Abstract

FIRST AND SECOND UPPER PREMOLAR IN THE TREATMENT FOR AN ORTHODONTIC PATIENT

Janka Jencova, Adriana Petrasova*, Elham Saberian, Andrej Jenca, Kornelia Pandyova, Andrej Jenca, Lucia Kyjovska Eotvosova, Maria Futejova, Natalia Sokolova and Nad'a Homzova

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Abstract

Given society's emphasis on health and aesthetics, it is vital to offer dental solutions and improve treatment methods. One key area is orthodontic planning for tooth crowding and protrusion, which often involves the first and second premolars are extracted. Full molar teeth are optimal candidates for extraction due to their position and structure. However, the removal of permanent teeth while undergoing orthodontic therapy remains a contentious issue due to the importance of preserving healthy teeth and minimizing complications. Until the mid-20th century, many clinicians opposed tooth extraction. However, over time, evidence supporting the effectiveness of tooth extraction in improving dental health and correcting dental disorders led to its acceptance as a viable treatment. Nevertheless, opinions among orthodontists remain divided. Key factors in orthodontic diagnosis include dentoalveolar bone discrepancies, maxillary relations, facial profile, skeletal maturity, and dental asymmetry. This study explores treatment options involving tooth extraction and examines the effect on orthodontics of extracting the first premolar. The findings indicate that the extraction of first and second molars can influence arch width and Results of treatment but negatively affects treatment duration. Moreover, no significant results were observed concerning PAR Score and ABO-OGS indicators. While tooth extraction positively reduces dental crowding, patient characteristics and clinical evaluation should guide treatment decisions.

Keywords: Premolar, Orthodontic extractions, Arch width, Treatment outcomes, Smile aesthetics.