Abstract
AMAÇ: Henüz gelişimini tamamlamadan çürüyen ve kök kanal tedavisi yapılan daimi birinci molar dişler, çocuk erişkinliğe bile ulaşamadan kaybedilmektedir. Doğru değerlendirme ile çekilen bu dişlerin yeri daimi ikinci molarlar tarafından ideal bir şekilde kapatılabilir. Çalışmanın amacı geç dönemde bize başvuran hastalarda da ideal yer kapanması ve oklüzyonu hangi koşulda sağlayabileceğimizi öğrenmektir.
YÖNTEM: Bir üniversiteye bağlı Diş Hekimliği Fakültesinde DBM dişini çektirmiş 6-16 yaş arası 695 hasta retrospektif olarak sistemden taranmıştır. 117 hasta ideal yaş aralığından sonra daimi birinci molar dişini çektirmiş ve 15 tanesi dahil edilme kriterlerine uygun bulunmuştur. Radyografide spontan ideal yer kapanması gözlenen 15 hastanın 21 dişinin çekim öncesi ve daimi ikinci molar dişi sürdükten sonra panaromik filmi değerlendirilmiştir. Daimi ikinci molar ile 2. premolar arasındaki kontakt kaydedilmiş ve ağız içi fotoğraf kayıtları alınmıştır. Daimi ikinci molar ve 2. premolardaki rotasyonlar, linguale/bukkale doğru aks bozuklukları, her iki çenede orta hat sapmaları, TME disfonksiyonları ve çiğneme alışkanlıkları değerlendirilmiştir.
BULGULAR: DBM çekimi yapıldığında daimi ikinci molar gelişim evresi 19 dişte Demirjian G, 2 dişte Demirjian H evresi olarak tespit edilmiştir. Radyografik olarak daimi ikinci molar dişlerinin % 80’inde devrilme, %9.5’inde rotasyon görülmüştür. Klinik olarak hastaların %85’inin diş eksikliğini fark etmediği, tamamının dişlerinden şikayetçi olmadığı ve ortodontik tedavi düşünmediği tespit edilmiştir.
SONUÇ: Bu çalışmanın sınırları dahilinde, geç dönemde çekilmesine rağmen ideal spontan yer kapanması ve ideal oklüzyonun oluşturulabileceği gözlenmiştir. Geç dönemde çekim sonrası ideal kapanma, rotasyon veya devrilmede; DİM dişin sürme yönü ve açısından ziyade daimi üçüncü molar varlığı ve sürme baskısı daha etkili olmuştur.
Keywords
Birinci Molar Diş Çekimi Çocuk Diş Hekimliği Maloklüzyon Çekim Zamanlaması Ortodontik Yer Kapanması
Supporting Institution
Bu proje için herhangi bir kurumun desteği yoktur.
References
- REFERENCES 1. Skeie M, Raadal M, Strand G, Espelid I. The relationship between caries in the primary dentition at 5 years of age and permanent dentition at 10 years of age–a longitudinal study. International Journal of Paediatric Dentistry. 2006;16(3):152-60.
- 2. Setty JV, Srinivasan I. Knowledge and awareness of primary teeth and their importance among parents in Bengaluru City, India. International journal of clinical pediatric dentistry. 2016;9(1):56.
- 3. Taboada-Aranza O, Rodríguez-Nieto K. Prevalencia de placa dentobacteriana y caries dental en el primer molar permanente en una población escolar del sur de la Ciudad de México. Boletín médico del Hospital Infantil de México. 2018;75(2):113-8.
- 4. Peretz B, Gluck GM. Behavior and toothbrushing of young Israeli adolescents. Journal of dentistry for children. 1999;66(4):249-52.
- 5. Unkel JH, Fenton S, Hobbs Jr G, Frere C. Toothbrushing ability is related to age in children. ASDC Journal of Dentistry for Children. 1995;62(5):346.
- 6. Teo T, Ashley P, Parekh S, Noar J. The evaluation of spontaneous space closure after the extraction of first permanent molars. European Archives of Paediatric Dentistry. 2013;14(4):207-12.
- 7. Berkovitz BK, Holland GR, Moxham BJ. Oral Anatomy, Histology and Embryology E-Book: Elsevier Health Sciences; 2017.
- 8. Patel S, Ashley P, Noar J. Radiographic prognostic factors determining spontaneous space closure after loss of the permanent first molar. American Journal of Orthodontics and Dentofacial Orthopedics. 2017;151(4):718-26.
- 9. Alkhadra T. A systematic review of the consequences of early extraction of first permanent first molar in different mixed dentition stages. Journal of International Society of Preventive & Community Dentistry. 2017;7(5):223.
- 10. Penchas J, Peretz B, Becker A. The dilemma of treating severely decayed first permanent molars in children: to restore or to extract. Journal of dentistry for children. 1994;61(3):199-205.
- 11. Cobourne M, Williams A, Harrison M. National clinical guidelines for the extraction of first permanent molars in children. British dental journal. 2014;217(11):643-8.
- 12. Albadri S, Zaitoun H, McDonnell S, Davidson L. Extraction of first permanent molar teeth: results from three dental hospitals. British dental journal. 2007;203(7):14.
- 13. Gill D, Lee R, Tredwin C. Treatment planning for the loss of first permanent molars. Dental update. 2001;28(6):304-8.
- 14. Sandler PJ, Atkinson R, Murray AM. For four sixes. American Journal of Orthodontics and Dentofacial Orthopedics. 2000;117(4):418-34.
- 15. Innes N, Borrie F, Bearn D, Evans D, Rauchhaus P, McSwiggan S, et al. Should I eXtract Every Six dental trial (SIXES): study protocol for a randomized controlled trial. Trials. 2013;14(1):59.
- 16. Thilander B, Skagius S, editors. Orthodontic sequelae of extraction of permanent first molars. A longitudinal study. Report of the congress European Orthodontic Society; 1970.
- 17. Thunold K, editor Early loss of the first molars 25 years after. Report of the congress European Orthodontic Society; 1970.
- 18. Mackie I, Blinkhorn A, Davies H. The extraction of permanent first molars during the mixed dentition period–a guide to treatment planning. J Paediatr Dent. 1989;5:85-92.
- 19. Nolla C. The development of the human dentition. ASDC J Dent Child;27:254-266. 1960.
- 20. Demirjian A, Goldstein H. New systems for dental maturity based on seven and four teeth. Annals of human biology. 1976;3(5):411-21.
- 21. Cameron A, R. W. Handbook of Pediatric Dentistry, 2nd edn, Mosby Co, Barcelona, Spain: . p. 277-8. 1997.
- 22. Duman S, Duruk G. 6-12 Yaş Grubu Çocuklarda Daimi Birinci Büyük Azi Dişlerin Önemi Ve Değerlendirilmesi–Derleme. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi.28(4):610-24.
- 23. Eichenberger M, Erb J, Zwahlen M, Schätzle M. The timing of extraction of non-restorable first permanent molars: a systematic review Introduction. Eur J Paediatr Dent. 2015;16(4):8-272.
- 24. Ong DV, Bleakley J. Compromised first permanent molars: an orthodontic perspective. Australian dental journal. 2010;55(1):2-14.
- 25. Teo TK-Y, Ashley PF, Derrick D. Lower first permanent molars: developing better predictors of spontaneous space closure. European journal of orthodontics. 2016;38(1):90-5.
- 26. Heckmann K, Spitzer WJ, Lisson JA. Molar inclination in panoramic x-rays as an indicator for extraction decisions. Journal of Orofacial Orthopedics/Fortschritte der Kieferorthopädie. 2007;68(6):491-500.
- 27. Jacobs C, Jacobs-Müller C, Luley C, Erbe C, Wehrbein H. Orthodontic space closure after first molar extraction without skeletal anchorage. Journal of Orofacial Orthopedics/Fortschritte der Kieferorthopädie. 2011;72(1):51-60.
- 28. Ursi W, Almeida R, Tavano O, Henriques J. Assessment of mesiodistal axial inclination through panoramic radiography. 1990.
- 29. Şenyurt F, Bodrumlu EH. Çocuklarda Daimi Birinci Büyük Azi Diş Çekim Nedenleri Ve Etkileri. Selcuk Dental Journal.6(1):98-104.
- 30. Noronha JC, Massara MdL, Souki BQ, Nogueira A. First permanent molar: first indicator of dental caries activity in initial mixed dentition. Braz Dent J. 1999;10(2):99-104.
- 31. Jälevik B, Möller M. Evaluation of spontaneous space closure and development of permanent dentition after extraction of hypomineralized permanent first molars. International journal of paediatric dentistry. 2007;17(5):328-35.
- 32. Çağlaroğlu M, Kilic N, Erdem A. Effects of early unilateral first molar extraction on skeletal asymmetry. American journal of orthodontics and dentofacial orthopedics. 2008;134(2):270-5.
- 33. Telli A, Aytan S. Changes in the dental arch due to obligatory early extraction of first permanent molars. Turkish journal of orthodontics. 1989;2(1):138-43.
- 34. Serindere G, Bolgul B, Parlar T, Cosgun A. Effects of first permanent molar extractıon on space changes observed in the dental arch using data mining method. Nigerian journal of clinical practice. 2019;22(7):936.
- 35. Crabb J, Rock W. Treatment planning in relation to the first permanent molar. British dental journal. 1971;131(9):396-401.
- 36. Bayram M, Özer M, Arici S. Effects of first molar extraction on third molar angulation and eruption space. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 2009;107(2):e14-e20.
- 37. Gooris CG, Joondeph DR. Eruption of mandibular third molars after second-molar extractions: a radiographic study. American Journal of Orthodontics and Dentofacial Orthopedics. 1990;98(2):161-7.
- 38. Larheim T, Svanaes D. Reproducibility of rotational panoramic radiography: mandibular linear dimensions and angles. American Journal of Orthodontics and Dentofacial Orthopedics. 1986;90(1):45-51.
- 39. Todd JE, Dodd T. Children's dental health in the United Kingdom, 1983: a survey carried out by the Social Survey Division of OPCS, on Behalf of the United Kingdom Health Departments, in Collaboration with the Dental Schools of the Universities of Birmingham and Newcastl: Stationery Office; 1985.
- 40. Taifour D, Frencken JE, Van′ t Hof MA, Beiruti N, Truin GJ. Effects of glass ionomer sealants in newly erupted first molars after 5 years: a pilot study. Community dentistry and oral epidemiology. 2003;31(4):314-9.
- 41. Zouashkiani T, Mirzakhan T. Parental knowledge about presence of the first permanent molar and its effect on health of the this tooth in 7-8 years-old children (2006). Journal of Mashhad Dental School. 2006;30:225-32.
- 42. Ashley P, Noar J. Interceptive extractions for first permanent molars: a clinical protocol. British dental journal. 2019;227(3):192-5.
Abstract
OBJECTIVE: Before they haven't completed its development, permanent first molar(PFM) teeth which have been decayed and treated with root canal therapy is mostly extracted before the child even reaches adult hood. With correct evaluation of patient, these extracted teeth’s space can be ideally closed by permanent second molars(PSM). The aim of the study is to learn under which conditions we can provide ideal closure and occlusion in patients who refer to us in a late stage.
MATERIALS AND METHODS: 695 patients aged 6-16 years who had PFM tooth extracted at a Faculty of Dentistry were retrospectively evaluated from the system. 117 patients had their PFM tooth extracted after the ideal age range and 15 of them were found to meet the inclusion criteria. Panoramic films of 21 teeth of 15 patients with spontaneous ideal closure were evaluated before extraction and after eruption of PSM teeth. The contact between the PSM and the second premolar was recorded and intraoral photographs were taken. Rotations in the PSM and second premolars, axis disturbances towards the linguale/buccal, midline deviations in both jaws, TMJ dysfunctions and chewing habits were evaluated.
RESULTS: When PFM extraction was performed, PSM development stage was determined as Demirjian G in 19 teeth and H stage in 2 teeth. Tipping was observed in 80%, and rotation in 9.5% of the PSM teeth. Clinically, it has been determined that 85% of the patients don’t notice the PFM deficiency, don’t complain about their teeth and don’t consider orthodontic treatment.
CONCLUSIONS: Within the limits of this study, it has been observed that ideal spontaneous space closure and ideal occlusion can be achieved, although it was extracted in late period. In ideal occlusion, rotation or tipping after extraction in late period; permanent third molar presence and eruption pressure were more effective than the eruption direction and angle of the PSM tooth.
Keywords
molar, First Tooth Extraction; Pediatric Dentistry; Malocclusion; Extraction Timing; Ortodontic Space Closure
References
- REFERENCES 1. Skeie M, Raadal M, Strand G, Espelid I. The relationship between caries in the primary dentition at 5 years of age and permanent dentition at 10 years of age–a longitudinal study. International Journal of Paediatric Dentistry. 2006;16(3):152-60.
- 2. Setty JV, Srinivasan I. Knowledge and awareness of primary teeth and their importance among parents in Bengaluru City, India. International journal of clinical pediatric dentistry. 2016;9(1):56.
- 3. Taboada-Aranza O, Rodríguez-Nieto K. Prevalencia de placa dentobacteriana y caries dental en el primer molar permanente en una población escolar del sur de la Ciudad de México. Boletín médico del Hospital Infantil de México. 2018;75(2):113-8.
- 4. Peretz B, Gluck GM. Behavior and toothbrushing of young Israeli adolescents. Journal of dentistry for children. 1999;66(4):249-52.
- 5. Unkel JH, Fenton S, Hobbs Jr G, Frere C. Toothbrushing ability is related to age in children. ASDC Journal of Dentistry for Children. 1995;62(5):346.
- 6. Teo T, Ashley P, Parekh S, Noar J. The evaluation of spontaneous space closure after the extraction of first permanent molars. European Archives of Paediatric Dentistry. 2013;14(4):207-12.
- 7. Berkovitz BK, Holland GR, Moxham BJ. Oral Anatomy, Histology and Embryology E-Book: Elsevier Health Sciences; 2017.
- 8. Patel S, Ashley P, Noar J. Radiographic prognostic factors determining spontaneous space closure after loss of the permanent first molar. American Journal of Orthodontics and Dentofacial Orthopedics. 2017;151(4):718-26.
- 9. Alkhadra T. A systematic review of the consequences of early extraction of first permanent first molar in different mixed dentition stages. Journal of International Society of Preventive & Community Dentistry. 2017;7(5):223.
- 10. Penchas J, Peretz B, Becker A. The dilemma of treating severely decayed first permanent molars in children: to restore or to extract. Journal of dentistry for children. 1994;61(3):199-205.
- 11. Cobourne M, Williams A, Harrison M. National clinical guidelines for the extraction of first permanent molars in children. British dental journal. 2014;217(11):643-8.
- 12. Albadri S, Zaitoun H, McDonnell S, Davidson L. Extraction of first permanent molar teeth: results from three dental hospitals. British dental journal. 2007;203(7):14.
- 13. Gill D, Lee R, Tredwin C. Treatment planning for the loss of first permanent molars. Dental update. 2001;28(6):304-8.
- 14. Sandler PJ, Atkinson R, Murray AM. For four sixes. American Journal of Orthodontics and Dentofacial Orthopedics. 2000;117(4):418-34.
- 15. Innes N, Borrie F, Bearn D, Evans D, Rauchhaus P, McSwiggan S, et al. Should I eXtract Every Six dental trial (SIXES): study protocol for a randomized controlled trial. Trials. 2013;14(1):59.
- 16. Thilander B, Skagius S, editors. Orthodontic sequelae of extraction of permanent first molars. A longitudinal study. Report of the congress European Orthodontic Society; 1970.
- 17. Thunold K, editor Early loss of the first molars 25 years after. Report of the congress European Orthodontic Society; 1970.
- 18. Mackie I, Blinkhorn A, Davies H. The extraction of permanent first molars during the mixed dentition period–a guide to treatment planning. J Paediatr Dent. 1989;5:85-92.
- 19. Nolla C. The development of the human dentition. ASDC J Dent Child;27:254-266. 1960.
- 20. Demirjian A, Goldstein H. New systems for dental maturity based on seven and four teeth. Annals of human biology. 1976;3(5):411-21.
- 21. Cameron A, R. W. Handbook of Pediatric Dentistry, 2nd edn, Mosby Co, Barcelona, Spain: . p. 277-8. 1997.
- 22. Duman S, Duruk G. 6-12 Yaş Grubu Çocuklarda Daimi Birinci Büyük Azi Dişlerin Önemi Ve Değerlendirilmesi–Derleme. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi.28(4):610-24.
- 23. Eichenberger M, Erb J, Zwahlen M, Schätzle M. The timing of extraction of non-restorable first permanent molars: a systematic review Introduction. Eur J Paediatr Dent. 2015;16(4):8-272.
- 24. Ong DV, Bleakley J. Compromised first permanent molars: an orthodontic perspective. Australian dental journal. 2010;55(1):2-14.
- 25. Teo TK-Y, Ashley PF, Derrick D. Lower first permanent molars: developing better predictors of spontaneous space closure. European journal of orthodontics. 2016;38(1):90-5.
- 26. Heckmann K, Spitzer WJ, Lisson JA. Molar inclination in panoramic x-rays as an indicator for extraction decisions. Journal of Orofacial Orthopedics/Fortschritte der Kieferorthopädie. 2007;68(6):491-500.
- 27. Jacobs C, Jacobs-Müller C, Luley C, Erbe C, Wehrbein H. Orthodontic space closure after first molar extraction without skeletal anchorage. Journal of Orofacial Orthopedics/Fortschritte der Kieferorthopädie. 2011;72(1):51-60.
- 28. Ursi W, Almeida R, Tavano O, Henriques J. Assessment of mesiodistal axial inclination through panoramic radiography. 1990.
- 29. Şenyurt F, Bodrumlu EH. Çocuklarda Daimi Birinci Büyük Azi Diş Çekim Nedenleri Ve Etkileri. Selcuk Dental Journal.6(1):98-104.
- 30. Noronha JC, Massara MdL, Souki BQ, Nogueira A. First permanent molar: first indicator of dental caries activity in initial mixed dentition. Braz Dent J. 1999;10(2):99-104.
- 31. Jälevik B, Möller M. Evaluation of spontaneous space closure and development of permanent dentition after extraction of hypomineralized permanent first molars. International journal of paediatric dentistry. 2007;17(5):328-35.
- 32. Çağlaroğlu M, Kilic N, Erdem A. Effects of early unilateral first molar extraction on skeletal asymmetry. American journal of orthodontics and dentofacial orthopedics. 2008;134(2):270-5.
- 33. Telli A, Aytan S. Changes in the dental arch due to obligatory early extraction of first permanent molars. Turkish journal of orthodontics. 1989;2(1):138-43.
- 34. Serindere G, Bolgul B, Parlar T, Cosgun A. Effects of first permanent molar extractıon on space changes observed in the dental arch using data mining method. Nigerian journal of clinical practice. 2019;22(7):936.
- 35. Crabb J, Rock W. Treatment planning in relation to the first permanent molar. British dental journal. 1971;131(9):396-401.
- 36. Bayram M, Özer M, Arici S. Effects of first molar extraction on third molar angulation and eruption space. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 2009;107(2):e14-e20.
- 37. Gooris CG, Joondeph DR. Eruption of mandibular third molars after second-molar extractions: a radiographic study. American Journal of Orthodontics and Dentofacial Orthopedics. 1990;98(2):161-7.
- 38. Larheim T, Svanaes D. Reproducibility of rotational panoramic radiography: mandibular linear dimensions and angles. American Journal of Orthodontics and Dentofacial Orthopedics. 1986;90(1):45-51.
- 39. Todd JE, Dodd T. Children's dental health in the United Kingdom, 1983: a survey carried out by the Social Survey Division of OPCS, on Behalf of the United Kingdom Health Departments, in Collaboration with the Dental Schools of the Universities of Birmingham and Newcastl: Stationery Office; 1985.
- 40. Taifour D, Frencken JE, Van′ t Hof MA, Beiruti N, Truin GJ. Effects of glass ionomer sealants in newly erupted first molars after 5 years: a pilot study. Community dentistry and oral epidemiology. 2003;31(4):314-9.
- 41. Zouashkiani T, Mirzakhan T. Parental knowledge about presence of the first permanent molar and its effect on health of the this tooth in 7-8 years-old children (2006). Journal of Mashhad Dental School. 2006;30:225-32.
- 42. Ashley P, Noar J. Interceptive extractions for first permanent molars: a clinical protocol. British dental journal. 2019;227(3):192-5.
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Original Research Articles |
| Authors | |
| Publication Date | December 31, 2020 |
| Submission Date | September 10, 2020 |
| Published in Issue | Year 2020Volume: 23 Issue: 4 |
Cited By
Factors related to spontaneous space closure following early first permanent molar extraction: A systematic review
International Journal of Paediatric Dentistry
https://doi.org/10.1111/ipd.13273
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