Advertisement

European Archives of Paediatric Dentistry

, Volume 15, Issue 6, pp 393–400 | Cite as

The effect of premature extraction of primary teeth on the subsequent need for orthodontic treatment

  • N. BhujelEmail author
  • M. Duggal
  • T. Munyombwe
  • J. Godson
  • P. Day
Original Scientific Article

Abstract

Aim

To investigate if premature extraction of primary teeth was associated with orthodontic need in the permanent dentition.

Study design

This was a case–control study based on retrospective dental records.

Methods

As part of NHS (UK) Dental Epidemiology Programme a sample of 366, 12-year-old children from Bradford and Airedale were examined. The survey collected data on patient demographics, dental health status including orthodontic need. Data linkage was undertaken for those children participating in the NHS Dental Epidemiology Programme who had previously accessed the local Salaried Dental Service (SDS). For these children, retrospective dental information was collected about premature extraction of primary teeth.

Results

From the 366 children who were surveyed, 116 children had received treatment at the local SDS in the past. Significantly more children from ethnic minorities, low socioeconomic backgrounds and high caries rate (p < 0.001) were seen in the SDS. For the 107 children who attended SDS, an increased total number of primary teeth extractions was positively associated with orthodontic need (odds ratio:1.18, CI −1.01 to 1.37).

Statisctics

Multilevel modelling was undertaken to identify variables associated with orthodontic need.

Conclusions

In the study group, orthodontic need was significantly associated with the number of primary teeth extracted.

Keywords

Tooth extraction Primary tooth Malocclusion Orthodontic need Premature 

Notes

Acknowledgments

We would like to thank Mrs Shahid, Clinical Director, Bradford and Airedale Salaried Dental Service for allowing access to the Salaried Dental Service dental records. We would also like to thank Debra Clavin, Kauser Zaman and all SDS staff who helped us to obtain dental survey information and in locating archived dental records.

References

  1. Abu Aihaija ES, McSheny PF, Richardson A. A cephalometric study of the effect of extraction of lower first permanent molars. J Clin Pediatr Dent. 2000;24:195–8.PubMedGoogle Scholar
  2. Albadri S, Lee S, Lee G, et al. The use of general anaesthesia for the extraction of children’s teeth. Results from two UK dental hospitals. Eur Arch Paediatr Dent. 2006;7:110–5.PubMedGoogle Scholar
  3. American Academy on Pediatric Dentistry Clinical Affairs Committee-Developing Dentition Subcommittee. Guideline on management of the developing dentition and occlusion in pediatric dentistry. Pediatr Dent. 2008;30(7 Suppl):184–95.Google Scholar
  4. Bhujel N. The impact of premature extraction of primary teeth on the subsequent need for orthodontic treatment. Doctor of clinical dentistry (paediatric dentistry). Leeds: The University of Leeds; 2013.Google Scholar
  5. Bradford and Airedale Teaching Primary Care Trust. The oral health of 5 year old children living in Bradford and Airedale tPCT. West Yorkshire: Bradford and Airedale Teaching Primary Care Trust; 2006.Google Scholar
  6. British Orthodontic Society. The Justification for Orthodontic Treatment. London: British Orthodontic Society; 2009.Google Scholar
  7. Brook PH, Shaw WC. The development of an index of orthodontic treatment priority. Eur J Orthod. 1989;11:309–20.PubMedGoogle Scholar
  8. Burden DJ, Pine CM, Burnside G. Modified IOTN: an orthodontic treatment need index for use in oral health surveys. Community Dent Oral Epidemiol. 2001;29:220–5.PubMedCrossRefGoogle Scholar
  9. Clinch LM, Healy MJR. A longitudinal study of the results of premature extraction of deciduous teeth between 3–4 and 13–14 years of age. Dent Pract. 1959;9:109–27.Google Scholar
  10. Fayle SA, Welbury RR, Roberts JF. British Society of Paediatric Dentistry: a policy document on management of caries in the primary dentition. Int J Paediatr Dent. 2001;11:153–7.PubMedGoogle Scholar
  11. Hoffding J, Kisling E. Premature loss of primary teeth: part 1, its overall effect on occlusion and space in the permanent dentition. J Dent Child. 1978;45:279–83.Google Scholar
  12. Holt RD, Al Lamki S, Bedi R, Dowey JA, Gilthorpe M. Provision of dental general anaesthesia for extractions in child patients at two centres. Br Dent J. 1999;187:498–501.PubMedGoogle Scholar
  13. Innes NP, Evans DJ, Stirrups DR. Sealing caries in primary molars: randomized control trial, 5-year results. J Dent Res. 2011;90:1405–10.PubMedCrossRefGoogle Scholar
  14. Jalevik B, Moller M. Evaluation of spontaneous space closure and development of permanent dentition after extraction of hypomineralized permanent first molars. Int J Paediatr Dent. 2007;17:328–35.PubMedCrossRefGoogle Scholar
  15. Jamjoom MM, Al-Malik MI, Holt RD, El-Nassry A. Dental treatment under general anaesthesia at a hospital in Jeddah, Saudi Arabia. Int J Paediatr Dent. 2001;11:110–6.PubMedCrossRefGoogle Scholar
  16. Locker D. Disparities in oral health-related quality of life in a population of Canadian children. Community Dent Oral Epidemiol. 2007;35:348–56.PubMedCrossRefGoogle Scholar
  17. Mandall NA, Mccord JF, Blinkhorn AS, Worthington HV, O’brien KD. Perceived aesthetic impact of malocclusion and oral self-perceptions in 14-15-year-old Asian and Caucasian children in greater Manchester. Eur J Orthod. 2000;22:175–83.PubMedCrossRefGoogle Scholar
  18. Morris E, Landes D. The equity of access to orthodontic dental care for children in the North East of England. Public Health. 2006;120:359–63.PubMedCrossRefGoogle Scholar
  19. NHS Dental Epidemiology Programme for England. Oral Health Survey of 12 year old children in England 2008/2009, National Protocol. 2008.Google Scholar
  20. NHS Dental Epidemiology Programme for England. Oral Health Surveys of 5 year old children 2007/2008 (Online) (2009). Available: http://www.nwph.net/dentalhealth/reports/NHS_DEP_for_England_OH_Survey_5yr_2007-08_Report.pdf.
  21. Normando D, Cavacami C. The influence of bilateral lower first permanent molar loss on dentofacial morphology—a cehalometric study. Dental Press J Orthdo. 2010;15:100–6.CrossRefGoogle Scholar
  22. Northway WM, Wainright RL, Demirjian A. Effects of premature loss of deciduous molars. Angle Orthod. 1984;54:295–329.PubMedGoogle Scholar
  23. Owen DG. The incidence and nature of space closure following the premature extraction of deciduous teeth: a literature study. Am J Orthod. 1971;59:37–49.PubMedCrossRefGoogle Scholar
  24. Pedersen J, Stensgaard K, Melsen B. Prevalence of malocclusion in relation to premature loss of primary teeth. Community Dent Oral Epidemiol. 1978;6:204–9.PubMedCrossRefGoogle Scholar
  25. Peduzzi P, Concato J, Kemper E, Holford TR, Feinstein AR. A simulation study of the number of events per variable in logistic regression analysis. J Clin Epidemiol. 1996;49:1373–9.PubMedCrossRefGoogle Scholar
  26. Prendergast MJ, Beal JF, Williams SA. The relationship between deprivation, ethnicity and dental health in 5-year-old children in Leeds, UK. Community Dent Health. 1997;14:18–21.PubMedGoogle Scholar
  27. Public Health England. National Dental Epidemiology Programme for England: oral health survey of five-year-old children 2012, A report on the prevalence and severity of dental decay. Public Health England, 133-155 Waterloo Road, Wellington House, London SE1 8UG: Public Health England Sep 2013.Google Scholar
  28. Richardson ME. The relationship between the relative amount of space present in the deciduous dental arch and the rate and degree of space closure subsequent to the extraction of a deciduous molar. Dent Pract Dent Rec. 1965;16:111–8.PubMedGoogle Scholar
  29. Ronnerman A, Thailander B. Alongitudinal study on the effect of unilateral extraction of primary molars. Scand J Dent. 1977;85:362–72.Google Scholar

Copyright information

© European Academy of Paediatric Dentistry 2014

Authors and Affiliations

  • N. Bhujel
    • 1
    • 2
    Email author
  • M. Duggal
    • 2
  • T. Munyombwe
    • 3
  • J. Godson
    • 2
    • 4
  • P. Day
    • 1
    • 2
  1. 1.Salaried Dental ServiceBradford District Care TrustWest YorkshireUK
  2. 2.Leeds Dental InstituteUniversity of LeedsLeedsUK
  3. 3.Centre for Epidemiology and Biostatistics, LIGHTUniversity of LeedsLeedsUK
  4. 4.Bradford and Airedale PCTWest YorkshireUK

Personalised recommendations