CBCT Assessment of Dental and Skeletal Changes Using the Damon versus Conventional (MBT) System
The
evolution of the shape of the human dental arch is distinct when compared to
other primates, while hominid evolution has demonstrated that the arch form in
man is parabolic. For over 100 years the size and shape of the ideal dental
arch has been used for diagnosis and treatment of malocclusions and two
diverging methods of therapy: extraction versus non-extraction. Proponents of
non-extraction treatment have indicated that extractions result in a
detrimental result in profile and smile esthetics, large buccal corridors and
faulty final occlusions. Recent reports indicate that extraction therapy does
not negatively impact on soft tissue , nor does it negatively affect smile
esthetics .
If the current state of evidence points in the direction that
extraction therapy has no detrimental effect in facial esthetics and provides a
superior occlusion to non-extraction treatment, one would expect a greater
predominance of patients treated with the extraction of teeth to successfully
resolve their malocclusions. However, with the advent of the Damon philosophy
and through the use of self-ligation with low force, low friction arch wires,
the pathway to non-extraction treatment has been resurrected and gaining favor
in orthodontic therapy. Read more..............
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