influence of initial occlusal severity on time and efficiency of Class I malocclusion treatment carried out with and without premolar extractions
title_fullStr Influence of initial occlusal severity on time and efficiency of Class I malocclusion treatment carried out with and without premolar extractions
title_full_unstemmed Influence of initial occlusal severity on time and efficiency of Class I malocclusion treatment carried out with and without premolar extractions
title_short Influence of initial occlusal severity on time and efficiency of Class I malocclusion treatment carried out with and without premolar extractions
title_sort influence of initial occlusal severity on time and efficiency of class i malocclusion treatment carried out with and without premolar extractions
topic Má oclusão Classe I de Angle
Eficiência
Tempo
Extração dentária
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2176-94512014000400038&lng=en&tlng=en
work_keys_str_mv AT rubenleonsalazar influenceofinitialocclusalseverityontimeandefficiencyofclassimalocclusiontreatmentcarriedoutwithandwithoutpremolarextractions
AT guilhermejanson influenceofinitialocclusalseverityontimeandefficiencyofclassimalocclusiontreatmentcarriedoutwithandwithoutpremolarextractions
AT josefernandocastanhahenriques influenceofinitialocclusalseverityontimeandefficiencyofclassimalocclusiontreatmentcarriedoutwithandwithoutpremolarextractions
AT vladimirleonsalazar influenceofinitialocclusalseverityontimeandefficiencyofclassimalocclusiontreatmentcarriedoutwithandwithoutpremolarextractions