Long-term stability of mandibular incisor alignment in patients treated nonextraction with or without interproximal enamel reduction


Alpakan Ö. O., TÜRKÖZ Ç., Varlık S.

AMERICAN JOURNAL OF ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS, cilt.163, sa.6, ss.802-810, 2023 (SCI-Expanded) identifier identifier identifier

Özet

Introduction: This study aimed to compare long-term mandibular incisor stability in nongrowing patients with moderate crowding treated nonextraction with and without interproximal enamel reduction (IPR).Methods: Forty-two nongrowing patients with Class I dental and skeletal malocclusion with moderate crowding were divided into 2 groups with an equal number of patients depending on whether IPR was used (IPR group) or not (non-IPR group) during treatment. All patients were treated by the same practitioner and used thermoplastic retainers full-time for 12 & PLUSMN; 1 months at the end of the active treatment. Changes in Peer Assessment Rating scores, Little's irregularity index (LII), intercanine width (ICW), and mandibular incisor inclination (IMPA and L1-NB & DEG;) were evaluated using pretreatment, posttreatment, and 8 & PLUSMN; 1 years postretention dental models and lateral cephalograms.Results: At the end of the treatment, Peer Assessment Rating scores and LII decreased, and ICW, IMPA, and L1-NB & DEG; increased significantly (P <0.001) in both groups. At the end of the postretention period, in both groups, LII increased, and ICW decreased significantly (P <0.001) compared with posttreatment values, whereas IMPA and L1-NB remained stable. When treatment changes were compared, increases in ICW, IMPA, and L1-NB were significantly (P <0.001) higher in the non-IPR group. When postretention changes were compared, the only significant difference between 2 groups was observed in ICW. The decrease in ICW was significantly higher in the non-IPR group. Conclusions: Long-term stability of mandibular incisor alignment in Class I nongrowing patients with moderate crowding treated nonextraction with and without IPR was similar. (Am J Orthod Dentofacial Orthop 2023;163:802-10)