Effects of first molar extraction on third molar angulation and eruption space.
OBJECTIVE
The aim was to investigate the effects of orthodontic treatment with 4 first molar extractions on the angulations and eruption spaces of all third molars and to compare these changes with outcomes of nonextraction samples used as a control group.


METHODS
This study was carried out on standardized panoramic radiographs of 41 subjects (8 male, 33 female) with a mean age of 16.6 years (range 13 to 20 years). Twenty-one of the subjects were orthodontically treated with extraction of the 4 first permanent molars, and 20 had nonextraction treatment. The angulational changes and eruption spaces of third molars were evaluated on the panoramic radiographs taken before treatment and at the end of the observation period.


RESULTS
Analysis of the linear variables demonstrated a statistically significant difference between the 2 groups for all third molar eruption spaces (P < .001). The mean differences in the third molar eruption spaces between the pretreatment and posttreatment values for the first molar extraction group were higher than those of the nonextraction cases.


CONCLUSIONS
Orthodontic treatment accomplished with extractions of the permanent first molars increases the eruption spaces of third molars and decreases their impaction. In addition, it has greater favorable effect on the angulation of the upper third molars than of the lower third molars.
Bayram
Mehmet
M
Department of Orthodontics, Karadeniz Technical University, Trabzon, Turkey. dtmehmetbayram@yahoo.com
Ozer
Mete
M
Arici
Selim
S
D000293:Adolescent; D005260:Female; D006801:Humans; D008297:Male; D008963:Molar / Q000601:surgery*; D008964:Molar, Third / Q000000981:diagnostic imaging / Q000502:physiology*; D009971:Orthodontics, Corrective / Q000379:methods; D011862:Radiography, Panoramic; D014078:Tooth Eruption; D014081:Tooth Extraction; D014095:Tooth, Impacted / Q000517:prevention & control; D055815:Young Adult