The timing of extraction of non-restorable first permanent molars: a systematic review.

نویسندگان

  • M Eichenberger
  • J Erb
  • M Zwahlen
  • M Schätzle
چکیده

AIM To identify the ideal timing of first permanent molar extraction to reduce the future need for orthodontic treatment. MATERIALS AND METHODS A computerised database and subsequent manual search was performed using Medline database, Embase and Ovid, covering the period from January 1946 to February 2013. Two reviewers (JE and ME) extracted the data independently and evaluated if the studies matched the inclusion criteria. Inclusion criteria were specification of the follow-up with clinical examination or analysis of models, specification of the chronological age or dental developmental stage at the time of extraction, no treatment in between, classification of the treatment result into perfect, good, average and poor. The search was limited to human studies and no language limitations were set. RESULTS The search strategy resulted in 18 full-text articles, of which 6 met the inclusion criteria. By pooling the data from maxillary sites, good to perfect clinical outcome was estimated in 72% (95% confidence interval 63%-82%). Extractions at the age of 8-10.5 years tended to show better spontaneous clinical outcomes compared to the other age groups. By pooling the data from mandibular sites, extractions performed at the age of 8-10.5 and 10.5-11.5 years showed significantly superior spontaneous clinical outcome with a probability of 50% and 59% likelihood, respectively, to achieve good to perfect clinical result (p<0.05) compared to the other age groups (<8 years of age: 34%, >11.5 years of age: 44%). CONCLUSION Prevention of complications after first permanent molars extractions is an important issue. The overall success rate of spontaneous clinical outcome for maxillary extraction of first permanent molars was superior to mandibular extraction. Extractions of mandibular first permanent molars should be performed between 8 and 11.5 years of age in order to achieve a good spontaneous clinical outcome. For the extraction in the maxilla, no firm conclusions concerning the ideal extraction timing could be drawn.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Effect of extraction of permanent first molars on the development and eruption of third molars

BACKGROUND AND AIM: It is required in many young patients that permanent first molars (PFMs) be extracted due to poor prognosis. This study investigates whether the extraction of such teeth is effective on the development of third molars and even their crown and root morphologies.METHODS: A total of 7000 panoramic radiographs were evaluated and 128 radiographs showing a history of extraction of...

متن کامل

اصول طرح درمان برای مولرهای اول دایمی به شدت تخریب شده در دوره دندانی مختلط مقاله مروری

Background and Aims: The first permanent molar is susceptible to caries, endodontic complications and developmental anomalies. Compromised teeth with poor prognosis could cause the clinician to face dilemmas. The aim of this review article was to assess recent guidelines on the treatment planning of compromised first permanent molars in mixed dentition period. Materials and Methods: The de...

متن کامل

Radiographic Evaluation of the Developmental Stages of Second and Third Molars in 7 to 11-Year-old Children and its Implication in the Treatment of First Molars with Poor Prognosis

Background and aim: First permanent molars with poor prognosis may be candidate for timely extraction and replacement by second permanent molars. The presence of third molars should be considered in this treatment plan. The aim of the present study was to evaluate the critical developmental stages of permanent second molar and the status of third molar bud in an Iranian population. Materials an...

متن کامل

Changes in the Position of Mandibular Third Molars Following Extraction and Non-Extraction Orthodontic Treatments

Introduction: Impaction of third molars can be associated with a number of sequelae, each requiring a different type of treatment. The purpose of this study was to assess the changes in the position of lower third molars following extraction and non-extraction orthodontic treatments. Methods: Pre- and post-treatment panoramic radiographs of 26 class I malocclusion patients (4 male and 22 female...

متن کامل

Prevalence of Taurodontism of Permanent Molars in Dental School of Shahid Beheshti University from 2000 to 2006

  Objective: Taurodontism is a dental anomaly characterized by elongation of root body and apical displacement of the pulp chamber floor associated with shortening of roots and their narrowing at the cementoenamel junction (CEJ). Due to having a dilated apical one-third, these teeth may cause complications during extraction, locating canal orifices and instrumentation. This study aimed to asses...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • European journal of paediatric dentistry : official journal of European Academy of Paediatric Dentistry

دوره 16 4  شماره 

صفحات  -

تاریخ انتشار 2015