scholarly journals Management of Impacted Teeth in Orthodontics

2021 ◽  
pp. 1-6
Author(s):  
Mhd. Azhar Ibrahim Kharsa ◽  
Keyword(s):  
Treatment Plan ◽  
Daily Practice ◽  
Impacted Tooth ◽  
Impacted Teeth ◽  
Innovative Solutions ◽  
Independent Case ◽  
Li Ion ◽  
Per Se ◽  
Forced Eruption

Introduction and Purpose: Treatment of impacted teeth in orthodontics is crucially important, as clinician is supposed to manage such cases in his/her daily practice. However, impaction cases can be so complicated especially when other factors interfere within their treatments such as anatomical locations of the impacted teeth, surgical considerations and Orthodontic Traction difficulties. The management of impacted teeth in orthodontic practice varies widely from extraction of the impacted tooth to forced orthodontic eruption. Orthodontic eruption varies between closed or open techniques that must be determined for each case, per se. Materials and Methods: One hundred fifty one impacted teeth cases were followed up, classified by their techniques as to register the results statistically. The approaches for handling the impacted teeth were open forced eruption “as window or APF Apically Positioned Flap”, closed forced eruption, negligence and extraction when indicated. Bonding with Light Cure orthodontic composite was used for all cases of forced eruption. The used Device had been Mini LED, Acteron, Li-ION 3.7V, 2500mAh. Time of Exposure 20 Second. The traction attachments had been either Titanium Button and Chain (Watted) Dentaurum, or conventional Buttons (with ligature wires or elastics). This research discusses the prognosis of impacted teeth, the approaches of the orthodontic forced eruption and when to expose, extract or even “neglect”! The article does not recommend one treatment plan for all cases, in contrary; it urges the reader to search more for innovative solutions whenever such cases come across. Results and Conclusion: It is recommended that the decision regarding orthodontic forced eruption (closed or open), or extraction be based on evaluation of each independent case. In spite of the result of this research that 126 cases of the 151 screened cases had been treated successfully by orthodontic forced eruption, but complications such ankylosis, resorption, eruption failure and periodontal pockets need to be taken into account. Another complication can often be encountered that is bonding failures, especially in closed force eruption. However, the new bonding materials and the improved techniques have helped to overcome such a problem. Finally, the more precise the location and position of the impacted tooth is known, the easier the procedure becomes.

scholarly journals W Spring for Management of Impacted Teeth

2017 ◽  
Vol 7 ◽  
pp. 248-249
Author(s):  
Rohit A. Minase ◽  
Wasundhara A. Bhad ◽  
Umal Hiralal Doshi
Keyword(s):  
Present Article ◽  
Coil Spring ◽  
Impacted Tooth ◽  
Simple Modification ◽  
Impacted Teeth ◽  
Force Application ◽  
Forced Eruption

Forced eruption of an impacted tooth necessitates a firm and versatile attachment for force application. The present article describes a simple modification of NiTi closed coil spring called W spring for predictable forced eruption of impacted teeth.

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 The assesment of pattern of maxillary canine impaction in the Ardabil city

2021 ◽  
Author(s):  
Emran Hajimohammadi ◽  
Hesam Mikaili Khiavi ◽  
Abbas Naghizadeh Baghi ◽  
Vahid Khalili ◽  
Sheida Zohoori
Keyword(s):  
Root Resorption ◽  
Treatment Plan ◽  
Maxillary Canine ◽  
Impacted Tooth ◽  
Impacted Teeth ◽  
Adjacent Structures ◽  
Root Curvature ◽  
Impacted Canine ◽  
Impacted Canine Teeth ◽  
Maxillary Impacted Canine

Background & Objective: Impacted teeth are one of the most common reasons for visit- ing dentists and maxillofacial surgeons. During clinical and radiographic examinations and evalu- ations, the dentist sometimes realizes that the patient’s problem is due to the impaction of one or more teeth. Therefore, it is necessary for every dentist to make the necessary and correct decision for the treatment of such teeth. One of the best ways to diagnose impacted teeth is first of all the absence of that tooth in the desired location and clinical evaluation of the patient and secondly to check the radiographic view of the desired area. Impacted teeth can be the source of many prob- lems for various reasons, so in most cases, their extraction is recommended. Knowing how to place the impacted tooth and determining its type and other characteristics of the impaction can help the dentist in choosing the appropriate treatment-surgical method and also prevent complications during surgery. Proper and timely diagnosis of impaction as well as determining its position (buc- cal-palatal-intermediate) in the jawbone can reduce damage to adjacent structures and also affect the treatment plan. Because accurate detection of impacted tooth positions is possible with radiog- raphy, the most accurate radiograph to examine the impacted tooth is cbct images. Therefore, due to possible occlusion injuries and the effect of occlusion pattern on the treatment of these teeth, it is important to study the types of impaction patterns. Therefore, this study was presented with the aim of investigating the impaction pattern of maxillary canine teeth in Ardabil with cbct archive. Materials and Methods: In this descriptive cross-sectional study, CBCT images of 239 patients who met the inclusion criteria were evaluated. Due to the lack of statistics, due to the lack of statistics of maxillary impacted canine teeth in Ardabil, the counting method was used for sampling and stereotypes were identified as maxillary impacted canine teeth as the sample size. The obtained data were analyzed in SPSS24 software. Results: Among the impacted canine teeth studied, 63.2% had palatal, 17.5% buccal and 19.3% had intermediate pattern. Also, 11.2% had damage to adjacent structures and 88.8% had no damage to adjacent structures. Among the types of damage to adjacent structures, 46.9% caused root re- sorption of the first premolars, 34.5% caused root canal resorption, and 18.6% had other damage to adjacent structures. Of these, 50.4% had root curvature and 49.6% had no root curvature, of which 12.1% had severe curvature, 38.7% had mild curvature and 49.2% had severe curvature. Also, the average angle of the incised canine to the lateral incisor was 41.7%. 9% of impacted canine teeth had a root resorption of lateral incisors and 9% did not have a root resorption of lateral incisors. Conclusion: Dentists should treat cases such as maxillary latent canine such as: Examine the occlusion pattern, angle to adjacent teeth, damage to adjacent structures, curvature of the incised canine root, and root resorption of adjacent teeth.

scholarly journals Web-based evaluation of experts' opinions on impacted maxillary canines forced eruption using CBCT

2015 ◽  
Vol 20 (2) ◽  
pp. 90-99 ◽  
Author(s):  
Amirfarhang Miresmaeili ◽  
Nasrin Farhadian ◽  
Vahid Mollabashi ◽  
Faezeh Yousefi
Keyword(s):  
Linear Regression ◽  
Occlusal Plane ◽  
Impacted Tooth ◽  
Web Based ◽  
Impacted Teeth ◽  
Decision Methods ◽  
Main Factors ◽  
Forced Eruption ◽  
3D Software ◽  
Vertical Height

AIM: This study aims at examining the difficulty in performing forced eruption of impacted maxillary canines, using CBCT information and according to experienced orthodontist's opinion. The second aim was to find the most important factors related to this decision. METHODS: Based on a careful literature review on impacted maxillary canines, ten main factors were selected to assess difficulties associated with impacted teeth. Thirty six consecutive patients with 50 impacted maxillary canines were examined and variables were measured for each impacted tooth using Dolphin 3D software. Ten orthodontists assessed the radiographs of teeth and provided their opinion on the difficulty in bringing impacted teeth into occlusion named subjective degree of difficulty (SDD). The correlation established between mean SDD of each tooth and measured variables were analyzed by means of linear regression. RESULTS: Mean SDD was 6.45 ± 1.22 for all 50 teeth. Linear regression showed a high coefficient of correlation between mean SDD and age, dilacerations, vertical height, angulation and horizontal overlap (P < 0.05). CONCLUSION: To predict the difficulty of impacted maxillary canines forced eruption, according to the opinion of experienced orthodontists, the factors age, dilaceration, angulation, overlap and vertical distance from the occlusal plane are the most important variables.

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 Role of CBCT in diagnosis and treatment plan of Impacted teeth: A Case Report

2016 ◽  
Vol 6 (2) ◽  
pp. 41-44
Author(s):  
Darpa Pradhan ◽  
Tang Tian
Keyword(s):  
Complex Analysis ◽  
Root Resorption ◽  
Treatment Plan ◽  
Diagnostic Efficiency ◽  
Impacted Tooth ◽  
Impacted Teeth ◽  
Congenital Deformities ◽  
Impacted Canine ◽  
Angular Measurements ◽  
Maxillary Lateral Incisor

In recent years Cone Beam Computed Tomography (CBCT) has become a widely accepted radiographic tool for diagnosis, treatment planning and follow-up in dentistry. 3D imaging has improved diagnostic efficiency and the practice of dentistry in a variety of ways; from routine evaluation to complex analysis of unusual pathology and congenital deformities. The technology available today makes dentistry better, easier, and more accurate. The most recognized need for CBCT imaging in orthodontics is that of the impacted canine evaluation. This article reports a patient having impacted right maxillary lateral incisor and canine; which is evaluated by 3D CBCT and was found beneficial particularly in terms of anatomical detail of root resorption and labiolingual relationships of the impacted tooth with the roots of neighboring teeth. Linear and angular measurements on CBCT images were accurate and helped in determining the exact location of the impacted teeth making it convenient for the surgical exposure of impacted teet

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

scholarly journals Clinical assessment of impacted lower third molars at Ekpan, Delta State in Nigeria

2020 ◽  
Vol 3 (2) ◽  
pp. 352-355
Author(s):  
Mabel Okiemute Etetafia ◽  
Ese Anibor ◽  
Martins Obaroefe
Keyword(s):  
Third Molar ◽  
Third Molars ◽  
Impacted Tooth ◽  
Female Ratio ◽  
Impacted Teeth ◽  
Pull Out ◽  
Carious Lesions ◽  
Surgical Extraction ◽  
Impacted Mandibular Third Molars ◽  
Mandibular Third Molars

Introduction: Diagnosis and management of impacted mandibular third molars call for a cogent appraisal and treatment choice both for the sick person and the dental practitioner. This academic work scrutinized the pattern as well as treatment of impacted mandibular third molars at the Teem Clinic and Dental Centre, Ekpan, Delta State, in Nigeria.Materials and Methods: This cross-sectional survey involved 131 cases who reported impacted mandibular third molars. The age, gender, impacted tooth, type of impaction, pathological conditions, and treatment proffered were recorded.Results: The male to female ratio was 0.8:1, with an age range of 10 to 40 years. Of the lower third molar impactions 58 (42.0%) were mesioangular, 5 (3.6%) horizontal, 18 (13.0%) vertical and 57 (41.3%) were distoangular. A total of 47 (34.1%) quested for dental attention following varying degrees of pain induced by pericoronitis. Teeth removal was accomplished for 76 (55.0%) owing to carious lesions on the impacted teeth, proximate tooth, or both. Surgical extraction was the option taken in 69 (50.0 %) with caries on the impacted teeth while 3 (2.2%) had to pull out of their teeth done owing to carious lesions on the bordering second molars. In 3 (2.2%) both the impacted third molar and the proximate second molar were decayed. Conclusions: The prevailing indication for pulling out impacted mandibular third molars was acute pericoronitis. Mesioangular sort of impaction was most recurrent and ought to be considered for theplausibility of frequentness of complications.

scholarly journals PENATALAKSANAAN IMPAKSI GIGI MOLAR TIGA BAWAH (WISDOM TEETH) DENGAN KOMPLIKASINYA PADA PASIEN DEWASA MUDA

2013 ◽  
Vol 3 (3) ◽  
Author(s):  
Krista Veronica Siagian
Keyword(s):  
Young Adult ◽  
Young Women ◽  
Daily Practice ◽  
Impacted Teeth ◽  
The Third ◽  
Wisdom Teeth ◽  
Mandibular Teeth ◽  
General Dentist

Abstract: In daily practice, we often found the third mandibular impacted teeth that  popular called the wisdom teeth, with the complication, such as dentoalveolar abses, sub cutans abses n caries at distal second mandibular teeth .  The frequencies is  about 88,8% and mostly found in the young adult ages between 18 to 30 years old.  A general dentist is needed to know about the symptom and management of the simple third mandibular impacted teeth that found in the young adult ages.  This paper reported a case in the young women with ages 24 years old with the third mandibular impacted teeth with abses dentoalveolar and caries at distal second mandibular teeth. Keywords: Wisdom teeth, impacted.     Abstrak: Dalam praktek dokter gigi sehari-hari, sering kali ditemukan pasien  dewasa muda yang  memiliki gigi molar tiga bawah yang impaksi ataupun  malposisi, yang sering disebut `Wisdom Teeth`.   Frekuensi terjadinya gigi gigi molar tiga bawah yang impaksi ataupun  malposisi yaitu 88.8 %, dan paling banyak ditemukan pada umur dewasa muda, 18-30 tahun.  Seorang dokter gigi harus memiliki pengetahuan mengenai gejala dan penatalaksanaan pengambilan bedah sederhana dari gigi molar tiga bawah yang impaksi ataupun  malposisi . Tulisan ini dilaporkan seorang wanita dewasa muda berumur 24 tahun dengan kasus gigi molar tiga bawah kanan yang impaksi dengan komplikasinya, abses dentoalveolar dan karies di bagian distal gigi molar dua mandibula. Kata kunci: wisdom teeth, impaksi.

scholarly journals Orthodontic Traction of Impacted Teeth with Modified Nance Appliance : Case Reports

2020 ◽  
Vol 47 (4) ◽  
pp. 454-462
Author(s):  
Sehee Park ◽  
Namki Choi ◽  
Seonmi Kim
Keyword(s):  
Case Reports ◽  
Treatment Options ◽  
Proper Treatment ◽  
Impacted Tooth ◽  
Impacted Teeth ◽  
Tooth Transplantation ◽  
Root Absorption ◽  
Surgical Exposure ◽  
Patient Cooperation ◽  
Maxillary Incisors

Proper treatment of an impacted tooth is required as it causes functional and esthetic disharmony, as well as it can cause root absorption of adjacent teeth. Treatment options for impacted teeth include periodic observation, surgical exposure, orthodontic traction followed by surgical exposure, tooth transplantation, and extraction. Modified Nance appliance, used for orthodontic traction, is clinically useful because it does not require patient cooperation. Through orthodontic traction combined with surgical exposure of impacted maxillary incisors, canines, and molars using modified Nance appliance, adequate results can be obtained.

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