Orthodontic treatment for distalising upper first molars in children and adolescents

Abstract

Orthodontic treatment for distalising upper first molars in children and adolescents (Review)

Abnormalities in the development of the second molars and orthodontic treatment without extraction of premolars. Management of posterior crowding

“…A recent Cochrane analysis 17 gives an update on all the reliable studies comparing the intra-oral and extra-oral appliances for molar retraction or for at least maintaining molar position before the loss of the primary second molars. It shows that the intra-oral appliances allow for increased molar retraction but this increase is associated with a loss of anterior anchorage that is avoided with extra-oral forces (EOF).…”

Comparison of surgical and non-surgical orthodontic treatment approaches on occlusal and cephalometric outcomes in patients with severe Class II division I malocclusions

“…The control was no treatment or delayed treatment (as in, there was a first phase early in life and a second phase planned for adolescence). However, no RCTs or CCTs meeting the criteria could be identified by the researchers and so, the authors concluded that it "was not possible to provide any evidence-based guidance to recommend or discourage any type of orthodontic treatment to correct Class II division 2 malocclusion in children" (Jambi et al, 2013).…”

“…This international collaboration aims to provide and compile information from various scientific fields and make this available to the research community. Four studies in particular were especially pertinent to this research (Thiruvenkatachari et al, 2015;Chaiyongsirisern et al, 2009;Jambi et al, 2013).…”

“…As mentioned, Class II cases can be treated in three ways: orthopedics, masking (involves extraction of teeth), and surgery (can involve extraction of teeth). Millett et al researched treatment options for young patients with a deep bite and upright incisors (Jambi et al, 2013). This study aimed to determine how non-extraction orthodontic treatment compared to orthodontic treatment with extraction or no treatment in general.…”

“…This could be because treatment of this malocclusion is multi-factorial, depending on age, timing of treatment, and patient concerns and desires. Current literature in this area is lacking in nonbias or low-bias articles with high levels of evidence Therefore, it is prudent for current researchers to work to provide well-founded additions to the pool (Brady 2016Chaiyongsirisern et al, 2009;Jambi et al, 2013;Millett et al, 2006;Koletsi et al, 2014).…”