PubMed Health⌕ Search
Home/Archive/PubMed

PubMed · 11819964

Does orthodontics damage faces?

A T DiBiase·P J Sandler
View original source ↗Export metadata ↓

Abstract

With the increasing provision of orthodontic care in this country, certain practitioners have raised concerns regarding the use of elective extractions and retraction mechanics, especially the effects on the facial profile and the TMJ. The non-extraction versus extraction debate spans the history of orthodontics, and the concepts of facial attractiveness are subject to change as fashions change. Within the realms of evidence-based practice, there is little or no evidence to suggest that the philosophies and mechanics of contemporary orthodontics, in the vast majority of cases, cause damage to the profile or are directly linked to the development of TMJ dysfunction.

Explore related subjects

Esthetics, DentalEuropeFaceHistory, 19th CenturyHistory, 20th CenturyHumansOrthodontic Appliances, FunctionalOrthodontics, CorrectiveTemporomandibular Joint Dysfunction SyndromeTooth ExtractionUnited StatesHistorical ArticleJournal Article

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

A T DiBiase, P J Sandler. 2001. Does orthodontics damage faces?. https://doi.org/10.12968/denu.2001.28.2.98

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

PubMed2002

Anterior crowding--just an esthetic problem?

BACKGROUND: One frequent late sequel of frontal crowding is the development of gingival recessions manifesting themselves especially at rotated anterior teeth. MATERIAL: This correlation is discussed with regard to the literature and to the authors' own clinical findings and experimental studies. RESULTS: According to present-day knowledge the following statements can be made: In cases with frontal crowding the tangential stiffening of the anterior teeth is inadequate. Thus translatory and rotational force components resulting from the elastic deformation of the mandible under functional loading effect the movement of rotated front teeth during maximum jaw opening and mandibular protrusion. Also tongue thrusting and frontolateral bruxism lead to force vectors in vestibular direction affecting the delicate periodontal tissues. These statements are confirmed by the authors' own in-vivo experimental studies measuring the amount of tooth displacement during test persons' functional movements. Furthermore, in the long-term anterior crowding will mostly trigger incorrect anterior guidance, i.e. guidance predominantly by the rotated or ectopically positioned front tooth with subsequent overloading of the antagonist. CONCLUSION: Orthodontic therapy of frontal crowding is not just an esthetic problem but can be of special importance in the prevention of stress-related reactions in the masticatory system.

Esthetics, Dental↗