Treatment planning for patients with dental arch asymmetry caused by loss of a premolar on one side of the mouth

• Main Authors: Ivanova О.P., Dmitrienko S.V., Jaradajkina М.N., Dmitrienko D.S. Kovalev M.O., Mukhina N.M.
• Format: Article
• Language: Russian
• Published: Saratov State Medical University 2013-09-01
• Series: Саратовский научно-медицинский журнал
• Subjects: dental arch; dental arch asymmetry; dental implant
• Online Access: http://www.ssmj.ru/system/files/2013-03_400-403.pdf

The objective of this study is to determine a selection criterion that is applicable for the treatment of patients with dental arch asymmetry caused by loss of a premolar on one side of the mouth. Material and methods. Fifty-seven patients (first maturity level) who had some teeth extracted for orthodontic treatment were included in the study. The patients were divided into basic and control groups. We proposed to shape the extraction socket immediately after the extraction of a permanent tooth. In the basic group the extraction sockets were filled with osteoplastic material. Patients in the control group refused any surgical interventions. Results. According to a given criterion, the correlation between tooth size and dental arch parameters has been determined. When applying this criterion for finding the correlation, the frontal distal diagonal size of the dental arch was multiplied by 1.14 coefficient. The sum of the mesiodistal diameters of seven teeth in the half-arc was subtracted from the obtained value. The value which was equal to 0±1.0mm indicated the correlation between tooth size and dental arch parameters. Conclusion. If there is a correlation between tooth size and dental arch parameters, it is advisable to provide treatment associated with having the post-extraction socket opened and implant therapy performed (most commonly with the use of intraosseous dental implants).