Extraction or Nonextraction in Orthodontic Cases: A Review

Mapare, Sagar; Mundada, Ram; Karra, Arjun; Agrawal, Shivam; Mahajan, Sushil Bhagwan; Tadawalkar, Ashutosh

doi:10.4103/jpbs.jpbs_549_20

Cited by 5 publications

(2 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Varlık et al (2013) recommended incisor intrusion as the best treatment for deep bite correction [22]; however, Mapare et al [23] and others decided to treat the bulk of their patients with premolar and molar eruption. Instead of relying solely on anecdotal evidence, it is crucial to carefully analyze how extrusive or intrusive mechanics may change a patient's vertical facial height, which may then have an impact on how the maxilla and mandible are related anteriorly and posteriorly.…”

Section: Assessment Of the Vertical Dimensionmentioning

confidence: 99%

Comprehensive Deciphering the Complexity of the Deep Bite: Insight from Animal Model to Human Subjects

Watted,

Lone,

Zohud

et al. 2023

JPM

View full text Add to dashboard Cite

Deep bite is a malocclusion phenotype, defined as the misalignment in the vertical dimension of teeth and jaws and characterized by excessive overlap of the upper front teeth over the lower front teeth. Numerous factors, including genetics, environmental factors, and behavioral ones, might contribute to deep bite. In this study, we discuss the current clinical treatment strategies for deep bite, summarize the already published findings of genetic analysis associated with this complex phenotype, and their constraints. Finally, we propose a comprehensive roadmap to facilitate investigations for determining the genetic bases of this complex phenotype development. Initially, human deep bite phenotype, genetics of human deep bite, the prevalence of human deep bite, diagnosis, and treatment of human deep bite were the search terms for published publications. Here, we discuss these findings and their limitations and our view on future strategies for studying the genetic bases of this complex phenotype. New preventative and treatment methods for this widespread dental issue can be developed with the help of an understanding of the genetic and epigenetic variables that influence malocclusion. Additionally, malocclusion treatment may benefit from technological developments like 3D printing and computer-aided design and manufacture (CAD/CAM). These technologies enable the development of personalized surgical and orthodontic guidelines, enhancing the accuracy and effectiveness of treatment. Overall, the most significant results for the patient can only be achieved with a customized treatment plan created by an experienced orthodontic professional. To design a plan that meets the patient’s specific requirements and expectations, open communication between the patient and the orthodontist is essential. Here, we propose to conduct a genome-wide association study (GWAS), RNAseq analysis, integrating GWAS and expression quantitative trait loci (eQTL), micro and small RNA, and long noncoding RNA analysis in tissues associated with deep bite malocclusion in human, and complement it by the same approaches in the collaborative cross (CC) mouse model which offer a novel platform for identifying genetic factors as a cause of deep bite in mice, and subsequently can then be translated to humans. An additional direct outcome of this study is discovering novel genetic elements to advance our knowledge of how this malocclusion phenotype develops and open the venue for early identification of patients carrying the susceptible genetic factors so that we can offer early prevention and treatment strategies, a step towards applying a personalized medicine approach.

show abstract

Section: Assessment Of the Vertical Dimensionmentioning

confidence: 99%

Comprehensive Deciphering the Complexity of the Deep Bite: Insight from Animal Model to Human Subjects

Watted,

Lone,

Zohud

et al. 2023

JPM

View full text Add to dashboard Cite

show abstract

“…The rationale behind premolar extractions in orthodontics is rooted in addressing issues such as dental crowding, protrusion, and achieving proper alignment [ 6 ]. However, the potential alterations in pharyngeal airway dimensions resulting from these extractions pose intriguing questions about the broader physiological implications [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Comparative Analysis of Pharyngeal Airway Changes Following All Four Versus All Five Premolar Extractions in Orthodontic Treatments: A Cephalometric Study

Badepalli,

Kuttimani,

et al. 2024

Cureus

View full text Add to dashboard Cite

Background: Orthodontic treatment, particularly involving premolar extractions, has been a subject of ongoing debate within the orthodontic community. The impact of such interventions on the pharyngeal airway, a critical component of the respiratory system, remains a topic of exploration. Objective: This retrospective cephalometric study aims to investigate changes in pharyngeal airway dimensions following orthodontic treatment involving either all four or all five premolar extractions. Methods: A sample of 68 participants, extracted from orthodontic records, underwent cephalometric analysis to quantify changes in pharyngeal airway dimensions. The study compared two groups: those treated with all four premolar extractions (n=34) and those treated with all five premolar extractions (n=34). Cephalometric radiographs taken before and after treatment were analyzed, focusing on airway width, length, and volume. Results: Preliminary findings indicate significant changes in airway dimensions within each group. In the all four premolar extraction group, there was a statistically significant decrease in airway width (p=0.02) and volume (p=0.04). Similarly, the all five premolar extraction group exhibited significant reductions in airway width (p=0.03) and volume (p=0.02). However, the between-group comparisons revealed no significant differences in changes between the two groups. Conclusion: This study sheds light on the intricate relationship between orthodontic interventions, specifically premolar extractions, and changes in pharyngeal airway dimensions. While significant changes were observed within each group, the lack of significant differences between the all four and all five premolar extraction groups raises intriguing questions about the specific impact of premolar extraction patterns on the upper airway.

show abstract

Second molar eruption disturbances in borderline extraction orthodontic patients

Patrick,

Stickrath,

Christensen

et al. 2024

American Journal of Orthodontics and Dentofacial Orthopedics

View full text Add to dashboard Cite

Extraction or Nonextraction in Orthodontic Cases: A Review

Abstract: Orthodontic treatment helps bring teeth in alignment. There is always debate whether tooth should be extracted or not for treating crowding. The present article highlights various advantages and disadvantages of extraction.

Cited by 5 publications

References 18 publications

Comprehensive Deciphering the Complexity of the Deep Bite: Insight from Animal Model to Human Subjects

Comprehensive Deciphering the Complexity of the Deep Bite: Insight from Animal Model to Human Subjects

Comparative Analysis of Pharyngeal Airway Changes Following All Four Versus All Five Premolar Extractions in Orthodontic Treatments: A Cephalometric Study

Second molar eruption disturbances in borderline extraction orthodontic patients

Contact Info

Product

Resources

About