The effects of extracting upper second permanent molars on lower second permanent molar position. 1996

R Smith
Basingstoke District Hospital.

There is some controversy over whether the extraction of upper second permanent molars as part of orthodontic treatment leads to the over eruption of unopposed lower second permenent molars. A study was established to investigate the presence of any over-eruption in a group of subjects who had upper second permanent molars extracted as part of a previous course of orthodontic treatment. These subjects (the experimental group) were compared with a control group of subjects, matched for age and sex. Upper and lower impressions were taken, and the vertical positions of the posterior teeth were objectively assessed from the study models using the travelling microscope. Measurements from the study models showed that the distal aspect of the lower second permanent molar had over erupted in the experimental group when compared to the control (P < 0.001 right, P < 0.05 left). The degree of over-eruption was influenced on the mesial aspect by the distal position of the upper first permanent molar (P < 0.01), but the distal aspect was not. Eruption of the upper third molar did not affect the over-eruption of the lower second permanent molar in the experimental group. The majority of upper third molars had erupted at least 3 years since the upper second molars had been extracted, but the majority had erupted into an unfavourable contact position with the first permanent molar.

UI MeSH Term Description Entries
D008297 Male Males
D008334 Mandible The largest and strongest bone of the FACE constituting the lower jaw. It supports the lower teeth. Mylohyoid Groove,Mylohyoid Ridge,Groove, Mylohyoid,Grooves, Mylohyoid,Mandibles,Mylohyoid Grooves,Mylohyoid Ridges,Ridge, Mylohyoid,Ridges, Mylohyoid
D008437 Maxilla One of a pair of irregularly shaped bones that form the upper jaw. A maxillary bone provides tooth sockets for the superior teeth, forms part of the ORBIT, and contains the MAXILLARY SINUS. Maxillae,Maxillary Bone,Bone, Maxillary,Bones, Maxillary,Maxillary Bones,Maxillas
D008963 Molar The most posterior teeth on either side of the jaw, totaling eight in the deciduous dentition (2 on each side, upper and lower), and usually 12 in the permanent dentition (three on each side, upper and lower). They are grinding teeth, having large crowns and broad chewing surfaces. (Jablonski, Dictionary of Dentistry, 1992, p821) Molars
D008964 Molar, Third The aftermost permanent tooth on each side in the maxilla and mandible. Tooth, Wisdom,Teeth, Wisdom,Molars, Third,Third Molar,Third Molars,Wisdom Teeth,Wisdom Tooth
D003765 Models, Dental Presentation devices used for patient education and technique training in dentistry. Dental Models,Dental Model,Model, Dental
D003766 Dental Occlusion The relationship of all the components of the masticatory system in normal function. It has special reference to the position and contact of the maxillary and mandibular teeth for the highest efficiency during the excursive movements of the jaw that are essential for mastication. (From Jablonski, Dictionary of Dentistry, 1992, p556, p472) Canine Guidance,Occlusal Guidance,Occlusal Plane,Occlusion, Dental,Dental Occlusions,Guidance, Canine,Guidance, Occlusal,Occlusal Guidances,Occlusal Planes,Occlusions, Dental,Plane, Occlusal,Planes, Occlusal
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults

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