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Extraction protocols for orthodontic treatment: A retrospective study.
Vaishnevi N Thirunavukkarasu1, Srinivas Sulugodu Ramachandra1, Daniel D Dicksit1
1Faculty of Dentistry, SEGi University, Selangor, Malaysia.
Contemporary Clinical Dentistry
|April 5, 2016
Summary
Unnecessary extraction of permanent teeth in orthodontic treatment can lead to severe occlusion problems. This study evaluated various extraction protocols, finding specific categories within protocol 9 to be statistically significant and associated with adverse outcomes.
Area of Science:
- Dentistry
- Orthodontics
- Dental Surgery
Background:
- Orthodontic treatment relies on various extraction protocols.
- Patient cases often involve continuing treatment from other clinics or prior orthodontic interventions.
Purpose of the Study:
- To evaluate the effectiveness and outcomes of different orthodontic extraction protocols.
- To identify statistically significant protocols and their associated consequences.
Main Methods:
- A cohort of 138 patients undergoing orthodontic treatment were analyzed.
- Patients were categorized into 10 distinct extraction protocols.
- Statistical significance was assessed for each protocol.
Main Results:
- Specific distribution of patients across protocols 1, 2, 3, 5, and 9 (Type 3) was observed.
- Protocol 9, Type 3, showed statistical significance compared to other protocols.
- Midline shift and arch collapse were noted in patients under certain protocols.
Conclusions:
- Extraction of permanent teeth without clear justification can result in detrimental occlusal consequences.
- The practice of extracting teeth for crowding instead of orthodontic alignment persists.
- Factors like orthodontist shortage and long waiting times influence patient choices for tooth extraction.
