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Influence of premolar extractions on facial aesthetics in the long term

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Author(s):
Cintia Helena Zingaretti Junqueira
Total Authors: 1
Document type: Master's Dissertation
Press: Bauru.
Institution: Universidade de São Paulo (USP). Faculdade de Odontologia de Bauru (FOB/SDB)
Defense date:
Examining board members:
Guilherme dos Reis Pereira Janson; Daniela Gamba Garib Carreira; José Nelson Mucha
Advisor: Guilherme dos Reis Pereira Janson
Abstract

The assumption that extraction treatment can impair the facial profile with excessive retrusion has discouraged this treatment protocol. This study aimed to assess whether the nonextraction, extraction of two maxillary premolars and extraction of four premolars treatment protocols of Class II Division 1 are different regarding facial esthetics in the long-term. Frontal and lateral photographs of 63 patients, treated at least eight years ago, that initially presented complete Class II division 1 malocclusion, were divided into 3 groups as following: XP0 (non-extraction, n=20; 30,77 years, 15,63 years post-treatment), XP2 (2-maxillary premolar extractions, n=25; 30,99 years, 15,68 years post-treatment) and G3 (4-premolar extractions, n=18; 32,80 years of age, 18,01 years post-treatment). All groups were matched by gender, age, posttreatment time, final profile and occlusal outcomes (Objective Grading System Index), final and long-term overjets. Laypersons and orthodontists evaluated frontal and lateral photographs of the individuals, assigning scores from 1 to 10 to each ones attractiveness and opining about their apparent ages. Cephalometric soft tissue measures were obtained from the lateral photographs by the software Dolphin Imaging 11.5. Two-way Analysis of Variance revealed that both attractiveness and apparent age were not affected by treatment protocols, but by the type of evaluator. Laymen were slightly more critical then orthodontists. Analysis of covariance revealed that the age of the raters did not affect their opinions, but the genre did, as long as women assigned higher grades than did men. Analysis of variance showed no statistically significant differences between the three groups, except for the facial pattern, which was slightly larger in XP4. The Pearson correlation test revealed that none of the soft-tissue measures evaluated had influence on the facial attractiveness scores assigned to the sample. Therefore, it was concluded that treatment of complete Class II division 1 malocclusion with and without extractions had similar facial attractiveness in the long-term. (AU)

FAPESP's process: 11/04605-9 - Influence of dental extractions on facial aesthetics at long term
Grantee:Cintia Helena Zingaretti Junqueira
Support Opportunities: Scholarships in Brazil - Master