Evaluation of aesthetic and functional outcomes in orthodontic treatments with and without premolar extraction: A literature review

Autorët

  • Elvira Ramovic Private Dental Clinic “Elit Dent Ulcinj”.

DOI:

https://doi.org/10.55312/op.v17i1.7249

Abstract

Despite being a common orthodontic treatment procedure, permanent tooth extraction remains a contentious issue due to its potential functional and aesthetic effects. The aim of this study is to evaluate, through a literature review, the aesthetic and functional outcomes of orthodontic treatments with and without premolar extraction.

Keywords:

extraction, orthodontics, aesthetic outcomes, functional outcomes, literature review.

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References

  1. 1. Zweihorn CL. Origins of the extraction controversy in American orthodontics (1880-1910). Journal of the his-tory of dentistry [Internet]. 2003 Jul;51(2):81–8. Available from: https://pubmed.ncbi.nlm.nih.gov/12846262/

  2. 2. Dimberg L, Lennartsson B, Arnrup K, et al. Prevalence and change of malocclusions from primary to early

  3. permanent dentition: a longitudinal study. Angle Orthod. 2015;85(5):728–734. PubMed PMID:

  4. 3. Cenzato N, Nobili A, Maspero C. Prevalence of dental malocclusions in different geographical areas: scop-ing review. Dent J. 2021;9(10):117. Epub 20211011. PubMed PMID: 34677179; PubMed Central PMCID: PMC8534899. doi: 10.3390/dj9100117.

  5. 4. Dardengo CdS, Fernandes LQP, Capelli Júnior J. Frequency of orthodontic extraction. Dental Press J Orthod. 2016;21(1):54–59. PubMed PMID: 27007762; PubMed Central PMCID: PMC4816586. doi: 10.1590/2177-

  6. 6709.21.1.054-059.oar.

  7. 5. Germec D, Taner TU. Effects of extraction and non-extraction therapy with air-rotor stripping on facial es-

  8. thetics in postadolescent borderline patients. Am J Orthod Dentofac Orthop. 2008 Apr;133(4):539-49.

  9. 6. Kokich VG, Spear FM, Mathews DP. Interdisziplinäre behandlungsplanung: am anfang steht die ästhetik. Inf Orthod Kieferorthop. 2006;38(4):211-20.

  10. 7. Bradbury A J. The influence of orthodontic extractions on the caries indices in schoolchildren in the United Kingdom. Comm Dent Health 1985; 2: 75-82.

  11. 8. Travess H, Roberts-Harry D, Sandy J. Orthodontics. Part 8: Extractions in orthodontics. British Dental Jour-nal. 2004 Feb;196(4):195–203.

  12. 9. Elias KG, Sivamurthy G, Bearn DR. Extraction vs nonextraction orthodontic treatment: a systematic review

  13. and meta-analysis. Angle Orthod. 2024 Jan;94(1):83-106.

  14. 10. Sayahpour B, Lau D, Eslami S, Buehling S, Kopp S, Jamilian A, et al. Posttreatment stability following ther-apy using passive self-ligating brackets: extraction vs. non-extraction. J Orofac Orthop. Forthcoming 2023.

  15. 11. Benson PE, Alshawy E, Fenton GD, Frawley T, Misra S, Ng T, et al. Extraction vs non-extraction of pre-molars for orthodontic treatment: a scoping review examining the extent, range, and characteristics of the literature. Am J Orthod Dentofacial Orthop. 2023 Sep;164(3):368-76.

  16. 12. Negreiros PO, Freitas KMS, Pinzan-Vercelino CRM, Janson G, Freitas MR. Smile attractiveness in cases treated with self-ligating and conventional appliances with and without rapid maxillary expansion. Orthod Craniofac Res. 2020 Nov;23(4):413-8.

  17. 13. Rongo R, Nissen L, Leroy C, Michelotti A, Cattaneo PM, Cornelis MA. Three-dimensional soft tissue changes in orthodontic extraction and non-extraction patients: A prospective study. Orthod Craniofac Res. 2021 Dec;24 Suppl 2:181-92.

  18. 14. Kirschneck C, Proff P, Reicheneder C, Lippold C. Short-term effects of systematic premolar extraction on lip profile, vertical dimension and cephalometric parameters in borderline patients for extraction therapy--a retrospective cohort study. Clin Oral Investig. 2016 May;20(4):865-74.

  19. 15. Herzog C, Konstantonis D, Konstantoni N, Eliades T. Arch-width changes in extraction vs nonextraction treat-ments in matched Class I borderline malocclusions. Am J Orthod Dentofacial Orthop. 2017 Apr;151(4):735-43.

  20. 16. Tjan AH, Miller GD, The JG. Some esthetic factors in a smile. J Prosthet Dent. 1984 Jan;51(1):24-8.

  21. 17. Zachrisson BU. Making the premolar extraction smile full and radian. World J Orthod. 2002;3(3):260-5

  22. 18. Işiksal E, Hazar S, Akyalçin S. Smile esthetics: perception and comparison of treated and untreated smiles. Am J Orthod Dentofacial Orthop 2006 Jan;129(1):8-16.

  23. 19. Ciger S, Aksu M, germeç D. Evaluation of posttreatment changes in class II division 1 patients after non-extraction orthodontic treatment: cephalometric and model analysis. Am J Orthod Dentofacial Orthop. 2005;127(2):219–223. doi: 10.1016/j.ajodo.2004.08.015.

  24. 20. Phan XL, Schneider BJ, Sadowsky C, et al. Effects of orthodontic treatment on mandibular rotation and dis-placement in angle class II division 1 malocclusions. Angle Orthod. 2004;74(2):174–183. doi: 10.1043/0003-3219(2004)074 < 0174:.eootom>2.0.Co;2.

  25. 21. Marques LS, Ramos-Jorge ML, Araujo MT, et al. Class II division 1 malocclusion with severe overbite: cephalometric evaluation of the effects of orthodontic treatment. World J Orthod. 2008;9(4):319 328.

  26. 22. Ishaq RA, AlHammadi MS, Fayed MM, et al. Fixed functional appliances with multibracket appliances have no skeletal effect on the mandible: a systematic review and meta-analysis. Am J Orthod Dentofacial Orthop. 2016;149(5):612–624. doi: 10.1016/j.ajodo.2015. 11.023.

  27. 23. Pearson LE. Vertical control in treatment of patients having backward-rotational growth tendencies. Angle

  28. Orthod. 1978; 48(2):132–140. doi: 10.1043/0003-3219(1978)048 < 0132:.vcitop>2.0. Co;2.

  29. 24. Kocadereli I. The effect of first premolar extraction on vertical dimension. Am J Orthod Dentofacial Orthop. 1999;116(1):41–45. doi: 10.1016/s0889-5406(99)70301-x.

  30. 25. Türköz Ç, İşcan HN. Evaluation of extraction and non-extraction treatment effects by two different super-imposition methods. Eur J Orthod. 2011;33(6):691–699. Epub 20110304. doi: 10.1093/ejo/ cjq143.

  31. 26. Hayasaki SM, Castanha Henriques JF, Janson g, et al. Influence of extraction and nonextraction orthodontic treatment in Japanese-Brazilians with class I and class II division 1 malocclusions. Am J Orthod Dentofacial Orthop. 2005;127(1):30–36. doi: 10.1016/j.ajodo.2003.10.043.

  32. 27. Zafarmand AH, Zafarmand MM. Premolar extraction in orthodontics: does it have any effect on the patient’s facial height? J Int Soc Prev Community Dent. 2015;5(1):64–68. PubMed PMID: 25767770; PubMed Cen-tral PMCID: PMC4355853. doi: 10.4103/2231- 0762.151980.

  33. 28. Gkantidis N, Halazonetis DJ, Alexandropoulos E, et al. Treatment strategies for patients with hyperdiver-gent class II division 1 malocclusion: is vertical dimension affected? Am J Orthod Dentofacial Orthop. 2011;140(3):346–355. doi: 10.1016/j.ajodo.2011.05.015.

  34. 29. Klapper L, Navarro SF, Bowman D, et al. The influence of extraction and nonextraction orthodontic treat-ment on brachyfacial and dolichofacial growth patterns. Am J Orthod Dentofacial Orthop. 1992;101(5):425–

  35. 430. doi: 10.1016/0889-5406(92)70116-R.

  36. 30. Chua AL, Lim JY, Lubit EC. The effects of extraction versus nonextraction orthodontic treatment on the growth of the lower anterior face height. Am J Orthod Dentofacial Orthop. 1993;104(4):361–368. doi: 10.1016/S0889-5406(05)81334-4.

  37. 31. BÜHLING S, SCHMIED S, ESLAMI S, BRANDT S, PLEIN N, KOPP S, et al. Changes in the arch width and buccal corridor after fixed orthodontic treatment with Damon self-ligating system: premolar extraction vs. non-extraction. Dental Press Journal of Orthodontics. 2024;29(3).

  38. 32. Kouvelis G, Dritsas K, Doulis I, Kloukos D, Gkantidis N. Effect of orthodontic treatment with 4 premolar extractions compared with nonextraction treatment on the vertical dimension of the face: A systematic re-view. American Journal of Orthodontics and Dentofacial Orthopedics. 2018 Aug;154(2):175–87.

  39. 33 .Ekstam M, Sonesson M, Hellén-Halme K. Effects of premolar extraction and orthodontic treatment in ado-lescents - a retrospective cephalometric study. Acta Odontologica Scandinavica. 2024 Mar 26;92–100.

  40. 34. Elias KG, Sivamurthy G, Bearn DR. Extraction vs nonextraction orthodontic treatment: a systematic review and meta-analysis. The Angle Orthodontist [Internet]. 2024 Jan 1;94(1):83–106. Available from: https:// pubmed.ncbi.nlm.nih.gov/37899069/

  41. 35. Verma S, Sharma V, Tandon P, Singh G, Sachan K. Comparison of esthetic outcome after extraction or non-extraction orthodontic treatment in class II division 1 malocclusion patients. Contemporary Clinical Dentistry. 2013;4(2):206.

  42. 36. View of A thorough analysis of the impact of nonextraction and extraction methods in orthodontic therapy – A review | Multidisciplinary Reviews [Internet]. Malque.pub. 2025 [cited 2025 Jun 22]. Available from: https://malque.pub/ojs/index.php/mr/article/view/4474/2666

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Published

2025-06-01

How to Cite

Ramovic, E. (2025). Evaluation of aesthetic and functional outcomes in orthodontic treatments with and without premolar extraction: A literature review. Optime, 17(1), 38–46. https://doi.org/10.55312/op.v17i1.7249

Numër

No. 1 (2025): Optime

Section

Medicine