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In 1944, Murray L. Ballard was the first to advocate for the stripping of the lower anterior teeth due to crowding in a paper published in The Angle Orthodontist.Other authors also advocated about slenderizing the teeth for next 40 years but it was not until the 1980s when John J. Sheridan's Air Rotor Stripping (ARS) technique for interproximal reduction captured significant interest.
Although most studies arrive at the conclusion of negative long-term outcomes e.g. increased pocketing and attachment loss after surgery, it is clear that early removal (before 25 years old), good post-operative hygiene and plaque control, and lack of pre-existing periodontal pathology before surgery are the most crucial factors that minimise ...
Genetic (inheritance) factors, extra teeth, lost teeth, impacted teeth, or abnormally shaped teeth have been cited as causes of crowding. Ill-fitting dental fillings, crowns, appliances, retainers, or braces as well as misalignment of jaw fractures after a severe injury are also known to cause crowding. [26]
Bone formation starts after about 10 days from when the tooth was extracted. After 10–12 weeks, the outline of the socket is no longer apparent on an X-ray image. Bone remodeling as the alveolus adapts to the edentulous state occurs in the longer term as the alveolar process slowly resorbs.
When extracting lower wisdom teeth, coronectomy is a treatment option involving removing the crown of the lower wisdom tooth, whilst keeping the roots in place in healthy patients. This option is given to patients as an alternative to extraction when the wisdom teeth are in close association with the inferior alveolar nerve , and so used to ...
Radiograph images, before and after the procedure are used to evaluate the outcome of the treatment. The patients are scheduled to follow up at 3, 6, 9, and 12 months after the completion of therapy. The tooth is accessed for different aspects such as pain, swelling, sinus tract, mobility, tooth discoloration, and the occlusion relationship.
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