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Measuring Maxillary Posterior Tooth Movement: A Model Assessment using Palatal and Dental Superimposition
Published on: February 23, 2024
Impacted maxillary incisors: diagnosis and predictive measurements
Chiara Pavoni1, Manuela Mucedero, Giuseppina Laganà
1Department of Orthodontics, University of Rome Tor Vergata, Italy.
Annali Di Stomatologia
|February 7, 2013
Summary
Delayed incisor eruption requires prompt diagnosis and treatment. Interceptive orthodontics, including obstacle removal and rapid maxillary expansion (RME), can improve tooth position and eruption outcomes.
Area of Science:
- Dentistry
- Orthodontics
- Pediatric Dentistry
Background:
- Delayed incisor eruption necessitates timely diagnosis and treatment planning.
- Identifying the etiology of impaction is crucial for effective management.
Purpose of the Study:
- To offer guidance for diagnosing and managing impacted maxillary incisors.
- To highlight the role of interceptive treatment, specifically obstacle removal and rapid maxillary expansion (RME).
Main Methods:
- Diagnosis involves clinical examination and advanced imaging like CT and CBCT.
- Predictive eruption measurements include distance from the occlusal plane, maturity, and tooth angulation/position.
- Interceptive treatment involves removing eruption obstacles and orthopedic rapid maxillary expansion (RME) to regain space.
Main Results:
- Rapid maxillary expansion (RME) after surgical obstacle removal improves the intraosseous position of impacted maxillary incisors.
- This combined approach facilitates better tooth eruption and alignment.
Conclusions:
- Tooth angulation and vertical position are key predictors for eruption success.
- Combined surgical removal of obstacles (e.g., odontoma) and RME enable conservative treatment with excellent esthetic and periodontal results.
