In orthodontic treatment, whether to extract teeth or not is always a controversial issue, and is also an issue that orthodontists are more concerned about.
The purpose of orthodontic tooth extraction is: to relieve crowding and provide clearance for aligning teeth; to improve the convexity of dental arches, inwardly collect front teeth, and improve the lateral facial shape; and to adjust the relationship between molars and the midline relationship between upper and lower front teeth. Although tooth extraction orthodontics has been accepted by today’s orthodontic community, Zhang Shijie, Department of Prosthodontics, Qilu Hospital, Shandong University
Although orthodontic extraction is generally accepted today, the issue of orthodontic extraction is still a matter of personal interest to the patient and should be treated with care.
The decision to extract teeth should be made through detailed examination, careful analysis and orthodontic treatment plan.
The continuous development of orthodontic technology has provided doctors with many means to expand the dental arch in three dimensions. In addition to the traditional rapid spiral arch expansion, the use of various types of labial (buccal) or palatal auxiliary arches, the recent Damon orthodontic system and highly elastic nickel-titanium wires, etc.
In addition to the traditional rapid spiral arch expansion, the application of various types of labial (buccal) or palatal side auxiliary arches, the recent development of Damon orthodontic system and highly elastic nickel-titanium wires, the application of various techniques for distal displacement of pushing and grinding teeth, the application of vertical depression and vertical grinding teeth, the application of the above-mentioned arch expansion techniques provide the possibility to reduce the rate of orthodontic extraction, so many doctors believe that crowding is not a decisive factor in orthodontic extraction, but the facial shape is more important in determining orthodontic extraction. The emergence of implant support, an absolute support technology, has provided more room for development of non-extraction orthodontic treatment, but each technology has certain limitations, and only on the basis of correct diagnosis and the correct use of different orthodontic techniques can achieve the ideal orthodontic effect.
The overall rate of orthodontic extraction in China is higher than that in foreign countries (especially in Europe and America), and the differences may be manifested in several aspects.
① there is a large difference between the jaw morphology of the eastern and western races, the white nose is high; ② oral health care level (especially children
early loss of milk teeth leads to impaired tooth replacement, affecting jaw growth and aggravating permanent tooth crowding.
Early orthodontic treatment is not yet common, and the American Academy of Orthodontics proposes that children should have regular checkups with an orthodontist starting at age 7.
Early orthodontic treatment for children with abnormal permanent tooth eruption and jawbone growth to reduce the degree of malocclusion; ④ The length of orthodontic treatment varies.
The length of orthodontic treatment is different, domestic patients often hope to complete the treatment in a short period of time, and are less willing to accept double orthodontic treatment; ⑤ the difference in orthodontic awareness
(5) differences in orthodontic awareness, domestic patients with orthodontic awareness are mostly patients with severe malformations; (6) differences in the level of alveolar and maxillofacial surgery, such as early extraction of third molars
(6) differences in the level of alveolar and maxillofacial surgery, such as early extraction of third molars, etc.; (7) differences in aesthetics.
The extraction rate of patients in our department has not decreased significantly, but is still higher than 50%, which may be due to the following two reasons.
is that because of the more developed dental culture in developed countries in Europe and America, many patients with mild malocclusion seek orthodontic treatment, while
Most of our patients tend to ask for orthodontic treatment only for more serious malocclusions.
In the future, with the development of social culture and the progress of patients’ awareness, the extraction rate may be reduced accordingly.
In addition, the facial shape of the southern region of Guangdong is more convex, and many cases will choose to extract teeth for orthodontic treatment in order to improve the facial shape. I personally believe that orthodontic treatment must be combined with the local population’s facial
I personally believe that orthodontic treatment must be combined with the local facial features, aesthetic tendencies, not the blind pursuit of trends, the extraction of teeth orthodontic treatment must be extracted.
Tooth extraction or not, the number of extractions, extraction sites, extraction timing are issues that orthodontists face and think about all the time.
The variability of the choice of extraction is related to the different focus of the doctor, patient and parents on the goal of orthodontic treatment, generally speaking, the choice of
Generally speaking, the choice of extracting any tooth in the mouth has its own reasons, depending on the operator’s guiding philosophy, the patient’s state at the time and subjective requirements.
The choice to extract any tooth in the mouth has its own rationale, depending on the operator’s guidelines, the patient’s status at the time and subjective requirements. Tooth extraction should be done with the full understanding and cooperation of the patient and family, and should not be done reluctantly to avoid subsequent disputes.
To extract or not to extract is a question that orthodontic clinicians encounter and must answer every day. The specificity of each case determines
Each treatment plan is different, and for the same case, different clinicians may develop different treatment plans due to their educational background, clinical experience and other factors
The ultimate goal of orthodontic treatment: to provide the best possible treatment for the patient. The ultimate goal of orthodontic treatment: aesthetics, function, health, and stability, is the principle of the best plan.
The ultimate goal of orthodontic treatment: aesthetics, function, health, and stability, is the principle of the best plan.
As an orthodontist, we should consider all the above-mentioned factors and analyze them.
As an orthodontist, it is necessary to consider all the above-mentioned factors, analyze their advantages and disadvantages, make specific analysis according to different individuals, and fully consider the relationship between aesthetics, function, stability and coordination.
We should fully consider the relationship and balance between aesthetics, function, stability and coordination, fully solicit and listen to the reasonable opinions of patients, and make a reasonable plan according to our own technical ability and level.
The patient should be fully consulted and listened to, and a reasonable orthodontic plan should be formulated according to his or her technical ability and level. To be cautious in extracting teeth, based on adequate and not impulsive, careful analysis of the importance of
The first thing you need to do is to make sure that you have a good idea of what you want to do.