Diagnosis and case analysis in orthodontics

Carey, C.W.

doi:10.1016/0002-9416(52)90105-x

Cited by 31 publications

(14 citation statements)

References 1 publication

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“…Baumrind et al also discovered that crowding was the number one reason cited by most clinicians when they decided to extract. 16 Other patient factors affect the clinicians' decisions 9,16,17 and may be subject to interpretation and perceptual variation among orthodontists. The current study confirmed that clinicians are choosing the same diagnostic information as reasons to either extract or not extract.…”

Section: Discussionmentioning

confidence: 99%

Influence of clinicians' experience and gender on extraction decision in orthodontics

Saghafi

Heaton

Bayirli

et al. 2017

The Angle Orthodontist

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Objective: To determine whether, in Class I borderline cases, experienced orthodontists choose nonextraction treatment more frequently than do orthodontists with less experience. A secondary aim was to evaluate whether clinicians' gender and place of education play a role in extraction decision making. Materials and Methods: An online survey was developed using three Class I borderline patient cases. The survey included questions about clinicians' demographics as well as questions about the selected cases. The survey was distributed to approximately 2000 clinicians through the American Association of Orthodontics.Results: Of the 253 responses collected, a trend was observed wherein clinicians with more than 15 years of experience preferred an extraction treatment option more frequently than did clinicians with less than 5 years of experience. There was no association between gender and place of education and the decision to extract in the selected borderline cases. Crowding, patient's profile, and mandibular incisor inclination were among the top three reasons chosen by clinicians for both the extraction and nonextraction treatment decisions. Conclusions: A trend was observed in which clinicians with more experience chose an extraction treatment option more frequently in borderline cases than did those with less experience. Clinicians' gender did not play a role in extraction decision making. (Angle Orthod. 2017;87:641-650.)

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Section: Discussionmentioning

confidence: 99%

Influence of clinicians' experience and gender on extraction decision in orthodontics

Saghafi

Heaton

Bayirli

et al. 2017

The Angle Orthodontist

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“…Carey has set 2.5-5 mm TASLD as a borderline case. [4] McNamara set arbitrary borderlines of 3-6 mm. [5] Gust, concluded "amount of maxillary arch length discrepancy may range from 6 to 8-11 mm for borderline cases.…”

Section: Tooth-size Arch Length Deficiency (Tsald)mentioning

confidence: 99%

A dilemma in orthodontics: Extractions in borderline cases

Dhiman¹,

Maheshwari²

2015

JCRI

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Patient with good facial esthetics require extractions to reach a stable and functional occlusion can be categorized as a borderline case. It may also be defined as the case caught in between the conflict of extraction and nonextraction. Empirical evidence of uncertainty exists with these patients. Borderline cases may also have an absence of dental or craniofacial anomalies, permanent dentition, healthy periodontium and normal anteroposteriorly relationship between maxilla and mandible. Therefore, the aim of this paper is to describe criteria, which should be kept in mind before deciding to go for extraction or nonextraction treatment in borderline cases.

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“…-Agenesis of second premolars, morphological crown anomalies or root loss due to caries or to inclusion (1,4). -Crowding more than 2.5 mm and lower than 5 mm (3,4,15). -Good profile with slight crowding (1, 4, 7).…”

Section: Introductionmentioning

confidence: 99%

“…In 1949, Nance (11) described the treatment of a case with agenesis of the second premolars and expressed his opinion on how these teeth could be removed in conditions where they presented various reconstruction problems or were perhaps fractured, or where they could be an alternative extraction choice in cases of minimal crowding, even if this demands thorough attention to anterior anchorage. Carey (3) in 1952 was the first to use the term 'borderline' and to ascertain that, in cases whose arch-length discrepancy was higher than 2.5 mm but lower than 5 mm, the extraction of second premolars must be considered. Such a therapeutic procedure did not attract any interest until in 1955.…”

Section: Introductionmentioning

confidence: 99%

Second premolar extraction procedures

Conte¹,

Giaccari²,

Giorgetti³

2001

Prog Orthod

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Dental alignment is only one of the objectives of orthodontic treatment. Other equally important objectives are the stability of dentition, health of the tissues, and the harmony and balance of facial aesthetics. The most important question that the clinician has to ask is whether the extraction of four teeth is warranted in borderline cases. Even if the extraction of four first premolars is a universally accepted procedure in borderline cases with light crowding, but without significant skeletal disharmony, it is best to wait for the permanent teeth to erupt and the profile to mature before decisions to extract and which teeth to extract are made. When the profile is harmonious or somewhat flat, in order to resolve the crowding problem, extraction of the second premolars can help because the anterior region can be controlled excellently. A treatment plan with these teeth extracted keeps the facial aesthetics unaffected.

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Diagnosis and case analysis in orthodontics

Cited by 31 publications

References 1 publication

Influence of clinicians' experience and gender on extraction decision in orthodontics

Influence of clinicians' experience and gender on extraction decision in orthodontics

A dilemma in orthodontics: Extractions in borderline cases

Second premolar extraction procedures

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