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the tweed profile - The Charles H. Tweed International Foundation

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tooth alignment. Long term stability of a malocclusion<br />

correction is an achievable goal.<br />

CONCLUSIONS<br />

<strong>The</strong> articles confirm some common findings. For<br />

mean changes in arch width from each study, refer to<br />

Table I and II.<br />

1. In both extraction and non-extraction patients,<br />

mandibular intercanine width increases during<br />

treatment and decreases posttreatment.<br />

2. Mandibular intermolar width changes are different<br />

between <strong>the</strong> extraction and non-extraction<br />

groups during treatment; <strong>the</strong> width decreases in<br />

<strong>the</strong> extraction group and increases in <strong>the</strong> nonextraction<br />

group.<br />

3. Maxillary intercanine width increases during<br />

treatment in both <strong>the</strong> extraction and non-extraction<br />

cases.<br />

4.<br />

5.<br />

6.<br />

Maxillary intermolar width changes differently<br />

between <strong>the</strong> extraction and non-extraction<br />

groups during treatment; <strong>the</strong> width decreases in<br />

<strong>the</strong> extraction group and increases in <strong>the</strong> nonextraction<br />

group.<br />

In various studies of non-extraction treatment with<br />

distal movement of one or both arches, overall<br />

long-term stability was achieved. According to<br />

<strong>the</strong> articles, proper mechanics is required and<br />

providing prolonged retention is suggested.<br />

When evaluating premolar extraction treatment,<br />

long-term stability turned out to be successfully<br />

achieved even after <strong>the</strong> significant decrease in<br />

arch width in <strong>the</strong> premolar and molar regions<br />

and <strong>the</strong> subsequent decrease in intercanine width<br />

posttreatment. <strong>The</strong> success is due to evidence<br />

based treatment objectives and <strong>the</strong> clinicians’<br />

diagnostic and treatment ability.<br />

23

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