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Age-related long-term posttreatment occlusal and arch changes.
MedLine Citation:
PMID:  19905848     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
ABSTRACT Objective: To evaluate differences in long-term postretention changes between adolescents and adults. Materials and Methods: The sample included 96 subjects, 51 adolescents and 45 adults (14.2 +/- 0.8 and 21.5 +/- 6.8 years of age, respectively, at the end of treatment) retained for 3 years and followed approximately 16 years post treatment, who were randomly selected from two private practices. Prior to treatment, 38 and 58 had Class I and Class II malocclusions, respectively. Results: With the exception of adult midlines, all of the occlusal variables (overjet [0.50-0.77 mm], overbite [0.85-0.95 mm], the maxillary incisor irregularity [0.69-0.80 mm], the mandibular incisor irregularity [0.85-1.50 mm] and the PAR score [0.86-1.92 points]) showed significant increases over time. Adolescents consistently showed greater increases of the occlusal variables than adults, with mandibular incisor irregularity and the PAR index attaining statistically significant (P < .05) levels. Arch length and mandibular intercanine width showed statistically significant decreases over time in both groups; maxillary intercanine and intermolar widths did not change significantly. Overjet increased significantly more in Class II patients than in Class I patients, whereas Class I patients showed significantly greater decreases in mandibular intermolar width than Class II patients. Conclusions: Over the 16-year posttreatment period, adolescents showed significantly greater increases in mandibular incisor irregularity, and the PAR index than adults. Treated Class I patients demonstrated less increase in overjet and greater decreases in mandibular intermolar width than Class II patients.
Authors:
Hyunjung Park; Jim C Boley; Richard A Alexander; Peter H Buschang
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Angle orthodontist     Volume:  80     ISSN:  0003-3219     ISO Abbreviation:  Angle Orthod     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2009-11-12     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370550     Medline TA:  Angle Orthod     Country:  United States    
Other Details:
Languages:  eng     Pagination:  247-53     Citation Subset:  D; IM    
Affiliation:
a Research Scientist, Department of Orthodontics, Baylor College of Dentistry, Dallas, Tex.
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