Guideline on management of the developing dentition and occlusion in pediatric dentistry.
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Impacted canines are not uncommon in clinical practice, but intraosseous movement of impacted canines crossing the midline (transmigration) is a rare phenomenon. We report 4 cases of mandibular canine transmigration to emphasize the need to supplement periapical radiographs with a panoramic radiographic examination in patients with over-retained deciduous canines or missing permanent canines.
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The cause of disturbance of dentoalveolar arch formation in the front part of the maxilla in one patient was the maxillary central incisors eruption delay due to retention of supernumerary teeth situated in the region of upper central incisors. A positive result of the treatment was achieved with the use of surgical and orthodontic methods. The distinctive feature of the orthodontic method was retained tooth displacement (by traction) into the dentition.
According to the bibliography and their personal experiences, the Authors take into account the transposition of the canine and first premolar, in order to discuss their causes and consider the different therapeutical possibilities. Three clinical cases are here treated.
Various biomechanical systems for the molar uprighting have been described. The Authors analyze the force system delivered on the molar and on the anchorage unit. The biomechanical considerations are emphasized in each single case.
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A case of impacted teeth and maxillary sinus cyst is reported. The etiopathogenesis, anatomo-pathology, symptomatology and diagnosis of impacted and heterotopic teeth are also described.
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The authors report four cases of vestibular ectopia. The relevance of a sufficient gums adhesion to dental elements is outlined as a factor leading to an optimal reposition of the latter.
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The presence of supernumerary teeth in the premaxillary region may cause a variety of pathological effects. This study was carried out to determine the various aspects of supernumerary teeth in the premaxillary region, particularly the effects of the supernumerary teeth on the permanent incisors and surrounding tissues. Approximately 20 percent of the patients (n = 49) with supernumerary teeth did not present with any abnormality. A high proportion of patients (37.9 percent) had delayed or failure of eruption of permanent teeth and 24.1 percent had rotation or displacement of permanent teeth. Other effects observed were median diastema and cystic changes around the unerupted supernumerary tooth. The high proportion of pathological effects seen showed that early diagnosis of the anomaly is important to intercept damage to the adjacent normal teeth and surrounding tissues. However, no cases of root resorption of the permanent teeth due to the presence of supernumeraries were observed.
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