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Anthony A Gianelly

Publications and source records attributed to Anthony A Gianelly.

4 recordsLinked to original sources
PubMed2003

Extraction vs nonextraction: arch widths and smile esthetics.

Dental casts of 30 patients treated with extraction and 30 patients without extraction of four first premolars were randomly selected to determine changes in arch width as a result of treatment. Arch widths were measured from the cusp tips of the canines, premolars, and molars. Posttreatment arch widths were also measured in the midline at a constant arch depth from the most labial surfaces of the incisors. Standardized frontal photographs of the face taken during smiling of 12 extraction- and 12 nonextraction-treated subjects were evaluated. Fifty laypersons judged the esthetics of the smiles. Intercanine width increased less than one mm in both groups, and there was no difference between the two groups. The interpremolar and intermolar distance in both arches decreased significantly from 0.53 to 0.95 mm in the extraction sample, whereas the interpremolar and intermolar widths increased significantly from 0.81 to 2.10 mm in the nonextraction sample. When arch widths of both groups were measured from the most labial surfaces of the teeth at a constant depth, the average arch width of both arches was significantly wider in the extraction sample (1.8 mm wider in the mandible and 1.7 mm wider in the maxilla). The mean esthetic score and the number of teeth displayed during a smile did not differ between the groups. The results indicate that arch width is not decreased at a constant arch depth because of extraction treatment, and smile esthetics are the same in both groups of patients.

Adolescent↗
PubMed2003

Arch width after extraction and nonextraction treatment.

An undocumented criticism of extraction treatment is that it results in narrower dental arches when compared with nonextraction therapy. Anterior and posterior arch widths of the maxillary and mandibular arches of 25 patients treated by 4 first-premolar extraction and 25 patients treated without extractions were measured on posttreatment study models and compared statistically to determine whether the dental arches were narrower after extraction treatment, to test the accuracy of this view. Measurements were made in the canine and the molar regions from the most labial aspect of the buccal surfaces of the canines and the molars. In both groups, anterior and posterior arch widths were the same except for the mandibular intercanine dimension, which was 0.94 mm larger (P <.01) in the extraction group. This indicates that extraction treatment does not result in narrower dental arches than nonextraction treatment.

Dental Arch↗