OPTIMIZATION OF SURGICAL-ORTHODONTIC TREATMENT TACTICS IN PATIENTS WITH IMPACTED TEETH

2019 ◽  
Vol 72 (5) ◽  
pp. 838-845
Author(s):  
Pavlo I. Tkachenko ◽  
Maryna I. Dmytrenko ◽  
Mykola O. Cholovskyi
Keyword(s):  
Orthodontic Treatment ◽  
Objective Assessment ◽  
Optimal Path ◽  
Reference Points ◽  
Permanent Teeth ◽  
Diagnostic Process ◽  
Specific Reference ◽  
Dental Arch ◽  
Impacted Tooth ◽  
Impacted Teeth

Introduction: Impacted teeth is complex anomaly of teeth eruption that requires a balanced approach not only in the differential diagnosis of its forms, but choice of rational methods of treatment. The aim: Optimization of the tactics of orthodontic-surgical treatment of patients with impacted teeth based on the development and implementation of computed tomographic indices (KT) and photometric indices (FM) of opening of surgical access (OSA) to crowns of impacted teeth Materials and methods: The results of treatment of 48 patients with delay of permanent teeth eruption have been analyzed. For an objective assessment of treatment results, a group of 24 (aged from 9 to 19 years old ) was formed. All 24 patients had typical clinical situation. Results: Orthodontic correction of patients envisaged, first of all, the elimination of obstacles in the way of teeth eruption, if necessary to provide space in dental arch and simultaneous treatment of associated bite malocclusions. Surgical exposure of impacted tooth crown was carried out and at the same time a triangular shaped guiding channel was formed, base of channel was at the impacted tooth and its angle finished into the dental arch. Precise dimensions and depth of the channel were preliminary planed on computed tomography slices with 3D reconstruction. Mean values of CT width (7,13±0,54mm), and length (6,42±0,78mm) of OSA and CT index (130,79±8,19%) of OSA to impacted teeth crowns were determined. Conclusion: To improve the quality of diagnosis and optimization of methodological approaches to treatment of patients with teeth impaction, we have proposed CT and FM OSA indices to the crowns of impacted teeth. The developed indices serve as specific reference points for optimization of diagnostic process, for reducing of probability of repeated surgical interventions and choosing the optimal path for instrumental orthodontic treatment of patients with impacted teeth

Orthodontic management in a female patient with an impacted incisor in the mandible – case report

2018 ◽  
Vol 14 (2) ◽  
pp. 58-65
Author(s):  
Agnieszka Świątkowska ◽  
Izabella Dunin-Wilczyńska ◽  
Wojciech Świątkowski
Keyword(s):  
Case Report ◽  
Female Patient ◽  
Orthodontic Treatment ◽  
Permanent Teeth ◽  
Deciduous Teeth ◽  
Dental Arch ◽  
Severe Injuries ◽  
Impacted Tooth ◽  
Lower Incisor ◽  
The Face

Traumas to deciduous teeth, such as intrusion and complete avulsion, lead to the most severe injuries to tooth buds of permanent teeth. The most common post-traumatic complications of permanent teeth include: enamel hypoplasia or hypocalcification, crown or root dilaceration, partial or complete inhibition of root growth, and eruption disorders.<b> Aim</b>. The paper aimed to present orthodontic treatment in a female patient with an impacted permanent lower incisor with significantly impaired morphology due to a trauma to its deciduous predecessor. <b>Material</b>. Material included: patient’s orthodontic records, gypsum models, photographs and radiological records. <b>Results</b>. Orthodontic treatment was successful despite abnormal morphology of the impacted tooth 41. After 4-year follow-up the tooth remains in the arch. <b>Conclusions</b>. A tooth can be preserved in the socket when the crown-to-root ratio (CRR) is at least 1 : 1. In this case, CRR for the tooth 41 was 2 : 1, and therefore its extraction would be recommended. Despite this a decision was made to introduce an impacted tooth into the arch. Thanks to its presence in the dental arch it was possible to preserve appropriate bone quality for implantation of a prosthetic implant in the future. Prosthetic treatment (if necessary) may be performed after completion of vertical growth of the face that is observed in women after the age of 16 years. <b>Summary</b>. This case of a 15-year female patient shows that as a result of orthodontic and surgical intervention and despite significant root shortening the tooth may remain in the dental arch and play its functional and aesthetic role.<b> (Świątkowska A, Dunin-Wilczyńska I, Świątkowski W. Orthodontic management in a female patient with an impacted incisor in the mandible – case report. Orthod Forum 2018; 14: 150-7)</b>.

scholarly journals Treatment of a Patient with Multiple Impacted Teeth

2007 ◽  
Vol 77 (4) ◽  
pp. 735-741 ◽  
Author(s):  
Richard Scott Conley ◽  
Scott B. Boyd ◽  
Harry L. Legan ◽  
Christopher C. Jernigan ◽  
Craig Starling ◽  
...  
Keyword(s):  
Case Report ◽  
Treatment Planning ◽  
Orthodontic Treatment ◽  
Primary Teeth ◽  
Permanent Tooth ◽  
Permanent Teeth ◽  
Treatment Sequence ◽  
Impacted Teeth ◽  
Case Complexity ◽  
Multiple Primary

Abstract An impacted or missing permanent tooth can add significant complications to an otherwise straightforward case. When multiple impacted teeth are present, the case complexity increases further. Developing a treatment sequence, determining appropriate anchorage, and planning and executing sound biomechanics can be a challenge. The following case report illustrates a patient reportedly diagnosed with mild scleroderma as an adolescent. He presented for orthodontic treatment as an adult with multiple retained primary teeth and multiple impacted teeth. Diagnosis, treatment planning, and various methods of managing guided eruption of impacted teeth will be discussed. Following orthodontic treatment that required extraction of multiple primary and permanent teeth as well as exposure and ligation of multiple permanent teeth by an oral surgeon, the patient finished with a significantly improved functional and esthetic result.

scholarly journals Use of Cantilever Mechanics for Impacted Teeth: Case Series

2013 ◽  
Vol 7 (1) ◽  
pp. 186-197 ◽  
Author(s):  
Sergio Paduano ◽  
Gianrico Spagnuolo ◽  
Gerardo Franzese ◽  
Gioacchino Pellegrino ◽  
Rosa Valletta ◽  
...  
Keyword(s):  
Orthodontic Treatment ◽  
Case Series ◽  
Permanent Teeth ◽  
Impacted Teeth ◽  
Adolescents And Adults ◽  
Fixed Appliances

This paper describes the orthodontic treatment, and the biomechanics of cantilevers for the impaction of permanent teeth in youngs, adolescents, and adults. In these case series, multibracket straightwire fixed appliances, together with cantilever mechanics, were used to treat the impaired occlusion.

scholarly journals Orthodontic Treatments of Papillon-Lefevre Syndrome: Two Case Reports

2021 ◽  
Vol 30 (02) ◽  
pp. 132-138
Author(s):  
Laila Fawzi Baidas ◽  
Keyword(s):  
Orthodontic Treatment ◽  
Autosomal Recessive ◽  
Case Reports ◽  
Autosomal Recessive Disorder ◽  
Mixed Dentition ◽  
Permanent Teeth ◽  
Dental Arch ◽  
Facial Appearance ◽  
Deciduous Dentition ◽  
Palmoplantar Hyperkeratosis

Papillon-Lefevre syndrome (PLS) is a rare autosomal recessive disorder characterized by palmoplantar hyperkeratosis and early onset of severe destructive periodontitis causing premature loss of both deciduous and permanent dentitions at a young age. In this article two cases of patients with Papillon-Lefevre syndrome in late mixed dentition are presented. The objective of these case reports was to illustrate that under a controlled regime of periodontal treatment, orthodontic treatment is possible in patients with Papillon-Lefevre syndrome. In both cases, the deciduous dentition was lost prematurely shortly after eruption. The permanent teeth erupt without any guidance, and this can lead to loss of space, crowding, and collapse of the dental arch. The aim of the treatment was to expand the arch, create space to allow normal eruption of the permanent teeth, and stabilize the occlusion to help the patient achieve a normal facial appearance rather than the collapsed appearance caused by early extractions. KEYWORDS: Papillon-Lefevre Syndrome, Orthodontics, Mixed dentition, Case reports

Interdisciplinary (surgical and orthodontic) treatment in a patient with compound odontoma associated with impacted permanent lateral incisor of the mandible – a case report

2018 ◽  
Vol 23 (1) ◽  
Author(s):  
Diana Karolak ◽  
Joanna Lange
Keyword(s):  
Orthodontic Treatment ◽  
Anterior Part ◽  
Treatment Plan ◽  
Relevant Literature ◽  
Maxillofacial Surgery ◽  
Lateral Incisor ◽  
Impacted Tooth ◽  
Impacted Teeth ◽  
Manual Search ◽  
Compound Odontoma

Impacted teeth are one of the reasons for orthodontic appointments. Two conditions must be met for the tooth to be considered impacted, i.e. a fully developed tooth that has not erupted on time. The presence of an odontoma in the maxillary bone when the impacted teeth are observed is a particular situation. We present a case of a patient with a compound odontoma located in the anterior part of the mandible and associated with an impacted right lateral incisor, who received interdisciplinary (surgical and orthodontic) treatment. The aim of the study was to present the advances in interdisciplinary (surgical and orthodontic) treatment of the compound odontoma associated with the impacted permanent lateral incisor of the mandible and a review of relevant literature. A literature review covering years 1990-2016 was performed. Medical databases, such as PubMed and Medline, were used. The following keywords were used: “impacted tooth”, “odontoma”, “orthodontic treatment”. Additionally, a manual search of specialist literature on orthodontics and maxillofacial surgery was conducted. Written consent from the subject/subject’s parents/subject’s legal guardians was obtained. Polish- and English-language publications were included. Early diagnosis of odontoma enables less complicated and less expensive treatment. The treatment plan should be tailored to each patient. More research is needed on predicting the behaviour of impacted teeth related to odontomas.

scholarly journals Orthodontic Treatment in a Patient with Cleidocranial Dysostosis

2009 ◽  
Vol 79 (1) ◽  
pp. 178-185 ◽  
Author(s):  
Giampietro Farronato ◽  
Cinzia Maspero ◽  
Davide Farronato ◽  
Silvia Gioventù
Keyword(s):  
Ethnic Group ◽  
Orthodontic Treatment ◽  
Primary Dentition ◽  
Permanent Teeth ◽  
Supernumerary Teeth ◽  
Impacted Teeth ◽  
Cleidocranial Dysostosis ◽  
Skeletal Disorder ◽  
Maxilla And Mandible ◽  
Delayed Closure

Abstract Cleidocranial dysostosis is a rare congenital skeletal disorder, associated with clavicular hypoplasia or aplasia, delayed closure of cranial fontanels, brachycephalic skull, delayed exfoliation of primary dentition, eruption of permanent teeth, and multiple supernumerary and morphologic abnormalities of the maxilla and mandible. The disorder is caused by mutation in the CBFA1 gene, on the short arm of chromosome 6p21. The prevalence of cleidocranial dysostosis is estimated one per million, without sex or ethnic group predilection. The purpose of this paper is to describe the orthodontic treatment in a patient with cleidocranial dysostosis. Therapy may include removal of supernumerary teeth, surgical exposure of impacted teeth, and orthodontic treatment.

scholarly journals MORPHOLOGICAL FEATURES OF MUCOUS MEMBRANE OVER IMPACTED TEETH DEPENDENING ON CONDITIONS OF THEIR POSITION

2020 ◽  
pp. 31-36
Author(s):  
P.I. Tkachenko ◽  
I.I. Starchenko ◽  
M.I. Dmytrenko ◽  
M.O. Cholovskyi
Keyword(s):  
Lamina Propria ◽  
Mucous Membrane ◽  
Orthodontic Treatment ◽  
Complex Analysis ◽  
Basal Layer ◽  
Morphological Features ◽  
Impacted Tooth ◽  
Hydropic Degeneration ◽  
Impacted Teeth ◽  
Morphological Studies

Impacted teeth are rather common and complex dentofacial anomaly, which requires a balanced approach not only in differential diagnosis of its specific nosological form, but also in a choice of rational treatment methods. Taking into account the multi-factor nature of conditions formation for delay of teeth eruption, an approach to treatment should be directed towards guiding links of pathogenesis. The aim of the study is to increase effectiveness of surgical and orthodontic treatment of patients with impacted teeth of anterior maxillary region by studying morphological features of mucous membrane over impacted teeth, depending on conditions of their positioning. A group of 21 individuals aged from 15 to 17 years was formed to evaluate objectively the results of our work. Clinical situation in all the patients was the same according to diagnostic criteria as presence of impacted maxillary canines and medium level of vertical depth of impaction (in alveolar process); root formation: completely formed, with deviation of longitudinal axis of impacted tooth from correct axis of eruption from 15º to 45º. During further analysis, clinical subgroups were identified depending on conditions of impacted teeth positioning in vestibular-oral direction. Moderate dystrophic changes in stratified squamous epithelium, moderate sclerotic changes in papillary layer of lamina propria were found based on findings of microscopic structure of mucous membrane over palatal positioning of teeth. During investigation of morphological structure of mucous membrane over labially positioning of impacted teeth, there were phenomena of hyperkeratosis, an increase in the number of intraepithelial lymphocytes, presence of epithelial cells in the basal layer with signs of hydropic degeneration. In papillary layer of lamina propria of mucous membrane, sclerotic changes were observed, which were more pronounced in comparison with palatal positioning of impacted teeth. Complex analysis of results of morphological studies showed that in mucous membrane positioning over impacted teeth there is deterioration with anemia in filling conditions of microcirculatory bed, discirculatory disorders, which leads to formation of ischemic zones and development of dystrophic and sclerotic processes. Morphological features of the structure of mucous membrane over impacted teeth is an important to consider while planning surgical and orthodontic treatment, and to some extent, it is possible to adjust management tactics of such patients, taking into account labial or palatal positioning of impacted teeth.

scholarly journals Combined surgical and orthodontic treatment of impacted second lower premolar – Case report

2017 ◽  
Vol 64 (3) ◽  
pp. 131-135
Author(s):  
Ivana Simić ◽  
Tanja Domazet ◽  
Jelena Lečić ◽  
Jelena Ješić
Keyword(s):  
Orthodontic Treatment ◽  
Oral Surgery ◽  
Treatment Plan ◽  
Treatment Success ◽  
Occlusal Plane ◽  
Joint Work ◽  
Impacted Tooth ◽  
Impacted Teeth ◽  
Wisdom Teeth ◽  
Fixed Orthodontic Appliance

Summary Impacted tooth is a tooth that has failed to reach occlusal plane, with 2/3 of completed root growth. There are various reasons for teeth impaction, however, lack of space for its emergence is considered to be the main reason. The most commonly impacted teeth are lower wisdom teeth, then upper wisdom teeth, upper canines, and less frequently lower premolars. There are only few studies that have addressed the issue of impacted lower premolars, their etiology, prevalence and treatment. The patient (22 years old) visited orthodontst for the lower jaw aesthetic teeth corrections, due to crowding. Ortopantomography analysis revealed impacted lower right second premolar that caused resorption of mesial root of the first molar. The treatment plan included tooth #46 extraction and placing orthodontic brackets on the impacted second premolar. The next step was extrusion of the tooth #45, its introduction to occlusal plane and orthodontic treatment resumption. Orthodontic treatment of impacted teeth with fixed orthodontic appliance provides excellent therapeutic results. The treatment success depends primarily on adequate planning, cooperation and joint work of oral surgery and orthodontic specialists.

scholarly journals Clinical and morphological assessment of low frequency ultrasound use in delayed eruption of teeth

2015 ◽  
Vol 96 (4) ◽  
pp. 510-514 ◽  
Author(s):  
Z V Gasymova
Keyword(s):  
Orthodontic Treatment ◽  
Low Frequency ◽  
Gingival Tissue ◽  
Radiographic Examination ◽  
Impacted Tooth ◽  
Impacted Teeth ◽  
Intact Nucleus ◽  
Low Frequency Ultrasound ◽  
Delayed Eruption ◽  
Frequency Ultrasound

Aim. Development of a new method stimulating eruption of impacted teeth, reducing side effects and the term of orthodontic treatment. Methods. Considering the high numbers of patients who sought medical aid with delayed eruption of teeth, rational method of low-frequency ultrasound was used for stimulating eruption of impacted teeth. The stimulation process was performed by «SIAZ-EGS Med-Stomo» device, with the oscillation frequency of 26.5 kHz, intensity of 1 W/cm, amplitude of 40-60 μm, a wavelength 0,012 m, developed in Azerbaijan. Clinical and morphological methods, including examination of gingival tissue biopsies from the area where low-frequency ultrasound was applied, were used. After clinical and radiographic examination and identifying the impacted tooth with a favorable location on dental panoramic radiography, if there was a space in the tooth row, the area of the tooth projection at the gum was directly affected by low-frequency ultrasound daily or every other day for 5-10 seconds. An average of 1-5 procedures up to the tooth eruption was performed. Results. Microscopy of epithelial cover and stroma proved the absence of inflammation, thickening of outermost layer on the gum surface. Cells of the intermediate layer revealed the intact nucleus, loosening with linear swelling and cell dissociation. Cellular and tissue changes in gingival tissue seen after the treatment with low-frequency ultrasound may indicate the boosting of the impacted teeth eruption due to the syndrome of molecular contusion, improving the microcirculation and loosening the gum tissues. Conclusion. The results of comprehensive orthodontic treatment using low-frequency ultrasound ito stimulate the eruption of impacted teeth may be recommended for practical use.

scholarly journals Prevalence of Impacted Teeth in Saudi Patients Attending Dental Clinics in the Eastern Province of Saudi Arabia: A Radiographic Retrospective Study

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Abdulaziz Alamri ◽  
Nasser Alshahrani ◽  
Abdullah Al-Madani ◽  
Suliman Shahin ◽  
Muhammad Nazir
Keyword(s):  
Saudi Arabia ◽  
Cross Sectional Study ◽  
Permanent Teeth ◽  
Eastern Province ◽  
Impacted Tooth ◽  
Cross Sectional ◽  
Impacted Teeth ◽  
Panoramic Radiographs ◽  
Dental Clinics ◽  
Saudi Patients

Aim. To evaluate the prevalence of impacted teeth in Saudi patients and compare between male and female subjects. Method. This cross-sectional study comprised of Saudi patients who attended dental clinics in major hospitals in the Eastern Province of Saudi Arabia. Patients’ dental records and panoramic radiographs were reviewed retrospectively. Impacted teeth excluding third molars and spaces occupied by primary, permanent, and transmigrated teeth were recorded from panoramic radiographs. The Pearson chi-squared test was performed to determine gender differences regarding impacted teeth and spaces occupied by other teeth. Results. The study included radiographs of 539 patients with a mean age of 23.3 ± 10.8 years. Seventy-one patients (13.2%) had at least one impacted tooth. The total number of impacted teeth was 115 in the sample, out of which 91 (79.1%) were in the upper arch and 24 (20.8%) in the lower arch. Fifty-eight maxillary canines (50.4%) were impacted making them the most commonly impacted teeth, followed by 21 upper second premolars (18.2%) and 14 lower second premolars (12.2%). More females (70.7%) than males (29.3%) had impacted teeth (P=0.82). Of 61 spaces occupied, 35 (57.4%) were occupied by permanent teeth, 24 (39.3%) by primary teeth, and 2 (3.3%) by transmigrated teeth. Greater proportions of spaces were occupied in female than male participants (P>0.05). Conclusion. There was a high prevalence of impacted teeth in Saudi patients. The canines were the most commonly impacted teeth followed by the second premolars. Females demonstrated a higher occurrence of impacted teeth than males. Early detection of impacted teeth can help prevent malocclusion and maintain a healthy dentition.

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