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Longitudinal evaluation of condylar position in extraction and nonextraction treatment.

In 111 patients pretreatment and posttreatment condylar position was evaluated with corrected tomograms taken with the mandible in centric occlusion. Seventy-nine of the patients were treated by nonextraction procedures and 32 were treated by extraction procedures, 27 of the patients with the extraction of one or more premolars and 5 with the extraction of one or more anterior teeth. When the condylar positions before and after treatment were compared in the entire sample of 111 patients, in the nonextraction patients, in the extraction patients, and in extraction patients relative to nonextraction patients, no statistically significant differences were found. Thus condylar position was stable during treatment and did not behave differently under extraction and nonextraction conditions. On an individual basis, condylar retropositioning, as defined in this study, occurred in only nine of the 222 joints examined and was noted in patients treated both with and without extraction.

Adult

A biometric study of tooth size and dental crowding.

A study was conducted for the purpose of comparing mesiodistal tooth widths between a group of patients with good tooth alignment and a group of patients with crowded dental arches. Crowded arches were defined as those with more than 4 mm. of space deficiency. The hypothesis tested was whether the arches with more than 4 mm. of crowding consistently had larger teeth than the ones with lesser or no crowding. The difference in sizes between the groups (forty males and forty females) for all teeth measured was found to be statistically significant (p less than 0.001). The multivariate data analysis indicated that the two groups were derived from two different populations and that the maxillary lateral incisors and second premolars and the mandibular canines and premolars were particularly different in these groups. It was also determined that the teeth in males were uniformly larger than in females, but not to a statistically significant level. There was less correlation, however, between the sex and the status of the tooth alignment in dental arches, so that both sexes had similar distribution of crowding versus noncrowding. On the basis of this study of eighty North American Caucasians, it is suggested that one should consider the sum of mesiodistal widths of teeth, in addition to the arch length analysis, in formulating an orthodontic treatment plan. When the cumulative tooth mass of the twenty permanent teeth is 140 mm. or more, the clinician may want to consider extraction therapy for such a case.

Adolescent

[Orthodontics of unilateral complete cleft lip-palate: point of view and personal proposals].

Studying 43 cases of unilateral cleft palate including 21 treated cases, the author notes that the lateral incisor is missing in 85% of the cases, the central near the cleft is badly rotated and there is a buccal cross bite in 45% associated or not with an anterior cross bite. He proposes to treat first the cross bite by fixed split palate appliance then to align the incisors at age 9. Then to wait until the patient is approximately 12 years old. At that moment a full fixed appliance is used; on the cleft side, the cuspid is usually placed against the central incisor and on the other side a bicuspid is usually extracted. Using this two steps therapy, the total treatment is no longer than 30 months.

Adolescent

Extractions prior to comprehensive orthodontic treatment in the mixed dentition.

Studies concerning the prevalence of extractions prior to orthodontic treatment have been limited in scope. This quasi-experimental analysis from secondary data explores patient and provider variables as they relate to extractions prior to comprehensive orthodontic therapy in the mixed dentition. This national database contains 38,529 children who had at least one comprehensive orthodontic (mixed dentition) visit within a 27-month period (January 1987-March 1989). Because of the relatively small number of Class III malocclusion cases, an equal allocation, random sample method was used in choosing children from the three Angle malocclusion classifications and the seven NIDR regions. Of those selected 24.7% had one or more extractions prior to orthodontic treatment, with 56% occurring at either 11 or 12 years of age. There were slightly more extraction cases for the Class I malocclusion children (26.7%) than either Class II (23.1%) or Class III (24.1%). Those children who had an orthodontic extraction were slightly older (P < 0.05). There were no statistically significant differences relating to orthodontic extractions for the following patient and provider variables: gender, malocclusion classification, years since dental graduation, and type of dental practice. There were regional differences among extraction rates for pediatric dentists, with those from the NIDR Midwest region more likely to have children receiving one or more extractions.

Adolescent

Condylar position and extraction treatment.

By means of corrected tomography, the positions of the condyles in patients who had undergone four-premolar extraction treatment (20 edgewise and 7 Begg) were compared with the condylar positions of patients who had not yet received orthodontic treatment. No significant between-group differences in condylar position were noted. In addition, the relationship between bite depth and condylar position was examined and no significant correlation was found. Thus, as performed in this study, condylar position was unrelated to extraction treatment and to bite depth.

Adolescent

TMJ function and the effects on the masticatory system on 14-16-year-old Danish children in relation to orthodontic treatment.

The effect of orthodontic treatment on the functional status of the masticatory system was analysed in 706 children from three Danish communities. Three-hundred-and-eighty-eight (48 per cent) of the children were treated orthodontically and the 295 (37 per cent) of the total population had terminated the treatment and were included in the analysis. Fifty-seven cases (7.1%) of the total population were discontinued before the orthodontic treatment was considered finished by the orthodontist. Discontinuation did not, however, seem to influence the functional status. Increasing the orthodontic treatment frequency from 38 to 51 per cent did not decrease the functional problems of a young population. On the contrary, the community with the lowest treatment frequency (38 per cent) demonstrated fewer functional problems among the orthodontically treated subjects than did the two communities with higher treatment frequencies, indicating paradoxically that it may be a functional risk to treat the last 13 per cent with minor discrepancies. Tenderness on palpation of the musculature and the TMJ capsule were generally more prevalent among orthodontically treated subjects. Children who had their treatments performed by either orthodontist or paedodontist alone demonstrated more muscular problems than children who had been treated by a team of orthodontists and paedodontists. Related to the severity of the malocclusion these findings stress the importance of more consideration to establish a functionally satisfactory occlusion after orthodontic treatment. Functional status was not related to the type of orthodontic treatment, including extraction therapy, use of either fixed or removable appliances.

Adolescent

The use of natural spontaneous tooth movement in the treatment of malocclusion.

The natural mechanisms of eruption, mesial migration, soft tissue pressure and occlusal forces can be used by the dentist to treat malocclusion in the growing child. The author describes how planned extractions of deciduous and permanent teeth can be employed to resolve crowding, promote spontaneous alignment, and avoid centreline displacement.

Child

[A ranking scale of the susceptibility to loss of various types of teeth as an additional aid to the decision for the extraction of permanent teeth in orthodontic treatments].

A statistically established rank scale of the predisposition to decay of the different types of teeth permits to evaluate more exactly the sacrifice of masticatory units in orthodontically indicated tooth extraction. Thus, in case of doubt, it gives additional advice on the choice of the teeth to be removed.

Child

Human papovavirus (JC): induction of brain tumors in hamsters.

Eighty-three percent of hamsters inoculated at birth with JC virus, a human papovavirus isolated from brain tissue of a case of progressive multifocal leukoencephalopathy, developed malignant gliomas within 6 months. Three brain tumors have been serially transplanted as subcutaneous tumors. JC virus was isolated from five of seven tumors tested. Cells from four tumors were cultivated in vitro. These cells contained an intranuclear antigen with the characteristics of a T antigen, and this antigen was antigenically related to SV40 T antigen. Although virus was not recovered from extracts of serially cultured tumor cells, JC virus was rescued when one tumor cell line was fused with permissive cells.

Animals