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Orthodontics. Part 10: Impacted teeth.

D Roberts-Harry1, J Sandy

  • 1Consultant Orthodontist, Orthodontic Department, Leeds Dental Institute, Clarendon Way, Leeds LS2 9LU. robersharry@btinternet.com

British Dental Journal
|March 27, 2004
PubMed
Summary
This summary is machine-generated.

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Early removal of deciduous canines can improve impacted canines in Class I cases. Early diagnosis and treatment of impacted teeth, including those caused by supernumerary teeth, are crucial for optimal outcomes.

Area of Science:

  • Dentistry
  • Orthodontics
  • Pediatric Dentistry

Background:

  • Impacted teeth, particularly canines, present a significant clinical challenge in orthodontics.
  • Interceptive measures for impacted teeth are often preferred over active treatment due to potential risks and treatment duration.

Purpose of the Study:

  • To review the management of impacted teeth, focusing on canine impaction in Class I uncrowded cases.
  • To emphasize the benefits of early diagnosis and intervention for impacted teeth, including those associated with supernumerary teeth.

Main Methods:

  • Literature review on the treatment of impacted canines and supernumerary teeth.
  • Analysis of evidence supporting early intervention strategies, such as deciduous canine removal.

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Main Results:

  • Removal of deciduous canines shows promise in improving impacted canines in Class I uncrowded cases, for both buccal and palatal impactions.
  • Early diagnosis and management of supernumerary teeth are essential to prevent impaction of permanent incisors.

Conclusions:

  • Interceptive measures for impacted teeth are effective and generally preferable to lengthy and potentially hazardous active treatments.
  • Timely referral for any doubts regarding impacted teeth is critical to avoid prolonged and complex treatment.