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Jimmy C Boley

Publications and source records attributed to Jimmy C Boley.

3 recordsLinked to original sources

Long-term profile changes in extraction and nonextraction patients.

INTRODUCTION: The purpose of this investigation was to determine the long-term differences in soft tissue profile changes between extraction and nonextraction patients who had been treated to the same incisor position and lip line. METHODS: Twenty extraction and 20 matched nonextraction patients, with posttreatment and long-term follow-up (average 15 years) records, were selected from a single private orthodontic practice. Posttreatment and long-term follow-up profile photos of the patients' nose, lip, and chin areas were evaluated by 105 orthodontists and 225 laypeople, who indicated their preferences and the amount of change they perceived among the 40 profiles. The patients had similar dental protrusion, soft tissue profile measurements, and ages at the posttreatment observation. RESULTS: No significant cephalometric differences between the extraction and nonextraction groups were found at long-term follow-up; both groups showed similar long-term changes. Significant (P < .05) differences were found between males and females at long-term follow-up; male lips became relatively more retrusive, and their profiles became flatter. Significant (P < .05) changes in the profiles were also perceived over time, but there was no relationship between the amount of change perceived and profile changes measured cephalometrically. There were also no significant (P < .05) differences in preferences between orthodontists and laypeople, between extraction and nonextraction patients, or between males and females. CONCLUSIONS: If extraction and nonextraction patients are treated to the same incisor position and lip line, the treatment modality does not affect long-term soft tissue profile changes. Furthermore, the amounts of change perceived by either orthodontists or laypeople were not related to the amount of change measured cephalometrically.

Bicuspid↗

Long-term stability of Class I premolar extraction treatment.

This study evaluates Class I, 4-premolar-extraction patients who were treated with the edgewise appliance by 1 practitioner, according to the philosophy of Tweed, and who had been out of retention a minimum of 5 years. The sample includes 32 patients, who started treatment at an average age of 12.8 years and who were examined a mean of 15 years posttreatment (11.7 years postretention). Cephalometric and model analyses were conducted to evaluate treatment and posttreatment tooth movements. The results showed that irregularity, as measured by the irregularity index, decreased 5.3 mm during treatment and increased 0.7 mm (SD 1.1 mm) during the posttreatment period. Eighty percent of the patients had satisfactory (<3.5 mm) mandibular incisor alignment over 10 years postretention, and none was in the severe category (>6.5 mm). Mandibular intercanine width increased (1.7 mm) during treatment, whereas intermolar width decreased (-2.1 mm). Maxillary molar widths remained unchanged posttreatment, and mandibular intercanine width decreased 1.4 mm from immediately posttreatment to postretention. Arch lengths decreased during treatment because of molar protraction and incisor retraction. Mandibular arch length continued to decrease posttreatment (-1.4 mm) because of mesial molar movement rather than distal incisor movement. Satisfactory long-term results can be achieved for most Class I, 4-premolar-extraction patients for whom evidence-based treatment objectives-including minimal alteration of the mandibular arch form and the retraction and uprighting or maintenance of mandibular incisors in their original position-have been met.

Adolescent↗