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Mandibular Crowding: Diagnosis and Management-A Scoping Review
Assunta Patano1, Giuseppina Malcangi1, Alessio Danilo Inchingolo1
1Department of Interdisciplinary Medicine, University of Bari "Aldo Moro", 70124 Bari, Italy.
Mandibular dental crowding, a common hereditary malocclusion, requires orthodontic treatment due to arch perimeter reduction. Treatment focuses on limited arch expansion and distalization, necessitating careful diagnosis.
Area of Science:
- Orthodontics
- Dental Malocclusion
Background:
- Mandibular dental crowding is a frequent, hereditary malocclusion.
- It presents as a lack of space in dental arches and can worsen over time.
- Progressive decrease in arch perimeter is a primary cause of worsening crowding.
Purpose of the Study:
- To identify common orthodontic treatments for mandibular dental crowding.
- To review recent (2018-2023) therapeutic strategies for this condition.
Main Methods:
- Comprehensive literature search of PubMed, Scopus, and Web of Science.
- Keywords included "mandibular crowding AND treatment" and "mandibular crowding AND therapy".
Main Results:
- Twelve studies were included in the review.
- Treatment of the lower arch is challenging due to compact bone structure.
- Limited expansion involves incisor/lateral sector vestibularization and possible molar distalization.
Conclusions:
- Various therapeutic solutions exist for mandibular crowding.
- Accurate diagnosis via clinical examination, radiographs, and model analysis is crucial.
- Treatment decisions must consider the overall malocclusion assessment.
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