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Orthodontics. Part 8: Extractions in orthodontics
H Travess1, D Roberts-Harry, J Sandy
1Division of Child Dental Health, University of Bristol Dental School, Lower Maudlin Street, Bristol BS1 2LY, UK.
British Dental Journal
|March 25, 2004
Summary
Orthodontic extractions are debated, but sometimes necessary for treating malocclusions. Patient factors and tooth condition influence extraction decisions, potentially aiding spontaneous correction.
Area of Science:
- Dentistry
- Orthodontics
- Oral Surgery
Background:
- Tooth extraction in orthodontic treatment is a complex and often debated topic.
- Not all malocclusions can be resolved without surgical tooth removal.
- Several patient-specific factors influence the decision-making process for extractions.
Purpose of the Study:
- To explore the controversial nature of orthodontic extractions.
- To identify key factors influencing the decision to extract teeth.
- To highlight the potential for spontaneous malocclusion correction through strategic extractions.
Main Methods:
- Review of existing literature on orthodontic extractions.
- Analysis of factors influencing extraction decisions in various malocclusion cases.
- Discussion of the role of timing in extraction protocols.
Main Results:
- Extraction decisions are multifactorial, involving medical history, patient attitude, oral hygiene, caries risk, and tooth quality.
- Specific tooth extractions are indicated for different malocclusion presentations.
- Judicious timing of extractions can lead to spontaneous correction of certain malocclusions.
Conclusions:
- Orthodontic extractions, while controversial, are sometimes essential for successful malocclusion treatment.
- A comprehensive assessment of patient factors is crucial for determining the need for extractions.
- Strategic tooth removal and timing can be a valuable tool in orthodontic management, potentially reducing treatment complexity.
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