Stability and relapse of mandibular anterior alignment: a cephalometric appraisal of first-premolar-extraction cases treated by traditional edgewise orthodontics

Abstract

Assessment at least 10 years postretention of fifty-four cases previously treated in the permanent-dentition stage with first-premolar extractions, traditional edgewise mechanotherapy, and retention revealed considerable variation among patients. The long-term response to mandibular anterior alignment was unpredictable; no cephalometric parameters, such as maxillary and mandibular incisor proclination, horizontal and vertical growth amounts, mandibular plane angle, etc., were useful in establishing a prognosis. Few associations of value were found between cephalometric parameters and dental-cast measurements, such as overbite, arch length, intercanine width, and overjet. Only a slight tendency was found for incisor inclination to return toward the pretreatment value during the postretention period. It was possible to predict, on the basis of an analysis of pre- and posttreatment cephalometric records, those cases which had greater than 4 mm deepening of overbite postretention as well as those cases which had decreases of 3 mm or more in arch-length postretention. The practical use of these predictions were of limited clinical value, however.