Factors related to spontaneous space closure following early first permanent molar extraction: A systematic review.

IF 2.3 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE International journal of paediatric dentistry Pub Date : 2024-10-04 DOI:10.1111/ipd.13273

Sarah Alqanas, Jood Alsahiem, Abdullah Aljami, Nourah Alsudairi, Shakil Ahmad, Sonali Sharma, Sumit Rajinder, Abdulaziz Alamri, Hesham Alhazmi, Fahad Hegazi

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Abstract

Background: Dental caries and molar-incisor hypomineralization (MIH) are primary reasons for the extraction of first permanent molars (M1) in children, which can lead to significant dental and facial development issues such as a midline shift and temporomandibular joint disorder.

Aim: This systematic review aimed to identify key factors influencing spontaneous space closure following the early extraction of first permanent molars (M1) in children aged 5-15.

Design: We conducted a comprehensive search across Scopus, PubMed, Dimensions, Web of Science, and Cochrane databases, including the literature from 1960 to 2024. The inclusion criteria focused on clinical trials, case-control, cross-sectional, cohort studies, and case series that evaluated the impact of various factors on the spontaneous closure after M1 extraction.

Results: The analysis highlights that chronological age and the developmental stage of the second permanent molars (M2) at the time of extraction are significant predictors of successful spontaneous space closure. Additionally, the presence and angle of M2, along with the presence of third permanent molars (M3), play crucial roles but require further investigation.

Conclusion: Early assessment of M2's developmental stage and inclination, and the presence of M3 are essential for enhancing the likelihood of successful spontaneous space closure following M1 extraction in children.

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早期第一恒磨牙拔除后自发间隙闭合的相关因素：系统综述。

背景：龋齿和磨牙-切牙低矿化（MIH）是儿童拔除第一恒磨牙（M1）的主要原因，这可能会导致严重的牙齿和面部发育问题，如中线移位和颞下颌关节紊乱：我们在 Scopus、PubMed、Dimensions、Web of Science 和 Cochrane 数据库中进行了全面检索，包括 1960 年至 2024 年的文献。纳入标准主要是评估各种因素对 M1 拔出后自发性闭合影响的临床试验、病例对照、横断面、队列研究和病例系列：结果：分析结果表明，拔牙时第二恒磨牙（M2）的年龄和发育阶段是成功自发间隙闭合的重要预测因素。此外，M2的存在和角度以及第三恒磨牙（M3）的存在也起着至关重要的作用，但还需要进一步研究：结论：早期评估 M2 的发育阶段和倾斜度以及 M3 的存在对于提高儿童 M1 拔除后成功自发间隙关闭的可能性至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International journal of paediatric dentistry 医学-小儿科

CiteScore

5.50

自引率

2.60%

发文量

审稿时长

6-12 weeks

期刊介绍： The International Journal of Paediatric Dentistry was formed in 1991 by the merger of the Journals of the International Association of Paediatric Dentistry and the British Society of Paediatric Dentistry and is published bi-monthly. It has true international scope and aims to promote the highest standard of education, practice and research in paediatric dentistry world-wide. International Journal of Paediatric Dentistry publishes papers on all aspects of paediatric dentistry including: growth and development, behaviour management, diagnosis, prevention, restorative treatment and issue relating to medically compromised children or those with disabilities. This peer-reviewed journal features scientific articles, reviews, case reports, clinical techniques, short communications and abstracts of current paediatric dental research. Analytical studies with a scientific novelty value are preferred to descriptive studies. Case reports illustrating unusual conditions and clinically relevant observations are acceptable but must be of sufficiently high quality to be considered for publication; particularly the illustrative material must be of the highest quality.