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First and second permanent molars with failed or delayed eruption: Clinical and statistical analyses.
Gerardo la Monaca1, Maria Paola Cristalli2, Nicola Pranno3
1Department of Sense Organs, "Sapienza" University, Rome, Italy.
Summary
Early diagnosis of impacted molars leads to better treatment outcomes. This study found that timely intervention significantly improves success rates for failed or delayed permanent molar eruption.
Area of Science:
- Dentistry
- Orthodontics
- Oral Surgery
Background:
- Failed or delayed eruption of first and second permanent molars affects patient outcomes.
- Various treatment modalities exist, but their effectiveness requires evaluation.
Purpose of the Study:
- To analyze data of patients with failed or delayed eruption of first and second permanent molars.
- To assess the effectiveness of different treatment methods for impacted molars.
Main Methods:
- Retrospective analysis of 125 patients with 197 affected molars.
- Categorization into 8 treatment groups: orthodontic uprighting, surgical-orthodontic uprighting, surgical uprighting, surgical repositioning, surgical exposure, molar extraction, third molar extraction, or removal of pathologic conditions.
- Evaluation of treatment outcomes for 161 molars.
Main Results:
- Overall positive treatment outcome in 87.6% of cases (141/161 molars).
- 100% success for early-diagnosed conditions versus 76.5% for inclusion cases.
- Orthodontic uprighting, surgical exposure, surgical uprighting, and surgical repositioning showed high success rates.
Conclusions:
- Early diagnosis is crucial for improving treatment outcomes in impacted molars.
- Younger patients and timely intervention correlate with higher success rates, irrespective of the specific treatment method employed.
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