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Management of impacted teeth in children
Paul S Tiwana1, George M Kushner
1Department of Surgical and Hospital Dentistry, School of Dentistry, University of Louisville, 501 South Preston Street, Louisville, KY 40292, USA.
Oral and Maxillofacial Surgery Clinics of North America
|December 20, 2007
Summary
Ankylosis, a complication of impacted teeth in children, requires careful management. Orthodontically assisted eruption needs close monitoring to prevent adjacent tooth displacement, involving surgical and dental specialists.
Area of Science:
- Pediatric Dentistry
- Orthodontics
- Oral Surgery
Background:
- Ankylosis is a significant complication of impacted teeth in children.
- Orthodontically assisted eruption of ankylosed teeth can lead to complications like adjacent tooth intrusion or displacement.
- Management necessitates a comprehensive approach considering various patient factors.
Purpose of the Study:
- To outline the complexities and considerations in managing ankylosed impacted teeth in children.
- To emphasize the importance of interdisciplinary collaboration for successful treatment outcomes.
- To highlight the role of emerging technologies in improving treatment strategies.
Main Methods:
- Review of current literature and clinical best practices for managing ankylosed impacted teeth.
- Discussion of interdisciplinary evaluation involving surgeons and orthodontists/primary dental care providers.
- Consideration of factors such as operative feasibility, orthodontic mechanics, growth, and psychosocial aspects.
Main Results:
- Orthodontically assisted eruption requires vigilant monitoring to ensure proper tooth movement and prevent adverse effects on adjacent teeth.
- Successful management hinges on a collaborative evaluation addressing surgical, orthodontic, developmental, and psychosocial factors.
- Emerging technologies like cone beam CT and skeletal anchorage offer advanced tools for complex cases.
Conclusions:
- Effective management of ankylosed impacted teeth in children demands a multidisciplinary strategy.
- Close patient follow-up is crucial during orthodontically assisted eruption to mitigate risks.
- Advanced technologies enhance the ability to manage challenging anatomical situations and improve treatment outcomes.
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