Comparison of Orthodontic Treatment with Different Premolar Extraction Modalities İn Terms of Soft Tissue Profile

Objectives:To evaluate the differences of changes in soft tissue profile and dentoskeletal parameters between different premolar extraction and non-extraction treatment modalities. Materials and Methods: 50 patients with skeletal Class I malocclusion was divided into three groups. Group 1 consisted...

Full description

Bibliographic Details
Main Authors: Tulin Taner, Ezgi Atik, Hande Gorucu-coskuner
Format: Article
Language:English
Published: Cumhuriyet University 2019-12-01
Series:Cumhuriyet Dental Journal
Subjects:
Online Access:https://dergipark.org.tr/tr/download/article-file/904206
_version_ 1797699317837856768
author Tulin Taner
Ezgi Atik
Hande Gorucu-coskuner
author_facet Tulin Taner
Ezgi Atik
Hande Gorucu-coskuner
author_sort Tulin Taner
collection DOAJ
description Objectives:To evaluate the differences of changes in soft tissue profile and dentoskeletal parameters between different premolar extraction and non-extraction treatment modalities. Materials and Methods: 50 patients with skeletal Class I malocclusion was divided into three groups. Group 1 consisted 17 patients (mean age:16.76±1.68 years) treated with maxillary and mandibular first premolar extractions; Group 2 consisted 16 patients (mean age:15.81±1.19 years) treated with maxillary and mandibular second premolar extractions, and Group 3 consisted 17 patients (mean age:16.29±1.15 years) treated with non-extraction protocol. From the pre-treatment (T0) and post-treatment (T1) cephalometric radiographs, 13 measurements for dentoskeletal and 15 for soft tissue parameters were assessed. To determine changes due to treatment, and to compare differences among the groups, Wilcoxon Signed-Rank and Kruskal-Wallis tests were performed, respectively.Results: Mx1-SN, Mx1-FH, Mx1-NA, IMPA and Md1-NB values decreased significantly in Group 1 and 2, compared to Group 3 (p<0.001). According to the vertical reference line (VRL-li) and E-plane (E-LL), the lower lip showed statistically significant change (retraction) in Group 1 and 2, compared to non-extraction group (p<0.05). The mean change value for the upper and lower lip thicknesses in Group 1 and 2 were greater than in Group 3 (p<0.05). Group 1 and 2 did not show significant difference in any dentoskeletal and soft tissue measurements between each other. Conclusions:Soft tissue profile change following extraction treatment was similar regardless of the extracted teeth. However extraction treatment modalities resulted in significant profile changes especially in the lower lip with regard to the non-extraction control group.
first_indexed 2024-03-12T04:07:16Z
format Article
id doaj.art-ed2d5bf9a96c4c0e8fe70aee91c1523e
institution Directory Open Access Journal
issn 1302-5805
2146-2852
language English
last_indexed 2024-03-12T04:07:16Z
publishDate 2019-12-01
publisher Cumhuriyet University
record_format Article
series Cumhuriyet Dental Journal
spelling doaj.art-ed2d5bf9a96c4c0e8fe70aee91c1523e2023-09-03T11:17:24ZengCumhuriyet UniversityCumhuriyet Dental Journal1302-58052146-28522019-12-0122439040110.7126/cumudj.5874432057Comparison of Orthodontic Treatment with Different Premolar Extraction Modalities İn Terms of Soft Tissue ProfileTulin Taner0Ezgi Atik1Hande Gorucu-coskuner2Hacettepe UniversityHacettepe UniversityHacettepe UniversityObjectives:To evaluate the differences of changes in soft tissue profile and dentoskeletal parameters between different premolar extraction and non-extraction treatment modalities. Materials and Methods: 50 patients with skeletal Class I malocclusion was divided into three groups. Group 1 consisted 17 patients (mean age:16.76±1.68 years) treated with maxillary and mandibular first premolar extractions; Group 2 consisted 16 patients (mean age:15.81±1.19 years) treated with maxillary and mandibular second premolar extractions, and Group 3 consisted 17 patients (mean age:16.29±1.15 years) treated with non-extraction protocol. From the pre-treatment (T0) and post-treatment (T1) cephalometric radiographs, 13 measurements for dentoskeletal and 15 for soft tissue parameters were assessed. To determine changes due to treatment, and to compare differences among the groups, Wilcoxon Signed-Rank and Kruskal-Wallis tests were performed, respectively.Results: Mx1-SN, Mx1-FH, Mx1-NA, IMPA and Md1-NB values decreased significantly in Group 1 and 2, compared to Group 3 (p<0.001). According to the vertical reference line (VRL-li) and E-plane (E-LL), the lower lip showed statistically significant change (retraction) in Group 1 and 2, compared to non-extraction group (p<0.05). The mean change value for the upper and lower lip thicknesses in Group 1 and 2 were greater than in Group 3 (p<0.05). Group 1 and 2 did not show significant difference in any dentoskeletal and soft tissue measurements between each other. Conclusions:Soft tissue profile change following extraction treatment was similar regardless of the extracted teeth. However extraction treatment modalities resulted in significant profile changes especially in the lower lip with regard to the non-extraction control group.https://dergipark.org.tr/tr/download/article-file/904206soft tissuetooth extractionvertical dimension
spellingShingle Tulin Taner
Ezgi Atik
Hande Gorucu-coskuner
Comparison of Orthodontic Treatment with Different Premolar Extraction Modalities İn Terms of Soft Tissue Profile
Cumhuriyet Dental Journal
soft tissue
tooth extraction
vertical dimension
title Comparison of Orthodontic Treatment with Different Premolar Extraction Modalities İn Terms of Soft Tissue Profile
title_full Comparison of Orthodontic Treatment with Different Premolar Extraction Modalities İn Terms of Soft Tissue Profile
title_fullStr Comparison of Orthodontic Treatment with Different Premolar Extraction Modalities İn Terms of Soft Tissue Profile
title_full_unstemmed Comparison of Orthodontic Treatment with Different Premolar Extraction Modalities İn Terms of Soft Tissue Profile
title_short Comparison of Orthodontic Treatment with Different Premolar Extraction Modalities İn Terms of Soft Tissue Profile
title_sort comparison of orthodontic treatment with different premolar extraction modalities in terms of soft tissue profile
topic soft tissue
tooth extraction
vertical dimension
url https://dergipark.org.tr/tr/download/article-file/904206
work_keys_str_mv AT tulintaner comparisonoforthodontictreatmentwithdifferentpremolarextractionmodalitiesintermsofsofttissueprofile
AT ezgiatik comparisonoforthodontictreatmentwithdifferentpremolarextractionmodalitiesintermsofsofttissueprofile
AT handegorucucoskuner comparisonoforthodontictreatmentwithdifferentpremolarextractionmodalitiesintermsofsofttissueprofile