Alcaraz Ros GDD, Eduardo Bravo Vallejo G, Peloso RM, Martins Gambardela-Tkacz C, Cotrin P, Maria Salvatore de Freitas K, Roberto de Freitas M. Smile attractiveness in patients treated with or without 4 premolar extractions: A 36-year follow-up.
Am J Orthod Dentofacial Orthop 2024;
165:618-627. [PMID:
38456851 DOI:
10.1016/j.ajodo.2023.12.010]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2023] [Revised: 12/01/2023] [Accepted: 12/01/2023] [Indexed: 03/09/2024]
Abstract
INTRODUCTION
This study aimed to assess the smile attractiveness in patients treated with or without 4 premolar extractions at a 36-year follow-up.
METHODS
The sample comprised 52 patients with Class I and II malocclusion divided into 2 groups. Group 1 consisted of 15 patients treated without extractions (10 females and 5 males), with a mean pretreatment, posttreatment, and long-term posttreatment (T3) age of 13.2, 15.1, and 49.8 years, respectively. The mean treatment time was 1.9 years, and the mean long-term follow-up period was 34.7 years. Group 2 consisted of 37 patients (25 females and 12 males) treated with 4 premolar extractions, with a mean pretreatment, posttreatment, and long-term posttreatment age of 13.3, 15.7, and 53.6 years, respectively. The mean treatment time was 2.3 years, and the mean long-term follow-up period was 37.9 years. The mean retention time was 2 years for both groups. Frontal smiling photographs were obtained at long-term follow-up. Smile attractiveness was evaluated in an online questionnaire in which the evaluator could rate the smiling photographs with a 10-point scale. The randomly selected evaluator sample consisted of 62 laypeople, 33 dentists, and 89 orthodontists. Independent t tests, 1-way analysis of variance, and Tukey tests were used for intergroup comparisons at P <0.05.
RESULTS
The smile attractiveness on the long term was similar in the groups treated with 4 premolar extractions (4.70 ± 1.35) or without extractions (4.51 ± 1.46). Women and orthodontists were more critical in assessing smile attractiveness than men, dentists, and laypeople.
CONCLUSIONS
After long-term posttreatment, the smile attractiveness was similar in patients treated with 4 premolar extractions or without extractions.
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