The congenitally missing upper lateral incisor. A retrospective study of orthodontic space closure versus restorative treatment

Robertsson, Stefan; Mohlin, Bengt

doi:10.1093/ejo/22.6.697

Cited by 236 publications

(221 citation statements)

References 33 publications

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“…In our experience and from reports in the literature, the majority of patients for whom upper anterior spaces were closed are satisfied with the result 3 .…”

Section: -Opening or Closing: Advantages And Disadvantagessupporting

confidence: 54%

Deciding how to treat anterior sectors with missing teeth

Gall¹,

Bachet²,

Dameron³

2012

J Dentofacial Anom Orthod

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“…In our experience and from reports in the literature, the majority of patients for whom upper anterior spaces were closed are satisfied with the result 3 .…”

Section: -Opening or Closing: Advantages And Disadvantagessupporting

confidence: 54%

Deciding how to treat anterior sectors with missing teeth

Gall¹,

Bachet²,

Dameron³

2012

J Dentofacial Anom Orthod

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“…The limited literature in this area suggests that a higher proportion of patients who have had OSC are satisfied with the appearance of their teeth (93%) compared with those who have had PR (65%) (Robertsson and Mohlin, 2000). De-Marchi and colleagues (De-Marchi et al, 2014) found that patients who had undergone OSC, judged their own teeth to be significantly more attractive than a control group, who had not had orthodontic treatment.…”

Section: Introductionmentioning

confidence: 99%

Space closing versus space opening for bilateral missing upper laterals – aesthetic judgments of laypeople: a web-based survey

Qadri¹,

Parkin

Benson³

2016

Journal of Orthodontics

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Objective: To investigate the opinions of laypeople regarding the aesthetic outcome of treating patients with developmental absence of both maxillary lateral incisors with either orthodontic space closure (OSC) or space opening and prosthetic replacement (PR). Design:Cross sectional, web-based survey.Methods: A panel of five orthodontists and five restorative dentists examined the post-treatment intra-oral images of 21 patients with developmental absence of both upper lateral incisors. A consensus view was obtained about the 10 most attractive images (5 OSC; 5 PR). The 10 selected images were used in a web-based survey involving staff and students at the University of Sheffield.In the first section the participants were asked to evaluate the attractiveness of the 10 randomly arranged single images using a 5-point Likert scale. In the second section an image of OSC was paired with an image of PR according to their attractiveness ranking by the clinician panel, and the participants were asked to indicate which of the two images they preferred. Results:The survey received 959 completed responses with 9590 judgements. The images of OSC were perceived to be more attractive (mean rating 3.34 out of 5; sd 0.56) compared with the images of PR (mean rating 3.14 out of 5; sd 0.58) (mean diff 0.21; P<0.001). Female and staff judges tended to give higher attractiveness ratings. Both females and males preferred the OSC images closing in 3 out of 4 paired images. Conclusion:Space closing was perceived to be more attractive than space opening by lay people.The findings have implications for advising patients about the best aesthetic outcome when both maxillary lateral incisors are missing.

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“…This could be due to the high incidence of unilateral cross bites and class III tendency. Male dimensions were lll larger than female dimensions, the left side being more distant from the midline than the right side [30].…”

Section: Malocclusionmentioning

confidence: 86%

Dental Concerns of Children with Down’s Syndrome - An Overview

Nirmala¹,

Degala²

2017

JPNC

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Down's syndrome is a condition known to be associated with a chromosomal abnormality. This is usually in the form of three in place of a pair of chromosomes 21, hence the name 'trisomy 21' the incidence of Down's syndrome in the population has been variably estimated between 1 and 4 per 1000 and which occurs in all races. These children are mentally retarded to some degree, they are generally smaller than average in height for their age, Midface dysplasia, flat broad bridge of the nose, "lop" ears, epicanthal folds with slanting almond-shaped eyes which was responsible for the term mongoloid. The majority of the children exhibit brachycephaly (broad, short head) and lack of supraorbital ridges and hypotelerism, Absence of frontal sinuses and absent or reduced maxillary sinuses, nasal septum or nasal conchl deviations are often observed which can produce a partially obstructed or narrow air passage and can contribute to the problem of mouth breathing, prone to infections especially upper respiratory tract infections. They have congenitally missing lateral incisors, the morphology of the teeth may also be affected. Teeth are smaller than normal, peg shaped and tend to be rounded or bulbous, roots of the incisors are short and most of the children are having tongue thrusting habit with lack of lip seal and high frenal attachment. They have a remarkable resistance to dental caries and at least half of them are caries free, preventive procedures along with chlorhexidine mouth wash may be beneficial and they suffer from a moderate to severe degree of periodontal disease. Down's syndrome children with congenital heart disease extractions and deep scaling should be done under antibiotic coverage and pulp treatment in primary teeth is contraindicated in patients with cardiac problems because of the risk of bacteremia whereas in permanent teeth it can be considered if an adequate apical seal can be obtained. Both orthodontic and prosthodontics appliances are usually contraindicated. Nitrous oxide analgesia or Tell show do in mildly apprehensive patients can be used, general anesthesia in severe resistance to dental treatment. This article discusses about etiological factors, clinical features and management aspects.

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The congenitally missing upper lateral incisor. A retrospective study of orthodontic space closure versus restorative treatment

Cited by 236 publications

References 33 publications

Deciding how to treat anterior sectors with missing teeth

Deciding how to treat anterior sectors with missing teeth

Space closing versus space opening for bilateral missing upper laterals – aesthetic judgments of laypeople: a web-based survey

Dental Concerns of Children with Down’s Syndrome - An Overview

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