Caroline Martins Gambardela-Tkacz, Gabriela de Domênico Alcaraz Ros, Paula Cotrin, Gabriel Eduardo Bravo Vallejo, Renan Morais Peloso, Tiago Fialho, Daniela Garib, Diego Astúa, Karina Maria Salvatore de Freitas, Marcos Roberto de Freitas
{"title":"牙弓变化的几何形态计量学分析：对4颗前磨牙拔牙治疗的轻度和重度拥挤患者进行40年随访。","authors":"Caroline Martins Gambardela-Tkacz, Gabriela de Domênico Alcaraz Ros, Paula Cotrin, Gabriel Eduardo Bravo Vallejo, Renan Morais Peloso, Tiago Fialho, Daniela Garib, Diego Astúa, Karina Maria Salvatore de Freitas, Marcos Roberto de Freitas","doi":"10.1016/j.ajodo.2025.07.013","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>This research aimed to evaluate changes in dental arch shape during orthodontic treatment and long-term follow-up (T3) in patients treated with 4 premolar extractions because of mild to severe initial dental crowding using the geometric morphometric analysis.</p><p><strong>Methods: </strong>The sample consisted of 32 patients treated with 4 premolar extractions divided into 2 groups according to the Little's irregularity index (LII) at pretreatment (T1; mild or severe crowding). Group mild crowding: 15 subjects with an initial LII of ≤6 mm, and mean T1, posttreatment (T2), and T3 ages of 13.52, 16.05, and 55.15 years, respectively. The mean treatment and T3 times were 2.53 and 39.09 years, respectively. Group severe crowding: 17 subjects with an initial LII of >6 mm with mean T1, T2, and T3 ages of 13.43, 15.48, and 54.41 years, respectively. The mean treatment and T3 times were 2.05 and 38.92 years, respectively. The images from the digital dental models at T1, T2, and T3 were analyzed with principal components analysis and canonical variates analysis on shape variables after a generalized procrustes analysis, to examine intragroup and intergroup arch shape changes at T1, T2, and T3.</p><p><strong>Results: </strong>The principal components analysis revealed that the arch shape variations at T1 were related to the displacement of incisors and canines. At T2, the variations were due to the 4-premolar extractions and anterior retraction. The variation after nearly 40 years was related to both the relapse of anteroinferior teeth and the aging of the occlusion. The arch shape changed with treatment and remained acceptable at T3. The canonical variates analysis illustrated that the maxillary and mandibular shape of dental arches were similar for both groups.</p><p><strong>Conclusions: </strong>Dental arch shape was modified during orthodontic treatment and remained relatively stable at T3 in both groups, despite some degree of relapse and maturational changes in the occlusion.</p>","PeriodicalId":50806,"journal":{"name":"American Journal of Orthodontics and Dentofacial Orthopedics","volume":" ","pages":""},"PeriodicalIF":3.0000,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Geometric morphometric analyses of dental arch changes: A 40-year follow-up in patients with initial mild and severe crowding treated with 4 premolar extractions.\",\"authors\":\"Caroline Martins Gambardela-Tkacz, Gabriela de Domênico Alcaraz Ros, Paula Cotrin, Gabriel Eduardo Bravo Vallejo, Renan Morais Peloso, Tiago Fialho, Daniela Garib, Diego Astúa, Karina Maria Salvatore de Freitas, Marcos Roberto de Freitas\",\"doi\":\"10.1016/j.ajodo.2025.07.013\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>This research aimed to evaluate changes in dental arch shape during orthodontic treatment and long-term follow-up (T3) in patients treated with 4 premolar extractions because of mild to severe initial dental crowding using the geometric morphometric analysis.</p><p><strong>Methods: </strong>The sample consisted of 32 patients treated with 4 premolar extractions divided into 2 groups according to the Little's irregularity index (LII) at pretreatment (T1; mild or severe crowding). Group mild crowding: 15 subjects with an initial LII of ≤6 mm, and mean T1, posttreatment (T2), and T3 ages of 13.52, 16.05, and 55.15 years, respectively. The mean treatment and T3 times were 2.53 and 39.09 years, respectively. Group severe crowding: 17 subjects with an initial LII of >6 mm with mean T1, T2, and T3 ages of 13.43, 15.48, and 54.41 years, respectively. The mean treatment and T3 times were 2.05 and 38.92 years, respectively. The images from the digital dental models at T1, T2, and T3 were analyzed with principal components analysis and canonical variates analysis on shape variables after a generalized procrustes analysis, to examine intragroup and intergroup arch shape changes at T1, T2, and T3.</p><p><strong>Results: </strong>The principal components analysis revealed that the arch shape variations at T1 were related to the displacement of incisors and canines. At T2, the variations were due to the 4-premolar extractions and anterior retraction. The variation after nearly 40 years was related to both the relapse of anteroinferior teeth and the aging of the occlusion. The arch shape changed with treatment and remained acceptable at T3. The canonical variates analysis illustrated that the maxillary and mandibular shape of dental arches were similar for both groups.</p><p><strong>Conclusions: </strong>Dental arch shape was modified during orthodontic treatment and remained relatively stable at T3 in both groups, despite some degree of relapse and maturational changes in the occlusion.</p>\",\"PeriodicalId\":50806,\"journal\":{\"name\":\"American Journal of Orthodontics and Dentofacial Orthopedics\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":3.0000,\"publicationDate\":\"2025-09-12\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"American Journal of Orthodontics and Dentofacial Orthopedics\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.ajodo.2025.07.013\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"DENTISTRY, ORAL SURGERY & MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"American Journal of Orthodontics and Dentofacial Orthopedics","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.ajodo.2025.07.013","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
Geometric morphometric analyses of dental arch changes: A 40-year follow-up in patients with initial mild and severe crowding treated with 4 premolar extractions.
Introduction: This research aimed to evaluate changes in dental arch shape during orthodontic treatment and long-term follow-up (T3) in patients treated with 4 premolar extractions because of mild to severe initial dental crowding using the geometric morphometric analysis.
Methods: The sample consisted of 32 patients treated with 4 premolar extractions divided into 2 groups according to the Little's irregularity index (LII) at pretreatment (T1; mild or severe crowding). Group mild crowding: 15 subjects with an initial LII of ≤6 mm, and mean T1, posttreatment (T2), and T3 ages of 13.52, 16.05, and 55.15 years, respectively. The mean treatment and T3 times were 2.53 and 39.09 years, respectively. Group severe crowding: 17 subjects with an initial LII of >6 mm with mean T1, T2, and T3 ages of 13.43, 15.48, and 54.41 years, respectively. The mean treatment and T3 times were 2.05 and 38.92 years, respectively. The images from the digital dental models at T1, T2, and T3 were analyzed with principal components analysis and canonical variates analysis on shape variables after a generalized procrustes analysis, to examine intragroup and intergroup arch shape changes at T1, T2, and T3.
Results: The principal components analysis revealed that the arch shape variations at T1 were related to the displacement of incisors and canines. At T2, the variations were due to the 4-premolar extractions and anterior retraction. The variation after nearly 40 years was related to both the relapse of anteroinferior teeth and the aging of the occlusion. The arch shape changed with treatment and remained acceptable at T3. The canonical variates analysis illustrated that the maxillary and mandibular shape of dental arches were similar for both groups.
Conclusions: Dental arch shape was modified during orthodontic treatment and remained relatively stable at T3 in both groups, despite some degree of relapse and maturational changes in the occlusion.
期刊介绍：
Published for more than 100 years, the American Journal of Orthodontics and Dentofacial Orthopedics remains the leading orthodontic resource. It is the official publication of the American Association of Orthodontists, its constituent societies, the American Board of Orthodontics, and the College of Diplomates of the American Board of Orthodontics. Each month its readers have access to original peer-reviewed articles that examine all phases of orthodontic treatment. Illustrated throughout, the publication includes tables, color photographs, and statistical data. Coverage includes successful diagnostic procedures, imaging techniques, bracket and archwire materials, extraction and impaction concerns, orthognathic surgery, TMJ disorders, removable appliances, and adult therapy.
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