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Statistical Study Concerning Extraction and Non-Extraction Methods in Orthodontic Treatments.
Dan-Cosmin Serbanoiu1, Aurel-Claudiu Vartolomei2, Marie-Jose Boileau3
1PhD UMFST G.E Palade Targu Mures, Romania.
Current Health Sciences Journal
|June 7, 2024
Summary
Orthodontists frequently use dental stripping (interproximal reduction) as a non-extraction method. While tooth extraction is still employed for dento-maxillary anomalies, non-extraction techniques are increasingly preferred, especially by female practitioners.
Area of Science:
- Orthodontics
- Dentistry
- Maxillofacial Surgery
Background:
- The controversy surrounding permanent tooth extraction in orthodontic therapy persists.
- Assessing orthodontists' perspectives on extraction versus non-extraction methods is crucial for modern practice.
Purpose of the Study:
- To evaluate orthodontists' clinical experience and viewpoints on extraction and non-extraction treatment modalities.
- To understand the prevalence and preferences for specific non-extraction techniques.
Main Methods:
- A custom 22-question questionnaire was distributed via Google Forms to orthodontists.
- The survey collected data on demographics, treatment preferences, and patient outcomes like dental sensitivity and caries post-procedure.
Main Results:
- Dental stripping (interproximal reduction - IPR) was the most favored non-extraction method (34.3%).
- Female orthodontists showed a statistically significant higher likelihood (p=0.0336) of avoiding extractions compared to males.
- IPR is commonly used for space creation even without Bolton discrepancies (70.1%), and is preferred over lower incisor extraction in Class III cases (65.2% vs. 34.8%).
Conclusions:
- Dental stripping (IPR) is the predominant non-extraction technique utilized by surveyed orthodontists for space management.
- Tooth extraction remains a viable option for addressing dento-maxillary disharmonies and crowding.
