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Orthodontic considerations for impacted and ectopic teeth
Australian Orthodontic Journal
|May 1, 2018
Summary
Management of impacted teeth is evolving. More third molars are retained due to orthodontic plans, but early surgical removal in teens can prevent complications. Palatally impacted canines have new, less invasive treatment options.
Area of Science:
- Dentistry
- Oral Surgery
- Orthodontics
Background:
- The management of impacted teeth, particularly third molars and canines, is undergoing significant changes.
- Increased adoption of non-extraction orthodontic treatment plans contributes to a higher prevalence of impacted teeth.
- Surgical intervention for impacted teeth carries a risk of morbidity, which increases with patient age.
Purpose of the Study:
- To review the evolving strategies for managing various types of impacted teeth.
- To highlight current trends in third molar retention and surgical intervention timing.
- To discuss contemporary approaches for palatally impacted canines.
Main Methods:
- Literature review of current management approaches for impacted teeth.
- Analysis of trends in third molar retention versus extraction.
- Examination of interceptive and non-surgical options for palatally impacted canines.
Main Results:
- A shift towards retaining more third molars is observed, influenced by orthodontic treatment philosophies.
- Early surgical removal of anticipated impacted third molars in adolescents is recommended to minimize morbidity.
- Palatally impacted canines (PIC) can now be effectively managed using interceptive and non-surgical techniques.
Conclusions:
- The approach to impacted teeth management is dynamic, balancing retention benefits with surgical risks.
- Timely intervention for impacted third molars during teenage years is crucial for better outcomes.
- Advances in treatment offer less invasive options for palatally impacted canines, improving patient care.
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