A Comparative Analysis of Arch Widths in Class I and Class II Malocclusion: Extraction vs. Non-extraction Treatment

Cureus. 2024 Apr 10;16(4):e57982. doi: 10.7759/cureus.57982. eCollection 2024 Apr.

Abstract

Introduction: This study aimed to assess and compare dental arch widths in the anterior and posterior regions among patients undergoing extraction and non-extraction treatments for Class I and Class II malocclusions.

Materials and methodology: A total of 40 patients were selected, with 10 in each of the categorized groups based on malocclusion type and treatment status. Dental arch widths were meticulously measured using a digital Vernier caliper at the canine and molar regions to ensure precise data collection.

Results: Statistically significant differences were noted when comparing mean inter-canine and molar widths between pre- and post-treatment periods among extraction cases in Class I malocclusion (p < 0.001). Conversely, there were no significant changes observed in arch widths among non-extraction cases in Class I malocclusion. Similarly, significant changes were observed in both extraction and non-extraction cases of Class II malocclusion when comparing mean inter-canine and molar widths between pre- and post-treatment periods (p < 0.05).

Conclusion: After treatment, both Class I and Class II extraction cases showed an increase in inter-canine arch width, while intermolar arch width remained unchanged, suggesting that the treatment did not significantly alter the buccal corridor. Additionally, there were no notable changes in inter-canine arch widths between pre- and post-treatment in Class I non-extraction cases. However, the Class II non-extraction group exhibited increased upper and lower inter-canine arch widths after treatment.

Keywords: arch width; class 1 malocclusion; class 2 malocclusion; digital vernier caliper; extraction treatment; non-extraction treatment.