Nasal profile changes after orthodontic tooth extraction in Class II, Division 1 malocclusion patients: A retrospective study.

Autor: Sadry S; Department of Orthodontics, Faculty of Dentistry, Istanbul Atlas University, Istanbul, Turkey., Eusmanaga E; Department of Orthodontics, Faculty of Dentistry, Istanbul Aydin University, Istanbul, Turkey., Kayalar E; Discipline of Orthodontics and Paediatric Dentistry, School of Dentistry, The University of Sydney, Sydney Dental Hospital, Surry Hills, Australia; Department of Orthodontics, Faculty of Dentistry, Istanbul Aydin University, Istanbul, Turkey. Electronic address: emre.kayalar@sydney.edu.au.
Jazyk: angličtina
Zdroj: Journal of stomatology, oral and maxillofacial surgery [J Stomatol Oral Maxillofac Surg] 2024 Oct; Vol. 125 (5), pp. 101748. Date of Electronic Publication: 2024 Jan 07.
DOI: 10.1016/j.jormas.2023.101748
Abstrakt: Introduction: This study aimed to investigate changes in the facial soft-tissue profile, especially the nose, following fixed orthodontic treatment, with or without tooth extraction, in individuals diagnosed with dental Class II malocclusion.
Materials and Methods: Cephalometric images of 81 individuals with dental Class II malocclusion who underwent fixed orthodontic treatment were assessed before and after treatment. The participants were categorized into three groups: non-extraction; upper first premolar extraction; and four first premolar extractions. The parameters measured were: upper lip height, upper lip to E-plane, lower lip to E-plane, lower lip height, nasolabial angle, nasomental angle, facial convexity, lower anterior face height, soft-tissue facial convexity, nasal tip angle, nasal bridge length, N'-nasal bridge point, nasal bone length, nasal bone angle, nasal depth, columella convexity, and nose height.
Results: Within the upper two extraction group, there were significant increases at the start and end periods in nasolabial angle (P = 0.023), nasal depth Pr to Ac (P = 0.027), and nasal depth Pr to N-Prn (P = 0.040); and decreases in columella convexity (P = 0.010), upper lip to E-plane (P = 0.009), and nasomental angle (P = 0.009). There were significant results in comparisons between measurements based on the extraction status in the mean nasolabial angle (P = 0.011), mean columella convexity (P = 0.028), and mean lower lip to E-plane (P = 0.045).
Conclusion: Orthodontic treatment involving tooth extraction may potentially affect the nasolabial angle and nasal depth. During treatment planning, it is crucial to consider the potential changes that may occur to the nose and any alterations that may be needed to achieve the desired esthetic outcome.
Competing Interests: Declaration of competing interest The authors declare that they have no competing interests.
(Copyright © 2023 The Author(s). Published by Elsevier Masson SAS.. All rights reserved.)
Databáze: MEDLINE
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