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At least 199 records · Page 11Linked to original sources
PubMed1999

The apically repositioned flap in tooth exposure.

Methods of exposing impacted teeth in order to bring them into the line of the arch include gingivectomy, the apically repositioned flap and closed eruption techniques. These procedures aim to facilitate the eruption of the impacted tooth with a minimum of disruption or damage to the tooth itself or adjacent structures. The aim of this paper is to discuss the various surgical methods of exposing impacted teeth and to help to identify where the use of the apically repositioned flap is indicated. Clinical examples are presented and a surgical method for carrying out this procedure recommended.

Journal Article↗
PubMed2001

Early detection of potential impaction of permanent maxillary canines caused by resorption disorders of deciduous canines.

Maxillary canine impaction is an often-encountered dental anomaly as after the third molar it is the maxillary canine that is the most frequently impacted tooth. One of many factors causing impaction of maxillary canines is the presence of the persistent primary canine. The aim of the study was early evaluation of resorption of deciduous maxillary canines and an attempt at prediction of impaction or delayed eruption of their permanent counterparts as well as the possibility of their eruption in proper position in the dental arch. There were examined digital intraoral radiograms of 43 patients at the age from 8 to 11 years (44% boys, 56% girls). All the radiograms were taken using the Digora Soredex digital radiography system. There was observed the presence and degree of resorption of deciduous maxillary canines according to age and sex. It was evaluated whether a deciduous canine might be a mechanical obstacle for erupting the permanent tooth. It was concluded that although physiological resorption of deciduous maxillary canine begins at the age of 8, it is radiologically evident on intraoral digital X-rays taken at the age of 9-10 years. So the best time to assess a patient for potential resorption of primary canine and possibilities of eruption of its equivalent in proper position in dental arch is between the 9th and 10th year of age.

Age Distribution↗
PubMed1998

Autocorrelation of acoustic signals from the temporomandibular joint.

Although there have been many investigations of TMJ sounds in the time and frequency domains, no previous reports have been found of investigations of the autocorrelation spectra of these sounds. In the present study, TMJ sounds were digitized at 1.7 kHz and 300 ms samples containing either clicks (single short duration sounds), crepitus (long duration continuous sounds) or creaks (a series of two or more clicks) were selected. These samples were compared with sounds of known origin: tooth impact sounds, frictional sounds elicited by scratching the head, and bruxing sounds resulting from stick-slip friction as teeth were slid against one another under high pressure. There were clear qualitative and quantitative differences between the autocorrelation spectra of the three types of TMJ sounds. Clicks were similar to tooth impact contact sounds, creaks were similar to the bruxing sounds, and crepitus was similar to the scratching sounds. The repetition rate of creaks was 16 Hz (s.d. 9 Hz), this being similar to the resonance of the mandible about the condylar axis. It is suggested that the creaks are due to stick-slip friction in the lower joint compartment of the TMJ.

Acoustics↗
PubMed1992

Vertical dimension increases in the adult rhesus monkey: a pilot study.

Tooth impaction, increased muscle activity, and histologic changes in the bone of the temporomandibular joint have been reported following attempts to increase the vertical dimension of occlusion. The purpose of this research was to study the effects of increases in the vertical dimension of occlusion on bone density at five levels of the mandible in the adult rhesus monkey, and to assess dentoalveolar changes by lateral cephalometric radiographs and mounted diagnostic casts. Mandibular cobalt chromium splints measuring 3 mm in height at the first molar, providing even occlusal contact to the maxillary anterior and posterior teeth, were cemented in place on two monkeys. Five similar monkeys without splints were used as controls. Computed tomograms were completed to evaluate bone density bilaterally at five levels of the mandible after 3 months of splint wear. Pretreatment and posttreatment lateral cephalometric radiographs and mounted diagnostic casts were completed to assess tooth impaction. Periodontal ligament (PDL) thickening and mobility of molars and premolars were evaluated before splint placement and after splint removal. There was no statistically significant difference in the bone density levels of the animals with splints compared with the controls. Minimal dentoalveolar changes were observed.

Animals↗
PubMed2002

Paradental cysts: a role for food impaction in the pathogenesis? A review of cases from Northern Ireland.

We present the clinical, radiographic and histological findings of 15 paradental cysts. These were the second most common type of cyst associated with mandibular third molars, comprising 25% of all lesions at this site. Ten patients were aged 30 years or younger and 13 gave a history of pericoronitis. There was a close relationship between the site of the cyst and the angle of the impacted tooth; the cyst lay mesially to two mesioangularly impacted teeth, buccal to two vertically impacted teeth and distal/distobuccal to the remainder, all but one of which were distoangular in impaction. The pericoronal follicular space was preserved in nine cases, a useful diagnostic sign. Most cysts were lined with epithelium that resembled that seen in radicular cysts, although the lining of three cysts resembled that of unicystic ameloblastoma, a potential diagnostic pitfall. We propose that the relation between location of cyst and angle of impaction points to a role for food impaction in the pathogenesis of paradental cysts.

Adolescent↗
PubMed2005

Predisposing conditions for retrograde peri-implantitis, and treatment suggestions.

BACKGROUND: Recent case reports introduced the term retrograde peri-implantitis as a lesion (radiolucency) around the most apical part of an osseointegrated implant. It develops within the first months after insertion. This retrospective study aimed to find predisposing conditions for such peri-apical lesions and to evaluate treatment strategies. METHODS: All single implants (426 in the upper, 113 in the lower jaw, all Brånemark system type) placed at the department of Periodontology of the University Hospital (Catholic University Leuven) were included in this retrospective evaluation to check the incidence of retrograde peri-implantitis. Eventual predisposing factors such as patient characteristics (age, medical history), recipient site (local bone quality and quantity, cause of tooth loss), periodontal and endodontic conditions of neighboring teeth, implant characteristics (length, surface characteristics), and surgical aspects (guided bone regeneration, osseous fenestration, or dehiscency) were considered. Moreover, implants with retrograde peri-implantitis were followed longitudinally to verify their treatment outcome by means of different parameters (Periotest values (PTV), marginal bone level, radiological size of peri-apical defect). RESULTS: Seven implants in the upper (1.6%) and 3 in the lower jaw (2.7%) showed retrograde peri-implantitis, before or at abutment connection. In comparison with successful implants, such peri-apical lesions occurred preferably at sites with a history of an obvious endodontic pathology of the extracted tooth to be replaced. The incidence of retrograde peri-implantitis was significantly higher (P<0.0001) for TiUnite implants when compared with the machined implants (8/80 vs. 2/459). The machined implant surface, however, showed a higher failure rate (6.8%) than the TiUnite implants (2.5%). Failures with machined surfaces preferably occurred at extraction sites of teeth with a history of endodontic pathology or sites adjacent to teeth with an obvious endodontic pathology. No other predisposing factors could be identified. A curettage of the peri-apical lesions and the use of a bone substitute material prevented further progression of such lesions in the upper jaw (implants maintained their marginal bone and low PTV scores). A treatment in the lower jaw was less successful. CONCLUSIONS: Within the limitations of a retrospective study, these results seem to indicate that retrograde peri-implantitis is provoked by remaining scar or granulomatous tissue at the recipient site: endodontic pathology of extracted tooth (scar tissue-impacted tooth) or possible endodontic pathology from a neighboring tooth.

Causality↗
PubMed2000

A second deciduous molar impacted in right maxillary sinus: a long-term follow-up.

Primary tooth impaction is quite rare during the development of primary dentition. Various factors contribute to the impaction of a deciduous tooth, including malposition and malformation of the tooth bud, dentomaxillofacial disharmony, tumors, and cysts. This case was a 6-year-old female with complete left cleft lip/palate. A maxillary right second deciduous molar impacting at a high level approximate to the maxillary sinus was noted on the initial visit. To prevent surgical trauma to the surrounding tissue and succedaneous teeth, regular follow-up with radiographic examination was taken every 2 years. After a 7-year long-term follow-up, the impacted second primary molar in the right maxillary sinus had almost completely been resorbed with only about 10% of the original structure left. To the present, the resorption of the impacted deciduous molar seemed to have continued with no major pathological changes. Periodic radiographic examination is strongly advised until the total resorption process is completed.

Child↗
PubMed2004

The role of digital volume tomography in the imaging of impacted teeth.

AIM: Digital volume tomography is presented here as an alternative to routine computerized tomography in the diagnosis and treatment planning of impacted teeth. MATERIAL AND METHODS: A sample of 20 patients with a variety of types of tooth impaction was investigated and five representative cases are described. The potential disadvantages of digital volume tomography--inferior spatial resolution of subtle structures and limited representation of soft tissues--were of no clinical significance in the presented cases of impacted teeth. The method provides 3-dimensional images closely akin to regular computerized tomography imaging, yet the amount of radiation produced is less than one sixth that for regular computer tomography and its cost is considerably less. RESULTS AND CONCLUSION: There is reason to recommend the routine adoption of digital volume tomography imaging for positional diagnosis in most cases of impaction of teeth that are candidates for orthodontic resolution.

Child↗
PubMedDate not supplied

The impacted lower wisdom tooth: to remove or to leave alone?

The management of impacted third molars, particularly the indications for their removal, is judged against a constantly changing climate of professional opinion, public attitudes to treatment and the funding of healthcare. These changes highlight the practitioner's dilemma: to remove an impacted wisdom tooth or to leave well alone? This article discusses the indications for and risks of wisdom tooth removal, and suggests guidelines for dealing with the dilemma.

Decision Making↗
PubMed2004

Orthodontic assisted tooth eruption in a dentigerous cyst: a case report.

In an orthodontic practice, it is common to deal with impacted teeth, which are one of the most difficult situations dealt with by dentists. This case report describes the surgical and orthodontic management of the impacted teeth in a large dentigerous cyst. In the initial stage of treatment, the cyst was marsupialized over 7 months. After decompression of the cyst, spontaneous eruptions of the impacted tooth were noticed. Then, they were orthodontically brought into the proper occlusion.

Adolescent↗
PubMed2001

A review of clinical features in 13 cases of impacted primary teeth.

AIM: The aim of this study was to review clinical findings in 14 impacted primary teeth in 13 cases treated at a Paediatric Dental Clinic over a period of 18 years. METHOD: The retrospective study used clinical records, radiographs and oral photographs. Data included age, gender, presenting complaints, location, radiographic findings, aetiological factors, treatment and prognosis of impacted primary teeth and their permanent successors. RESULTS: The patients included five males and eight females aged from one year two months to seven years five months. One case had impacted bilateral, mandibular primary central incisors and the remaining 12 cases each had one impacted tooth. The maxillary second primary molar was the tooth most frequently involved. Permanent successor tooth germs were identified in 12 teeth but not in two. Five cases were impacted because of odontomas, in the case with bilaterally affected mandibular primary central incisors these were malpositioned and were erupting ectopically. In seven cases, aetiology was unknown. Four impacted primary teeth were extracted because eruption was unlikely. In four cases, odontomas were surgically removed and the teeth kept under observation. The remaining six were surgically exposed. Traction was applied in two of the six. Eight of the teeth erupted. In two teeth in which traction was used, one was subsequently extracted, and one erupted. In the cases of seven, permanent successors erupted. These were hypoplastic teeth and were delayed in development and eruption. CONCLUSIONS: Impacted primary teeth may be associated with defects in development and eruption of their permanent successors, long-term observation is therefore necessary until the permanent successors erupt.

Child↗
PubMed1993

Surgical and orthodontic management of impacted teeth.

This article has accomplished four objectives. First of all, the most commonly impacted teeth have been identified. Aside from the third molars, these teeth include the maxillary canines, maxillary central incisors, mandibular second premolars, and mandibular second molars. Second, the cause of impaction has been discussed. In most situations, these unerupted teeth have been diverted or are angulated aberrantly during development. Once the root apex has closed, they lose their potential to erupt. Third, the various surgical procedures to uncover these impacted teeth have been described. Three different techniques (excision, apically positioned flap, and closed eruption technique) may be used to uncover the impacted tooth. The specific criteria used to select the proper surgical technique were stated. Last, the orthodontic mechanics and integration of tooth movement and surgical procedures were delineated and illustrated for each of the various types of impactions and uncovering techniques.

Combined Modality Therapy↗
PubMed2005

Two- and three-dimensional orthodontic imaging using limited cone beam-computed tomography.

Considerable progress has been made in diagnostic, medical imaging devices such as computed tomography (CT). However, these devices are not used routinely in dentistry and orthodontics because of high cost, large space requirements and the high amount of radiation involved. A device using computed tomography technology has been developed for dental use called a limited cone beam dental compact-CT (3DX). The aim of this article is to demonstrate the usefulness of 3DX imaging for orthodontic diagnosis and treatment planning. We present three cases: (1) one case shows delayed eruption of the upper left second premolar, (2) the second case shows severe impaction of a maxillary second bicuspid; and (3) the third case shows temporomandibular joint disorder (TMD). In the tooth impaction cases, the CT images provided more precise information than conventional radiographic images such as improved observation of the long axis of the tooth, root condition, and overlap with bone. In the TMD case, clear and detailed temporomandibular joint images were observed and pre- and posttreatment condylar positions were easily compared. We conclude that 3DX images provide useful information for orthodontic diagnosis and treatment planning.

Adolescent↗