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Related Experiment Videos

Maxillary tooth transposition: correct or accept?

Roberto Ciarlantini1, Birte Melsen

  • 1Department of Orthodontics, University of Aarhus, Aarhus, Denmark.

American Journal of Orthodontics and Dentofacial Orthopedics : Official Publication of the American Association of Orthodontists, Its Constituent Societies, and the American Board of Orthodontics
|September 11, 2007
PubMed
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Tooth transposition, a challenging dental anomaly, often leads to poor function and aesthetics if uncorrected. This study reviews its prevalence, causes, and treatment strategies, including successful corrections in 12 patients.

Area of Science:

  • Dentistry
  • Orthodontics
  • Dental Anomalies

Background:

  • Tooth transposition is a complex dentitional anomaly with significant functional and esthetic consequences.
  • Current literature predominantly favors accepting malpositions due to management difficulties.
  • Understanding prevalence and etiology is crucial for informed treatment decisions.

Observation:

  • This article surveys the prevalence and etiology of tooth transposition.
  • Twelve patients with maxillary transpositions (canine-premolar or canine-lateral incisor) were treated.
  • A segmented appliance facilitated controlled force application for correction.

Findings:

  • Nine out of twelve patients with maxillary transpositions were successfully corrected within standard treatment timelines.

Related Experiment Videos

  • Treatment strategies involved appliance therapy, extractions (due to periodontal issues or crowding), or acceptance of the malposition.
  • Segmented appliances enabled precise force delivery for effective correction.

    • Implications:

    • Effective management of tooth transposition is achievable with appropriate orthodontic techniques.
    • Cost-benefit analysis and patient-specific factors guide the decision to correct or accept transposition.
    • Successful correction can restore both function and esthetics, improving patient outcomes.