Dental arch perimeter changes as a result from premature loss of primary anterior teeth due to trauma: A case series in infant and pre‐school children

Abstract

Background The premature loss of primary anterior teeth in deciduous arches is a controversial topic in the literature, especially due to the lack of robust scientific evidence about the consequences in the arch perimeter space and magnitudes of the effects involved. Aim Evaluate the association between premature loss of primary anterior teeth and dental arch perimeter changes, according to clinical variables as deciduous arch type, erupted primary canines, midline involvement and deleterious oral habits, on infants and pre‐school children. Design Patients with avulsion or referral to extraction due to traumatic dental injuries (TDI) were evaluated. After the tooth loss, two trained operators measured the tooth/teeth space, both with a digital caliper and a dry tip compass. The clinical documentation included photographs and radiographs. Follow‐up visits occurred from the baseline and every two months over a 12‐month period. Chi‐square test was used to evaluate the association between arch perimeter changes and clinical variables (α = 0.05). A descriptive statistic was performed to explore the magnitude of space changes, with 95% confidence intervals. Results Eighteen infants/children (mean, 2.78 ± 1.39 years) were included. Nine patients presented space loss (50.0%) (mean, −1.32 mm), six patients gained space (33.3%) (mean, +1.55 mm), and three patients presented space maintenance (16.7%). Clinical variables did not influence dental arch perimeter changes. Conclusions: Premature loss of primary anterior teeth, as well as deleterious oral habits, deciduous arch type, midline involvement and erupted primary canines, were not associated with dental arch perimeter changes.

Prevalence of premature loss of deciduous teeth and its relationship with gender among children from Acapulco, Guerrero: a cross-sectional study

“…The premature loss of a deciduous dental organ produces loss of function and occlusal alterations due to the mobilization of adjacent teeth 6 . Some studies have documented changes in the perimeter of the dental arch when deciduous teeth are extracted, with loss of space occurring in 50% and minimum conservation in 17% of cases 16 . Therefore, when faced with the premature loss of a deciduous tooth, the recommendation is to maintain the space with therapeutic alternatives recommended by specialists in pediatric dentistry 17,18 .…”

“…Early loss of primary teeth causes occlusal alterations and space loss in children 6 . One study documented an average of 50% (-1.2 mm) space deficiency with premature loss of primary anterior teeth 16 . Among the therapeutic alternatives for premature tooth loss, planned maintainers help preserve spaces 17,18 .…”

Dental anomalies of a child with incontinentia pigmenti: Case report

“…Normally, in cases of agenesis of the permanent teeth, root resorption of primary teeth does not occur, which can determine a longer permanence of the deciduous teeth (Aktan et al, 2012). In cases of loss of primary teeth without a permanent successor, treatment with space maintainers, prostheses or implants will be necessary (Nadelman et al, 2020;Guariza-Filho et al, 2018). Due to the patient's young age, it is expected to keep primary teeth as long as possible or at least until the patient reaches maturity to undergo more extensive treatments.…”

Pérdida prematura de dientes temporales en niños de 4 a 8 años que acuden a la Universidad Central del Ecuador

“…Los efectos de la PPDT incluyen la alteración en la fonación con distorsión del habla (10) , cambios en la dimensión anterior y posterior de los arcos maxilares (11) , pérdida de espacio posterior a la extracción del diente temporal (12)(13)(14) , linguoversión de los incisivos inferiores y sobrepase aumentado (15) e impacto en la calidad de vida (16) . La caries es el factor común para la PPDT, otros factores incluyen: desórdenes congénitos, exfoliación prematura de dientes temporales particularmente los caninos, erupción ectópica de dientes permanentes especialmente el primer molar, trauma dental y extracciones ortodónticas para tratamientos interceptivos (10,(17)(18)(19)(20) .…”