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Related Experiment Videos

A rationale for expansion.

Michael Owen Williams, Larry W White

    World Journal of Orthodontics
    |December 29, 2005
    PubMed
    Summary
    This summary is machine-generated.

    Orthodontic treatment has historically swung between extraction and nonextraction. Expansive nonextraction therapy, when carefully considered, offers stable results without relapse and deserves greater clinical attention.

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    Area of Science:

    • Orthodontics
    • Dentofacial Orthopedics

    Background:

    • Orthodontic treatment paradigms have historically oscillated between extraction and nonextraction approaches over the last century.
    • Clinical disappointments have arisen from the injudicious application of these therapies, often disregarding specific patient facial dimensions.

    Observation:

    • A significant factor contributing to the reluctance in adopting expansive nonextraction therapy has been the concern regarding the long-term stability of dental expansion distal to the canines after active treatment cessation.
    • However, clinical experience suggests that this concern may be overstated.

    Findings:

    • Expansive nonextraction therapy, specifically involving arch expansion distal to the canines, can achieve successful and stable outcomes.
    • These outcomes demonstrate minimal to no relapse following the cessation of active orthodontic intervention.

    Implications:

    • The findings suggest that expansive nonextraction therapy is a viable and potentially underutilized treatment modality.
    • Orthodontists should reconsider their reluctance towards this approach, as it offers a stable alternative to extraction-based treatments.
    • Further investigation and wider adoption of this technique could lead to improved patient outcomes and fewer instances of treatment dissatisfaction.