Movement of teeth adjacent to posterior bounded edentulous spaces.
Bounded edentulous spaces (BES)-a missing posterior tooth with intact adjacent teeth-are thought to lead to arch collapse resulting from the movement of adjacent teeth. To determine the rate of change in distance between teeth adjacent to a BES, we examined three successive measurable radiographs of 116 untreated posterior BES cases. The distance between the teeth (DBT) adjacent to the space was measured, and change in DBT (delta DBT) between pre-extraction and follow-up radiographs was calculated. We used linear spline regression to construct models for tooth movement and to identify factors associated with delta DBT. The mean delta DBT was < 1 mm during the first year post-extraction, and the DBT continued to decrease at a successively slower rate each following year. Overall and for each tooth type, the greatest rates of decrease in DBT were seen in the zero to two-year period. In a multivariable model, time since extraction and tooth type were significantly associated with delta DBT. These findings suggest that movement of teeth adjacent to a posterior BES after the first two years is usually gradual and minor within the time frame of this study.
Gragg
K L
KL
Department of Orthodontics, Center for Health Services Research, School of Dentistry, The University of North Carolina, Chapel Hill 27599-7450, USA. graggk@dentistry.unc.edu
Shugars
D A
DA
Bader
J D
JD
Elter
J R
JR
White
B A
BA
D000328:Adult; D001641:Bicuspid / Q000503:physiopathology; D015331:Cohort Studies; D003724:Dental Arch / Q000503:physiopathology; D005260:Female; D006801:Humans; D007576:Jaw, Edentulous, Partially / Q000473:pathology / Q000503:physiopathology*; D008297:Male; D008963:Molar / Q000503:physiopathology; D012044:Regression Analysis; D012189:Retrospective Studies; D014081:Tooth Extraction / Q000009:adverse effects*; D014085:Tooth Migration / Q000209:etiology*