Download PDF
Open Access
CC BY 4.0 · Eur J Dent 2023; 17(01): 227-233
DOI: 10.1055/s-0042-1749366
Original Article

Vertical Skeletal Changes after Extraction and Nonextraction Orthodontic Treatment

Authors

  • Hafiza Z. Shafique

    1   Orthodontics Department, Armed Forces Institute of Dentistry, Rawalpindi, Pakistan

  • Rumeesha Zaheer 

    1   Orthodontics Department, Armed Forces Institute of Dentistry, Rawalpindi, Pakistan

  • Abdullah Jan

    1   Orthodontics Department, Armed Forces Institute of Dentistry, Rawalpindi, Pakistan

  • Alaina T. Mughal 

    1   Orthodontics Department, Armed Forces Institute of Dentistry, Rawalpindi, Pakistan

  • Rooma Shahid

    1   Orthodontics Department, Armed Forces Institute of Dentistry, Rawalpindi, Pakistan

  • Fareena Ghaffar

    1   Orthodontics Department, Armed Forces Institute of Dentistry, Rawalpindi, Pakistan

  • Tooba Zahoor

    1   Orthodontics Department, Armed Forces Institute of Dentistry, Rawalpindi, Pakistan

  • Sundas Mehmood

    1   Orthodontics Department, Armed Forces Institute of Dentistry, Rawalpindi, Pakistan

  • Ramsha Nawaz

    1   Orthodontics Department, Armed Forces Institute of Dentistry, Rawalpindi, Pakistan

  • Safia Umar

    1   Orthodontics Department, Armed Forces Institute of Dentistry, Rawalpindi, Pakistan

  • Mehak Hassan

    1   Orthodontics Department, Armed Forces Institute of Dentistry, Rawalpindi, Pakistan

  • Muhammad A. Mudasser

    2   Orthodontics Department, Dr. Ishrat ul Ibad Khan Institute of Health Sciences, Dow University of Health Sciences, Karachi, Pakistan

Funding None.
Further Information
Also available at
  Permissions and Reprints

Abstract

Objectives Due to the constant battle regarding the controversial topic of orthodontic extraction, this study aims to assess the changes in vertical dimensions of patients treated with premolar extractions compared with nonextraction orthodontic patients.

Materials and Methods A sample of 60 borderline patients were recruited and divided into extraction and nonextraction groups. Eleven pretreatment cephalometric measurements were recorded using WebCeph and patients were followed-up until the completion of treatment.

Statistical Analysis Intragroup and intergroup comparisons were made using paired t-test and two-sample independent t-test, respectively. The joint significance of differences was measured using F-tests.

Results The intragroup comparison revealed that in the extraction group, the vertical dimension was significantly increased posttreatment for four cephalometric measurements, that is, mandibular plane angle (p < 0.05), palatal plane angle (p < 0.05), Frankfort mandibular plane angle (p < 0.05), and y-axis (p < 0.05). In the comparison of the posttreatment values of both groups, the mean differences of the posttreatment values for sella nasion (SN)-gonion (Go)-gnathion (Gn) angle (p = 0.008), the total anterior (p = 0.050), and lower anterior facial heights (AFH; p = 0.011) were significantly higher. At the same time, the Jarabak ratio was significantly (p = 0.006) lower in the extraction group than in the nonextraction group.

Conclusion The increase in vertical dimension is significantly higher in the extraction group than in the nonextraction group which indicates a significant impact of orthodontic extraction on the vertical dimensions.

Keywords

orthodontic space closure - vertical dimensions - cephalometry/methods - artificial intelligence

Note

Informed consent was obtained from all patients.




Publication History

Article published online:
04 July 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India