[The effect of first premolar extraction on third molar angulation and eruption space].
OBJECTIVE
To study the influence of the first premolar extraction on the angulation and eruption space of third molar.


METHODS
One hundred and twenty patients cases of Class I malocclusions were divided into 2 groups by age, who were treated with extraction and non-extraction respectively. The following values was measured: angle of cusp line between the second and third molar(alpha angle),impact state and depth, distance from Rickett's Xi to distal cusp of third mandibular molar along the occlusal plane(Xi-LTM), anterior border of ramus to the third mandibular molar(R-LTM), distance from projection of distal contact point of maxillary third molar to intersection of pterygoid vertical on occlusal plane (PTV-UTM). The change between pre- and post-treatment was calculated and analyzed with SPSS10.0 software package. alpha angle, Xi-LTM, R-LTM, R-LTM were tested with independent-sample t test, impact state and depth was tested with Chi-square test. Influence of age on the values was also evaluated.


RESULTS
In younger group, changes of mandibular alpha angle and Xi-LTM in extraction group was 7.16 degrees and 3.22mm, but in elder group, these changes was 2.42 degrees and 2.10mm, all values were significantly larger than non-extraction group (P<0.05). Impact state and depth of third mandibular molar improved in extraction group, while there was no significant changes in the maxilla.


CONCLUSIONS
The third mandibular molar becomes upright and distal movement after first premolar extraction. The possibility of the third mandibular molar impaction is decreased, but the effect on the maxilla is not significant.
Department of Orthodontic, Hangzhou Dental Hospital, Hangzhou 310006, Zhejiang Province, China. zhxyz2@yahoo.com.cn
Jing-zhong
JZ
Xie
D000368:Aged; D001641:Bicuspid; D003766:Dental Occlusion; D006801:Humans; D008311:Malocclusion, Angle Class I; D008334:Mandible; D008437:Maxilla; D008963:Molar; D008964:Molar, Third; D014078:Tooth Eruption; D014081:Tooth Extraction; D014095:Tooth, Impacted