Extraction vs. non-extraction decision based on facial profile
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 10
Abstract
Introduction: Facial appearance plays an important role when planning orthodontic treatment. The major issue involved in the extraction vs. non-extraction decision is its effect on the soft-tissue profile. The objective of this cross-sectional study was to determine the ratio between extraction and non-extraction treatment protocols. More over whether such decisions were based on soft tissue profile or severe arch length discrepancy in border line case at Department of Orthodontics, University Dental Clinical Centre "St. Pantelejmon" - Skopje, Macedonia. Material and Methods: One hundred and fifteen patients were randomly selected from the diagnostic database fulfilling the inclusion criteria. These records included history, lateral cephalogram and casts for each patient. Results: 39.1% of the total sample was treated with extraction protocol where as 60.9% was treated nonextraction. Out of total extraction cases, 69.8% extraction decisions were carried out on the basis of profile and 30.2% on arch length discrepancy as a predominant factor. Profile based distribution of the sample were; 55.5% convex, 43.5% straight and 1% with concave profiles. Conclusion: Most of the patients having convex and straight profile and more than half of the extraction decisions were based on profile. Arch length discrepancy was the second most important decision influencing extraction protocol decision. A borderline case with pre-treatment lip protrusion may be better served with extraction. Hence in accordance to the „soft tissue paradigm‟ such a decision during the treatment planning should be paramount in making treatment decisions. Profile based treatment planning leads to better treatment results.
Authors and Affiliations
Ivan Tanatarec, Gabriela Kjurchieva- Chuchkova, Evdokija Jankulovska, Elena Petrova, Biljana Petrovska, Vesna Jankulovska
Keywords
Related Articles
- EP ID EP243560
- DOI 10.9790/0853-1610044044
- Views 91
- Downloads 0
A Study on Pulmonary Function Test in Diabetes Mellitus And Its Correlation with Duration of Diabetes Mellitus.
Although diabetes is a multi systemic disorder its pulmonary involvement is not extensively studied. Pathoanatomical studies in diabetic patients have represented changes in basal lamina of alveolar epithelium and capill...
A Prospective Study of Early Postoperative Course and Pathological Outcome of Modified D2 Gastrectomy.
Surgery still today remains an important modality of management for resectable cancer stomach, recent NCCN guideline recommends gastrectomy with D1 or modified D2 lymphnode dissection with a goal of examining 15 or more...
Repeatability of Blood Pressure and Heart Rate Responses to Standard Autonomic Reflex Test over A Five Day Period
The repeatability of the cardiovascular responses to reflex tests has been the subject of several studies. We have studied heart rate and blood pressure response to mental arithmetic. Mental arithmetic has used as means...
Morphometric Analysis of Papillary Muscles in Both Ventricles of Hearts
Objective: To measure the length and breadth and attachment of papillary muscles in both ventricles of human hearts. Introduction: The papillary muscles of heart are conical in projections into the respective chamber of...
“Clinical profile of Typhoid fever in children aged between 6 months to 18 years: A study in a tertiary care hospital, Chittagong, Bangladesh”
This cross sectional study was carried out the in Pediatric & Medicine wards of Chittagong Medical College Hospital (CMCH), Chittagong during the period of July 2012 to June 2013, aims to describe clinical profile of typ...