Mandibular second premolar extraction--postretention evaluation of stability and relapse

The dental casts and cephalometric radiographs of 46 patients, treated with mandibular second premolar extraction and edgewise orthodontic mechanotherapy, were evaluated for changes over a minimum 10-year postretention period. The sample was divided into two groups: early (mixed dentition) extraction of mandibular second premolars and late (permanent dentition) extraction of mandibular second premolars. Results showed no difference in long-term stability between the two groups. Arch length and arch width decreased with time and incisor irregularity increased throughout the postretention period. No predictors or associations could be found to help the clinician in determining the long-term prognosis in terms of stability. The sample was regrouped according to the postretention degree of incisor irregularity. Statistically significant differences in cephalometric measurements were found between the minimally crowded group and the moderately to severely crowded group.