Treatment of an impacted dilacerated maxillary central incisor

Lin, Ying‐Li

doi:10.1016/s0889-5406(99)70260-x

Cited by 99 publications

(96 citation statements)

References 10 publications

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“…In fact several reports recently have successfully treated dilacerated teeth with this approach. 1,4,12,13 Consequently, just as the present case revealed, the dilaceration of the root would not pose a great obstacle if the case is carefully planned and alternatives are contemplated.…”

Section: 11mentioning

confidence: 64%

“…The chances of failure could be due to ankylosis, external root resorption and root exposure after orthodontic traction. 3,4 Because of these problems, treatment usually involves surgical removal with subsequent orthodontic treatment to close the space or keep it open until the patient reaches an age when definitive implants or prosthodontic treatments may be used. 1 However, owing to the esthetic importance of the maxillary incisors, patients and parents always request that such teeth be saved.…”

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confidence: 99%

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Orthodontic treatment of an impacted dilacerated maxillary incisor: A case report

Cozza

Marino

Condò

2006

Journal of Clinical Pediatric Dentistry

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Dilaceration is one of the causes of permanent maxillary incisor eruption failure. It is a developmental distortion of the form of a tooth that commonly occurs in permanent incisors as result of trauma to the primary predecessors whose apices lie close to the permanent tooth germ.We present a case of post-traumatic impaction of a dilacerated central maxillary left incisor in a young patient with a class II malocclusion.

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Section: 11mentioning

confidence: 64%

mentioning

confidence: 99%

Orthodontic treatment of an impacted dilacerated maxillary incisor: A case report

Cozza

Marino

Condò

2006

Journal of Clinical Pediatric Dentistry

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“…Tracionamento de incisivos associados à mesiodens enable orthodontic traction to be carried out, as performed by other authors 5,[8][9][12][13][14][15][16][17][18][19][20][21][22] . Thus, if spontaneous eruption of the impacted incisors had not occurred spontaneously, further surgery would not be required.…”

Section: Discussionmentioning

confidence: 99%

Orthodontic traction of impacted upper central incisors related to mesiodens

Machado

Maia

Vianna

et al. 2015

RGO, Rev. Gaúch. Odontol.

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Although maxillary central incisors impaction is not a high frequent clinical condition, it is RESUMOA impacção de incisivos centrais superiores é uma condição clínica que embora não seja muito frequente, é um fator desagradável do ponto de vista estético e funcional. Existem diversas causas dessa alteração e a literatura é consensual quanto à necessidade da realização do diagnóstico e da intervenção o mais precocemente possível. Este trabalho traz o relato de um caso clínico de um paciente com 10 anos de idade, na fase da dentição mista, com má oclusão de Classe I, impacção de incisivos centrais superiores associado à retenção prolongada dos decíduos e a presença de dois supra-numerários na linha média. A conduta proposta foi à remoção cirúrgica dos mesiodens, colagem de dispositivos ortodônticos nos incisivos centrais impactados e, tracionamento ortodôntico com aparelho removível. Desta forma, embora a época de tratamento não fosse a ideal, pois o diagnóstico deveria ter sido estabelecido o mais precocemente possível, alcançou-se um resultado estético e funcional favorável.Termos de indexação: Má oclusão. Ortodontia. Dente impactado. Orthodontic traction of impacted upper central incisors related to mesiodensTracionamento ortodôntico de incisivos centrais superiores impactados associados à presença de mesiodens

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“…3,14,17,22,29 However, there are reports that associate to this anomaly, hereditary factors, 19 the presence of cysts or tumors, 5,8 supernumerary teeth 25 and ectopic development of the upper incisor tooth germ, with the root following the curvature of the palate, presenting the alteration. 15 Brin et al 3 and Laskaris 14 explained their possible theories to justify such a relation with dental trauma. Due to proximity between the deciduous root apex with the permanent germ, the occurrence of injuries during odontogenesis may cause displacement of the calcified portion of the rest of the tooth, which continues its development in this new position, creating an unusual angle.…”

Section: Introductionmentioning

confidence: 99%

“…4 Depending on the degree of root angulation, the treatment and prognosis of teeth with root dilaceration varies. 9,15 In mild cases, treatment is not necessary, however, there are cases where the tooth must be exposed surgically and orthodontically moved, and in more severe cases, due to treatment impossibility, the surgical removal followed by prosthetic rehabilitation is indicated. 6,15,20 The studies on prevalence of root dilaceration include, mostly, all permanent teeth, 10,16,21,28 not being observed studies regarding only central and lateral permanent incisors.…”

Section: Introductionmentioning

confidence: 99%

Prevalence assessment of root dilaceration in permanent incisors

Silva¹,

Costa²,

Beltrão

et al. 2012

Dental Press J. Orthod.

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Introduction: Root dilaceration is a dental anomaly characterized by an abnormal curvature of the dental root, which can cause problems during eruption and complications in the orthodontic and endodontic treatment or extraction. Objective: The aim of this study was to determine the prevalence of root dilaceration in permanent incisors in an oral radiology clinic in the city of João Pessoa / PB, Brazil. Methods: The sample consisted of 548 patients who allowed assessments of their dental radiographs, a total of 3,948 examined teeth. Each tooth was examined according to the occurrence of root dilaceration, regarding type (mild, moderate or severe), root third that it was in and direction of the root. The angle formed by the root deviation in relation to the long tooth axis was obtained by means of a diagram printed on transparent acetate, placed over the radiograph. Results: The results were analyzed with SPSS software (Statistical Package for Social Sciences) version 13.0, performing an exploratory data analysis. The prevalence of root dilaceration in the studied sample was 1.03% (41 cases), with higher incidence in males (65.8%), being the superior lateral incisor the most affected teeth (78%). The most prevalent type of root dilaceration was the mild one (73.1%), occurring more in the apical third (90.2%) and with distal direction of the root (95.1%). Conclusion: Considering these results, it is emphasized the importance of performing a diagnostic radiographic examination prior to planning a treatment in permanent anterior teeth. Keywords:Incisor. Tooth root. Tooth abnormalities. Dental radiograph. Prevalence. Introdução: a dilaceração radicular é uma anomalia dentária caracterizada por uma curvatura anormal na raiz do dente que pode causar problemas na erupção e complicações durante movimentação ortodôntica, tratamento endodôntico ou exodontia. Objetivo: o objetivo do presente trabalho foi verificar a prevalência da dilaceração radicular em incisivos permanentes, em uma clínica de radiologia odontológica da cidade de João Pessoa/PB. Método: a amostra foi constituída de 548 pacientes que possibilitaram avaliações em suas radiografias dentárias, totalizando 3948 dentes examinados. Examinou-se cada dente segundo a ocorrência de dilaceração radicular, com relação ao tipo (discreta, moderada ou severa), o terço radicular em que se encontrava e a direção da raiz. A angulação formada pelo desvio da raiz em relação ao longo eixo do dente foi obtida por meio de um diagrama impresso em acetato transparente, colocado sobre a radiografia. Resultados: os resultados foram analisados no programa SPSS, efetuando-se uma análise exploratória dos dados. A prevalência da dilaceração radicular na amostra estudada foi de 1,03% (41 casos), com maior incidência no sexo masculino (65,8%), sendo os incisivos laterais superiores os dentes mais acometidos (78%). O tipo de dilaceração radicular mais prevalente foi a discreta (73,1%), ocorrendo mais no terço apical (90,2%) e com direção distal da raiz (95,1%). Conclusão: diante desses res...

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Treatment of an impacted dilacerated maxillary central incisor

Cited by 99 publications

References 10 publications

Orthodontic treatment of an impacted dilacerated maxillary incisor: A case report

Orthodontic treatment of an impacted dilacerated maxillary incisor: A case report

Orthodontic traction of impacted upper central incisors related to mesiodens

Prevalence assessment of root dilaceration in permanent incisors

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