Dental Publication / Article Details |
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Impacted Teeth: Orthodontic and Surgical Considerations
Author(s):
Vincent G. Kokich, Sr., DDS, MSD; David P. Matthews
Date Added:
1/1/0001
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Summary:
Most permanent teeth erupt into occlusion. In some individuals, however, the permanent teeth may fail to erupt and become impacted within the alveolus. When this lack of eruption occurs, two alternative treatment plans are possible. The impacted tooth could be extracted; the removal of the tooth, however, might require the placement of an implant or fixed prosthesis to replace the missing tooth. The other alternative is to uncover the tooth surgically and move it into the dental arch orthodontically. The timing of the orthodontic treatment, type of surgical procedure to uncover the impacted tooth, orthodontic mechanics necessary, and potential problems with treatment vary, depending on which tooth has become impacted. This article will discuss the orthodontic and surgical management of impacted teeth. In order to elucidate the differences in treatment techniques, this article will be subdivided based upon the specific tooth or teeth that commonly are impacted. In each subsection, the etiology, method of uncovering, timing of uncovering, preoperative and postoperative mechanics, and potential problems will be discussed.
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