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Daimi Birinci Büyük Azı Dişlerinin Çekimi Sonrası Daimi Dentisyonun Değerlendirilmesi

Year 2023, Volume: 10 Issue: 4, 270 - 275, 15.06.2023
https://doi.org/10.15311/selcukdentj.1232436

Abstract

Amaç: Daimi birinci büyük azı dişlerinin erken çekimi sonrası istenen, ikinci büyük azı dişinin boşluğu kapatarak ikinci küçük azı dişiyle kontak oluşturmasıdır. Bu çalışmanın amacı; daimi birinci büyük azı dişlerinin çekimi sonrası, çekim boşluğunun kapanmasının ve orta hattaki kaymanın incelenmesidir.
Gereç ve yöntem: Pedodonti Kliniğinde 7-12 yaş arasında, tek taraflı daimi birinci büyük azı dişleri çekilmiş 26 hastanın çekim öncesi ve çekim sonrası panoramik radyografları (OPG) karşılaştırıldı. Çekim öncesi ve sonrası daimi ikinci büyük azı ve ikinci küçük azı dişleri arası mesafe ve orta hat kaymaları OPG üzerinden hesaplandı. Elde edilen verilerin istatiksel analizi IBM SPSS programı ile yapıldı.
Bulgular: Hastaların, diş çekimi yaş ortalaması 10,30±1,37 olup, ortalama takip süresi 20,46±6,17 ay olarak tespit edilmiştir. 11 erkek 15 kız çalışmada değerlendirilmiştir. Çekim öncesi ve çekim sonrası arasında ortalama yer kaybı 7,09±3,01 olarak belirlenmiştir. Çekim boşluğunun tamamen kapanması 7 dişte gözlenmiştir. Hastaların 20’sinde orta hat kayması görülmüş ve 15 dişin çekilen dişin tarafına doğru kaydığı gözlemiştir. Orta hat kayma miktarının ortalaması 1,71±3,01 olarak tespit edilmiştir.
Sonuç: Çalışmamızda, çekimden sonra az sayıda vakada çekim boşluğunun kapandığı görülmüştür. Ayrıca orta hat kaymasının sık görüldüğü tespit edilmiştir. Daimi birinci büyük azı dişlerinin çekimlerinin değerlendirildiği daha fazla sayıda klinik çalışmaya ihtiyaç vardır.
Anahtar kelimeler: Birinci daimi büyük azı dişi, Boşluk kapanması, Erken çekim

References

  • 1. Ciftci V, Guney A, Deveci C, Sanri I, Salimow F, Tuncer A. Spontaneous space closure following the extraction of the first permanent mandibular molar. Niger J Clin Pract 2021;24(10):1450-6.
  • 2. Patel S, Ashley P, Noar J. Radiographic prognostic factors determining spontaneous space closure after loss of the permanent first molar. Am J Orthod Dentofacial Orthop 2017;151(4):718-26.
  • 3. Berkovitz BKB, Holland GR, Moxham BJ. Dento-osseous Structures, In: Oral Anatomy, Histology and Embryology 5th Edn. Elsevier Health Sciences; 2018.
  • 4. Eichenberger M, Erb J, Zwahlen M, Schätzle M. The timing of extraction of non-restorable first permanent molars: a systematic review. Eur J Paediatr Dent 2015;16(4):272-8.
  • 5. Skeie MS, Raadal M, Strand GV, Espelid I. The relationship between caries in the primary dentition at 5 years of age and permanent dentition at 10 years of age - a longitudinal study. Int J Paediatr Dent 2006;16(3):152-60.
  • 6. Sandler PJ, Atkinson R, Murray AM. For four sixes. Am J Orthod Dentofacial Orthop 2000;117(4):418-34.
  • 7. Ertuğrul CÇ, Özbey H, Gün AI. Early extraction of the first permanent molars: a five-year follow-up study. Eur J Paediatr Dent 2022;23(2):111-5.
  • 8. Ong DCV, Bleakley JE. Compromised first permanent molars: an orthodontic perspective. Aust Dent J 2010;55(1):2-14.
  • 9. Thilander B, Skagius S. Orthodontic sequelae of extraction of permanent first molars. A longitudinal study. Rep Congr Eur Orthod Soc 1970:429-42.
  • 10. Cobourne MT, Williams A, Harrison M. National clinical guidelines for the extraction of first permanent molars in children. Br Dent J 2014;217(11):643-8.
  • 11. Teo TKY, Ashley PF, Parekh S, Noar J. The evaluation of spontaneous space closure after the extraction of first permanent molars. Eur Arch Paediatr Dent 2013;14(4):207-12.
  • 12. Teo TKY, Ashley PF, Derrick D. Lower first permanent molars: developing better predictors of spontaneous space closure. Eur J Orthod 2016;38(1):90-9.
  • 13. Rahhal AA. Extraction timing of heavily destructed upper first permanent molars. Open J Stomatol 2014; 4:161-8.
  • 14. Jälevik B, Klingberg GA. Dental treatment, dental fear and behaviour management problems in children with severe enamel hypomineralization of their permanent first molars. Int J Paediatr Dent 2002;12(1):24-32.
  • 15. Demirjian A, Goldstein H, Tanner JM. A new system of dental age assessment. Hum Biol 1973;45(2):211-27.
  • 16. Davies SJ, Gray RJ, Mackie IC. Good occlusal practice in children’s dentistry. Br Dent J 2001;191(12):655-9.
  • 17. Normando D, Cavacami C. The influence of bilateral lower first permanent molar loss on dentofacial morfology: a cephalometric study. Dental Press J Orthod 2010;15:100-6.
  • 18. Dahan J. A gnatho-odontometric analysis of cases with extraction of the first permanent molar. Rep Congr Eur Orthod Soc 1970:367-81.
  • 19. Rãducanu AM, Feraru V, Herteliu C, Rãducanu MA. Prevalence of loss of permanent first molars in a group of Romanian children and adolescents. Spaceflight (Lond) 2009;2(4):7.
  • 20. Williams JK, Gowans AJ. Hypomineralised first permanent molars and the orthodontist. Eur J Paediatr Dent 2003;4(3):129-32.

Evaluation of Permanent Dentition After Extraction of First Permanent Molars

Year 2023, Volume: 10 Issue: 4, 270 - 275, 15.06.2023
https://doi.org/10.15311/selcukdentj.1232436

Abstract

Background: After early extraction of the first permanent molars, it is desirable for the second permanent molar to close the gap and come into contact with the second premolar. The aim of this study is to investigate the closure of the extraction gap and the shift of the midline after the extraction of the first permanent molars.
Materials and methods: At the Pedodontic clinic, panoramic radiographs (OPG) of 26 patients with unilateral permanent first molars aged 7-12 years were compared before and after extraction. The distance between the permanent second molars and the second premolars and the midline shift before and after extraction were calculated from the OPG. Statistical analysis of the obtained data was performed using the IBM SPSS program.
Results: The mean age of patients at tooth extraction was 10.30±1.37, and the mean follow-up time was 20.46±6.17 months. In our study, in which 11 boys and 15 girls participated. The mean space loss between pre-extraction and postextraction was determined to be 7.09±3.01. Complete closure of the extraction gap was observed in 7 teeth. A midline shift was observed in 20 patients, and a shift to the side of the extracted tooth was observed in 15 teeth. The average extent of midline shift was 1.71±3.01.
Conclusion: In our study, it was observed that the extraction gap was closed in several cases after extraction. In addition, a midline shift frequently occurred. Further clinical studies are needed to evaluate the extraction of the first permanent molars.
Keywords: Early extraction, First permanent molar, Space closure

References

  • 1. Ciftci V, Guney A, Deveci C, Sanri I, Salimow F, Tuncer A. Spontaneous space closure following the extraction of the first permanent mandibular molar. Niger J Clin Pract 2021;24(10):1450-6.
  • 2. Patel S, Ashley P, Noar J. Radiographic prognostic factors determining spontaneous space closure after loss of the permanent first molar. Am J Orthod Dentofacial Orthop 2017;151(4):718-26.
  • 3. Berkovitz BKB, Holland GR, Moxham BJ. Dento-osseous Structures, In: Oral Anatomy, Histology and Embryology 5th Edn. Elsevier Health Sciences; 2018.
  • 4. Eichenberger M, Erb J, Zwahlen M, Schätzle M. The timing of extraction of non-restorable first permanent molars: a systematic review. Eur J Paediatr Dent 2015;16(4):272-8.
  • 5. Skeie MS, Raadal M, Strand GV, Espelid I. The relationship between caries in the primary dentition at 5 years of age and permanent dentition at 10 years of age - a longitudinal study. Int J Paediatr Dent 2006;16(3):152-60.
  • 6. Sandler PJ, Atkinson R, Murray AM. For four sixes. Am J Orthod Dentofacial Orthop 2000;117(4):418-34.
  • 7. Ertuğrul CÇ, Özbey H, Gün AI. Early extraction of the first permanent molars: a five-year follow-up study. Eur J Paediatr Dent 2022;23(2):111-5.
  • 8. Ong DCV, Bleakley JE. Compromised first permanent molars: an orthodontic perspective. Aust Dent J 2010;55(1):2-14.
  • 9. Thilander B, Skagius S. Orthodontic sequelae of extraction of permanent first molars. A longitudinal study. Rep Congr Eur Orthod Soc 1970:429-42.
  • 10. Cobourne MT, Williams A, Harrison M. National clinical guidelines for the extraction of first permanent molars in children. Br Dent J 2014;217(11):643-8.
  • 11. Teo TKY, Ashley PF, Parekh S, Noar J. The evaluation of spontaneous space closure after the extraction of first permanent molars. Eur Arch Paediatr Dent 2013;14(4):207-12.
  • 12. Teo TKY, Ashley PF, Derrick D. Lower first permanent molars: developing better predictors of spontaneous space closure. Eur J Orthod 2016;38(1):90-9.
  • 13. Rahhal AA. Extraction timing of heavily destructed upper first permanent molars. Open J Stomatol 2014; 4:161-8.
  • 14. Jälevik B, Klingberg GA. Dental treatment, dental fear and behaviour management problems in children with severe enamel hypomineralization of their permanent first molars. Int J Paediatr Dent 2002;12(1):24-32.
  • 15. Demirjian A, Goldstein H, Tanner JM. A new system of dental age assessment. Hum Biol 1973;45(2):211-27.
  • 16. Davies SJ, Gray RJ, Mackie IC. Good occlusal practice in children’s dentistry. Br Dent J 2001;191(12):655-9.
  • 17. Normando D, Cavacami C. The influence of bilateral lower first permanent molar loss on dentofacial morfology: a cephalometric study. Dental Press J Orthod 2010;15:100-6.
  • 18. Dahan J. A gnatho-odontometric analysis of cases with extraction of the first permanent molar. Rep Congr Eur Orthod Soc 1970:367-81.
  • 19. Rãducanu AM, Feraru V, Herteliu C, Rãducanu MA. Prevalence of loss of permanent first molars in a group of Romanian children and adolescents. Spaceflight (Lond) 2009;2(4):7.
  • 20. Williams JK, Gowans AJ. Hypomineralised first permanent molars and the orthodontist. Eur J Paediatr Dent 2003;4(3):129-32.
There are 20 citations in total.

Details

Primary Language Turkish
Subjects Dentistry
Journal Section Research
Authors

Elif Merve Aydın 0000-0002-1108-1243

Ayşe Betül Demirciler 0000-0002-9170-3750

Tuğba Tasa Yiğit 0000-0002-8742-9031

Publication Date June 15, 2023
Submission Date January 11, 2023
Published in Issue Year 2023 Volume: 10 Issue: 4

Cite

Vancouver Aydın EM, Demirciler AB, Tasa Yiğit T. Daimi Birinci Büyük Azı Dişlerinin Çekimi Sonrası Daimi Dentisyonun Değerlendirilmesi. Selcuk Dent J. 2023;10(4):270-5.