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Comparison of soft tissue changes between incisor tipping and translation after premolar extraction

Korean Journal of Orthodontics 2022³â 52±Ç 1È£ p.42 ~ 52
¹é¿ø°æ, ÃÖ¼ºÈ¯, Â÷Á¤¿­, À¯Çü¼®, À̱âÁØ,
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¹é¿ø°æ ( Baik Won-Kyeong ) - Yonsei University College of Dentistry Department of Orthodontics
ÃÖ¼ºÈ¯ ( Choi Sung-Hwan ) - Yonsei University College of Dentistry Department of Orthodontics
Â÷Á¤¿­ ( Cha Jung-Yul ) - Yonsei University College of Dentistry Department of Orthodontics
À¯Çü¼® ( Yu Hyung-Seog ) - Yonsei University College of Dentistry Department of Orthodontics
À̱âÁØ ( Lee Kee-Joon ) - Yonsei University College of Dentistry Department of Orthodontics

Abstract


Objective: This study compared soft tissue changes after extraction of the four premolars followed by maximum retraction of the anterior teeth according to the type of anterior teeth movement: tipping and translation.

Methods: Patients who had undergone orthodontic treatment involving the extraction of four premolars were retrospectively selected and divided into either the tipping (n = 27) or translation (n = 26) groups based on the retraction of the incisor root apex and the axis changes of the incisors during the treatment period. Lateral pre- and post-treatment cephalograms were analyzed.

Results: There were no significant differences between the tipping and translation groups before treatment. The retraction amounts of the root apex of the upper and lower incisors in the tipping group were 0.33 and 0.26 mm, respectively, and 5.02 and 5.31 mm, respectively, in the translation group (p < 0.001). The posterior movements of soft tissue points A and B in the tipping group were 0.61 and 1.25 mm, respectively, and 1.10 and 3.25 mm, respectively, in the translation group (p < 0.01). The mentolabial sulcus angle increased by 5.89¡Æ in the tipping group, whereas it decreased by 8.13¡Æ in the translation group (p < 0.001).

Conclusions: An increased amount of retraction of the incisor root apex led to the increased posterior movement of soft tissue points A and B, and this appeared more distinct in cases involving the lower incisor and lower lip.

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Tooth movement; Soft tissue; Tipping; Translation

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SCI(E)
KCI
KoreaMed