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Changes in occlusal function after extraction of premolars: 2-year follow-up

 Wookang Yoon  ;  Soonshin Hwang  ;  Chooryung Chung  ;  Kyung-Ho Kim 
 ANGLE ORTHODONTIST, Vol.87(5) : 703-708, 2017 
Journal Title
Issue Date
Long-term retention ; Occlusal contact area ; Occlusal force ; Premolar extraction
OBJECTIVE: To determine the effects of extraction and the number of teeth extracted on changes in occlusal function by measuring occlusal contact area and force before and after orthodontic treatment with a fixed appliance. MATERIALS AND METHODS: Female patients treated with a fixed appliance were divided into nonextraction (n = 36), two maxillary premolar extraction (n = 31), and four premolar extraction (n = 18) groups. Bite pressure-sensitive films were used to analyze the occlusal contact area and force. Measurements were performed before treatment (Pre-Tx), immediately afterward (After-Tx), and 2 years later (2Y After-Tx). The data were analyzed using a linear mixed model and the post hoc Bonferroni test. RESULTS: The occlusal contact area and force after treatment decreased significantly compared with Pre-Tx values but were increased 2 years later in all groups. There were no significant differences in occlusal contact area or force during the entire observation period among the three groups (P > .05). The occlusal contact area and force in the nonextraction and two maxillary premolar extraction groups recovered to Pre-Tx levels 2 years later (P > .05). The occlusal contact area in the four premolar extraction group was significantly lower than the Pre-Tx level after 2 years of retention (P < .05). CONCLUSIONS: The occlusal contact area and force showed a tendency to decrease immediately after treatment and then gradually increase to pretreatment levels during the observation period. However, the occlusal contact area did not recover fully after 2 years in the four premolar extraction group.
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2. College of Dentistry (치과대학) > Dept. of Orthodontics (교정과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Kyung Ho(김경호) ORCID logo https://orcid.org/0000-0002-8154-2041
Chung, Chooryung J.(정주령) ORCID logo https://orcid.org/0000-0001-9399-7193
Hwang, Soon Shin(황순신) ORCID logo https://orcid.org/0000-0002-6472-4732
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