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

Leon-Salazar, Ruben; Janson, Guilherme; Henriques, José Fernando Castanha; León-Salazar, Vladimir

doi:10.1590/2176-9451.19.4.038-049.oar

Cited by 8 publications

(9 citation statements)

References 20 publications

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“…7 Increased treatment time was also reported among previous investigations following premolar extractions. 1,[9][10][11][12][13][14] However, evidence is still controversial about the significance of this association. 1,15,16 This correlation between premolar extraction and the orthodontic treatment time has been proposed because such procedures are usually performed for more complex cases, in addition to the need to perform a further surgical step to achieve adequate space closure.…”

Section: Discussionmentioning

confidence: 99%

Factors affecting orthodontic treatment time and how to predict it

Mitwally

Alesawi

Humedi

et al. 2021

Int J Community Med Public Health

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Orthodontic treatment time has been associated with certain parameters that can affect the different aspects of treatment regards to the patient and orthodontist. Therefore, a large set of research has focused on studying these factors. Many factors have been proposed in the literature as significant predictors for prolonged orthodontic treatment duration. In general, these factors are related to the patient, orthodontist, procedure, and severity of the underlying condition. Acquiring more knowledge about these factors can help orthodontists speed up the treatment plan, which might enhance the treatment outcomes and enhance the levels of satisfaction. In the current study, we have provided updated evidence regarding the different factors affecting orthodontic treatment time according to evidence from studies in the literature. Many factors were reported, including factors related to the procedure and the underlying condition, and factors related to the patient and orthodontist. Increasing knowledge and experience of the orthodontist might increase the level of satisfaction as it has been reported to significantly reduce the treatment duration. However, this should be accompanied by adequate patient compliance, which was also reported to be a significant predictor for prolonged treatment duration. Investigating the application of recent modalities that can speed up the treatment plan is not adequately validated, indicating the need for future validating studies.

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Section: Discussionmentioning

confidence: 99%

Factors affecting orthodontic treatment time and how to predict it

Mitwally

Alesawi

Humedi

et al. 2021

Int J Community Med Public Health

View full text Add to dashboard Cite

show abstract

“…Despite controversy, 13-15 premolar extractions tend to increase treatment time. 4 , 5 , 8 , 12 , 14 , 16 , 17 Such an increase can be explained by an association between extractions and more complex cases, as well as the need of an additional treatment step aimed at space closure. 4 …”

Section: Types Of Malocclusion and Treatment Optionsmentioning

confidence: 99%

“…Most studies reveal Class II treatment associated with extractions lasts longer. 5 , 8 , 18 Class II treatment protocol encompassing extractions of two maxillary teeth not only results in better occlusal outcomes than the four-extraction protocol, but also shortens treatment time. 5 , 7 Class II treatment associated with four extractions requires more complex mechanics as well as more patient compliance.…”

Section: Types Of Malocclusion and Treatment Optionsmentioning

confidence: 99%

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Orthodontic treatment time: can it be shortened?

Moresca

2018

Dental Press J. Orthod.

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Introduction: In the literature, no consensus has been reached about orthodontic treatment time. Similarly, the determining factors of the latter have not yet been completely elucidated. Objective: The aim of the present article was to deepen the discussion on the major factors influencing orthodontic treatment time, as well as to present some strategies that have proven effective in controlling and shortening it. Method: Based on evidences found in the literature, the method focussed in providing the basis for clinical decision-making. Conclusions: Treatment time varies according to the type of malocclusion and treatment options. Orthodontist’s influence, patient’s characteristics and compliance are all decisive in determining treatment time, while the effects provided by orthodontic appliances and methods used to speed tooth movement up seem little effective.

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“…For instance, the treatment will be longer if an extraction protocol is necessary 36 . Likewise, extraoral forces can be used in more complex situations such as significantly increased overjet, or when it is necessary to retract all the teeth in the arch, to limit mesial tooth displacement caused by premature extraction of temporary teeth, to redirect the growth pattern or to correct intermaxillary relationships 31 .…”

Section: Clinical Conditionsmentioning

confidence: 99%

Factores que influyen las decisiones terapéuticas en Ortodoncia: Revisión de la literatura. Decisiones terapéuticas en Ortodoncia

Matthews

Cartes‐Velásquez

2017

Odontoestomatología

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Abstract:There is an immense variety of orthodontic techniques. Each of them has specific uses and indications from which to select the most appropriate options for each clinical situation. The aim of this article is to review the recent literature on the factors that influence or explain the therapeutic decisions made in dentistry with a focus on orthodontics. It has been found that the education received, individual preferences and the mastery of different techniques, features and personal values, as well as the clinical and economic situation of the patient, the health system and the dentist-patient relationship take on a major role in the treatment selected. Ethical and social principles, such as behavioral theories, are applicable to these professional aspects. It is important to understand the decision-making process and the selection of treatments because of the impact they have on patient care and satisfaction, on reaching the therapeutic objectives, on how public health services work, and on the quality of services. There are currently few studies that focus on the process of clinical decision-making. Therefore, it is necessary to expand the scope of research, including qualitative research, in order to better understand decision-making.

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

Cited by 8 publications

References 20 publications

Factors affecting orthodontic treatment time and how to predict it

Factors affecting orthodontic treatment time and how to predict it

Orthodontic treatment time: can it be shortened?

Factores que influyen las decisiones terapéuticas en Ortodoncia: Revisión de la literatura. Decisiones terapéuticas en Ortodoncia

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