What are the factors affecting prognosis and treatment duration for impacted central incisors?
May 21, 2015
This summary is based on the article published in the American Journal of Orthodontics & Dentofacial Orthopedics: Impacted central incisors: Factors affecting prognosis and treatment duration (May 2015)
Stella Chaushu, Tal Becker, and Adrian Becker
Context
Although the prevalence of non-eruption or impaction of the maxillary central incisor is low, its occurrence is disfiguring for a young child and of considerable concern to the parents. The causes of this phenomenon can be divided into 2 main groups: obstructive and traumatic causes.
Purpose of the Study
To assess the patient and treatment factors that influence the success rate and the duration of the orthodontic-surgical modality for impacted central incisors.
Key Findings
- The conservative approach to the treatment of impacted maxillary incisors is a significant clinical challenge insofar as it requires close collaboration between an orthodontist and an oral surgeon and, not least, skilled management because it mainly involves a young patient.
- The orthodontic-surgical treatment of impacted incisors is generally successful, but relatively long.
- Patients and parents should be warned of the risk of failure and the increased treatment duration, especially for dilacerated incisors impacted high in the alveolus.
References