IMPACTION OF TEETH - FREQUENCY AND MOST OFTEN USED TREATMENT PROTOCOLS
Table 4. Choice of the treatment approach and its
relationship to the patient’s age and growth period.
Treatment
Treated with
Pendulum
Treated with
extractions
Age
SD
Min Max
13,4 3,6 9,0 29,0
15,8 2,8 13,0 21,0
N Mean
42 20
p
0.011
does not have enough space in the dental arch,
which is a prerequisite for its retention. Celikoglu in
2010 reports prevalence of the impacted canines
of 5.1% and transposition of canines of 0.3% which
were impacted too. According to our findings
2.7% of the patients they had impaction teeth and
transposition too. Gasymova 15 in 2014 found out
prevalence of 12.53% of impacted teeth among the
orthodontic treated patients. The treatment in these
cases was done using low-frequency ultrasonic for
their eruption stimulation. This is a treatment method
th at has not been used on our patients. Msgati et al. 16
found that the ratio among the male/female patients
with impaction teeth is 1.2:1. Our study estimated
that the male/female ratio is 1:2.
The hyperodontia and odonthoma collections
are natural barriers in the path of the eruption of
adjoining tooth germ and a prerequisite for the
retention of teeth. Their detection is oftendone
radiographically. Clinically, we often encounter the
symptoms and signs suggestive of hyperodontia
and odonthoma. They are the overdevelopment
of the alveolar ridge in the area of the late tooth
breakthrough tooth, diastemas or thremas, the
dislocation of adjacent teeth, persistence of time
teeth, and even the ectopic breakthrough of the
tooth itself. These clinical findings are early signs to
use the X-ray methods to diagnose problems and
the transposition 17 of the hyperodontia.
Tooth impaction leads to disturbances in the
harmony of the dental arch, occlusion and aesthetics.
Often, the space for the impacted teeth in the dental
arch is small and even missing. This is the reason why
teeth move and what most often occurs is mesial
movement of the posterior teeth. The incisive point is
mismatched to the middle line. There are also tooth
discrepancies in the opposite side of the impacted
tooth.
5. Conclusion.
The early diagnosis of the problem is an important
factor for the success of the treatment. There are
conditions for the selection of treatment using
options and techniques to change the dental arch
in the transversal and sagittal direction. The growth
potential of the patient is the leading factor that
supports the processes, which makes this method not
sufficiently effective in the treatment of the impacted
upper canines, unlike the cases of impacted upper
second premolars. One should not underestimate
this treatment option that could be combined with
other therapeutic methods and devices (protrusion,
stripping) so that to achieve the necessary space for
downloading and leveling of an impacted canine
in the arch. These clinical techniques are preferable
before extraction therapy in cases of patients with
impacted teeth or without them.
Author contributions
Equal contribution to the paper.
Acknowledgments
The authors declare no conflict of interest related to
this study. There are no conflicts of interest and no
financial interests to be disclosed.
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