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PLATOON: Premature Loss of bAby Teeth and its impact On Orthodontic Need - protocol

Lucy R Brown1, Sophy Barber2, Philip E Benson3

  • 11 Paediatric Dentistry Department, University of Leeds, Leeds, UK.

Journal of Orthodontics
|May 8, 2019
PubMed

Insights

Premature extraction of primary teeth (PEPT) can impact orthodontic treatment needs in children. This study compares orthodontic needs in children with and without a history of PEPT to understand the long-term effects.

Area of Science:

  • Pediatric Dentistry
  • Orthodontics
  • Dental Public Health

Background:

  • Premature extraction of primary teeth (PEPT) is common in childhood.
  • The long-term consequences of PEPT on orthodontic treatment need are not fully understood.
  • Longitudinal birth cohort studies offer valuable insights into developmental trajectories.

Purpose of the Study:

  • To investigate the impact of PEPT on orthodontic treatment need in children.
  • To quantify space loss and occlusal anomalies associated with PEPT.
  • To assess the need for orthodontic intervention in children with a history of PEPT.

Main Methods:

  • Observational, cross-sectional cohort study design.
  • Recruitment of 1000 children aged 7-11 years (500 with PEPT history, 500 controls).
  • Collection of orthodontic records, photographs, study models, and quality of life measures (COHIP-SF 19).

Main Results:

  • Orthodontic records will be analyzed to quantify space loss and occlusal anomalies.
  • The Index of Orthodontic Treatment Need will be used to assess treatment requirements.
  • An expert panel will evaluate the timing of orthodontic treatment for affected children.

Conclusions:

  • This study provides foundational data to characterize the impact of PEPT on orthodontic need.
  • Findings will inform clinical decision-making regarding orthodontic interventions for children with PEPT.
  • Establishes a basis for future longitudinal research on the long-term effects of PEPT.
Abstract

Keywords:
IOTNaetiology of malocclusion and growthlocal causes of malocclusionorthodontic needpremature extractionpremature lossprimary teeth

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