title: Treatment outcomes after extraction and nonextraction treatment evaluated with the American Board of Orthodontics objective grading system.
abstract: BACKGROUND
  A controversy exists regarding better treatment outcomes when patients treated with extractions and without extractions are evaluated. The aims of this study were to use the American Board of Orthodontics objective grading system (ABO-OGS) to evaluate and compare treatment outcomes in extraction vs nonextraction Class I patients and to determine whether the treatment choice was a significant predictor of success according to the ABO examination.
  
  
  METHODS
  Discriminant analysis was applied to a sample of 542 patients, and a borderline sample of 55 patients was obtained. Of these patients, 25 were treated with extractions and 30 without extraction of the 4 first premolars. Treatment results were then assessed using the 8 variables of the ABO-OGS.
  
  
  RESULTS
  The total scores ranged from 11 to 41 (mean, 27.04; SD, 6.3) for the extraction group and from 16 to 44 (mean, 29.07; SD, 7.1) for the nonextraction group. The variable of buccolingual inclination had the highest scores in both groups (8.44 [SD, 3.3] for the extraction group; 8.90 [SD, 3.8] for the nonextraction group; mean difference, 0.46; 95% CI, -1.44, 2.37; P = 0.63). However, no statistically significant intergroup differences were found, either between the scores of the 8 ABO-OGS variables or between the total ABO-OGS scores. Regarding the success rates of the ABO examination, no significant difference was found between the 2 treatment groups (odds ratio, 2.55; 95% CI, 0.74, 0.85; P = 0.14).
  
  
  CONCLUSIONS
  For a patient with a borderline Class I malocclusion, extraction and nonextraction treatment can achieve the same quality of results as assessed by the ABO-OGS. Additionally, in these Class I patients, the treatment modality (extraction or nonextraction) is not a significant predictor of passing the ABO examination.
authors.affiliation: Resident, Department of Orthodontics, Dental School, University of Athens, Athens, Greece.
authors.forename: Chrysi
authors.initials: C
authors.lastname: Anthopoulou
authors.affiliation: Research associate, Department of Orthodontics, Dental School, University of Athens, Athens, Greece. Electronic address: dikons@dent.uoa.gr.
authors.forename: Dimitrios
authors.initials: D
authors.lastname: Konstantonis
authors.affiliation: Professor and head, Department of Orthodontics, Dental School, University of Athens, Athens, Greece.
authors.forename: Margarita
authors.initials: M
authors.lastname: Makou
mesh_terms: D000293:Adolescent; D000328:Adult; D000465:Algorithms; D001641:Bicuspid / Q000601:surgery; D002508:Cephalometry / Q000379:methods; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D008311:Malocclusion, Angle Class I / Q000145:classification / Q000628:therapy*; D008334:Mandible / Q000473:pathology; D008437:Maxilla / Q000473:pathology; D009967:Orthodontic Appliances; D009970:Orthodontics; D057887:Overbite / Q000145:classification / Q000628:therapy; D010347:Patient Care Planning; D012189:Retrospective Studies; D013044:Specialty Boards; D014081:Tooth Extraction / Q000379:methods* / Q000592:standards; D016896:Treatment Outcome; D055815:Young Adult