Clinical Implications of the Premature Loss of the Mandibular Primary Canine

Lee, Sang-Ho

doi:10.5933/jkapd.2015.42.1.87

Cited by 2 publications

(1 citation statement)

References 22 publications

(8 reference statements)

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“…Bilateral loss of primary canines in a crowded arch leads to the lingual tipping of the permanent incisors, with the consequent reduction in the arch perimeter and increase in overbite. When the loss of a primary canine is unilateral, tipping of the adjacent incisors occurs toward the space, resulting in midline deviation [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

Effects of Premature Primary Tooth Loss on Midline Deviation and Asymmetric Molar Relationship in the Context of Orthodontic Treatment

Warkhandkar¹,

Habib²

2023

Cureus

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Aim: The aim of this retrospective pilot study was to investigate the effects of premature loss of primary teeth on molar relationships and midline discrepancies in young patients and explore its potential implications for dental treatments, including orthodontics. Materials and methods: A total of 550 study models from individuals seeking orthodontic treatment were evaluated, and 175 models met the inclusion criteria of mixed dentition. Each study model was examined for midline discrepancies, asymmetric molar relationships, and the impact of net premature tooth loss on the midline shift. Four investigators analyzed the data, and the error was minimized to less than 5%. Results: The study revealed that premature loss of primary first molars was significantly associated with the midline shift, while premature loss of canines and second molars did not show substantial associations with midline discrepancies. The concordance analysis between observed and expected molar classifications based on premature tooth loss indicated relatively low concordance for all three molar classes, with higher concordance observed in Class II molar relationships. Notably, premature loss of primary second molars showed higher concordance than premature loss of primary first molars. Conclusion: This retrospective pilot study highlights the potential dental complications associated with premature loss of primary teeth. Premature loss of primary first molars was found to be significantly linked to the midline shift, while the premature loss of canines and second molars did not demonstrate significant midline discrepancies. The concordance analysis revealed limited agreement between observed and expected molar classifications based on premature tooth loss, with higher concordance observed in Class II molar relationships and primary second molars. Further research with larger prospective cohorts and digital model analyses is warranted to gain a better understanding of the impact of premature tooth loss on dental treatment outcomes. The findings underscore the importance of early detection and appropriate intervention to mitigate potential adverse effects on dental arch development and malocclusion.

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Section: Introductionmentioning

confidence: 99%

Effects of Premature Primary Tooth Loss on Midline Deviation and Asymmetric Molar Relationship in the Context of Orthodontic Treatment

Warkhandkar¹,

Habib²

2023

Cureus

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Effects of premature loss of deciduous teeth on the morphology and functions of the masticatory organ. Literature review

Wojtaszek-Lis¹,

Regulski²,

Laskowska³

et al. 2018

Forum Ortodontyczne

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Premature loss of a deciduous tooth is its loss 3 to 4 years before its physiological replacement, in other words – one year before the date of physiological resorption of its roots. The most common reasons for premature loss of deciduous teeth include complications of caries such as: pulp gangrene, periodontitis, inflammation of the periapical area, periapical lesions, abscesses, and osteitis. Mechanical traumas and cysts belong to other reasons. Direct consequences of premature loss of a deciduous tooth include inhibition of growth of the alveolar process bone of the maxilla or alveolar part of the mandible in the area where a tooth is missing. Presence of space in the dental arch leads to various dental displacements such as tooth displacement along the arch, rotations, inclinations. It leads to dental abnormalities, including secondary crowding, dental abnormalities associated with time and place of eruption of permanent teeth, arch midline shift, and Godon’s effect. Consequences of premature loss of deciduous teeth also include worsening of pre-existing malocclusions and dysfunctions of the masticatory organ associated with chewing, speech and swallowing. Aim. The paper aimed to present consequences of premature loss of deciduous teeth and to determine indications for prophylactic treatment. Material and methods. A review of literature in Polish and English from the period 2006–2017 was performed using PubMed, PBL, Embase, Scopus databases. “Premature loss of deciduous teeth” was a key word. Results. Consequences of premature loss of various groups of deciduous teeth were presented and indications for prophylactic treatment were discussed based on literature collected. Conclusions. The analysis performed concluded that due to various consequences of premature loss of deciduous teeth orthodontic management is recommended in many cases in order to minimise consequences of premature loss of deciduous teeth. (Wojtaszek-Lis J, Regulski P, Laskowska M, Zadurska M. Effects of premature loss of deciduous teeth on the morphology and functions of the masticatory organ. Literature review. Orthod Forum 2018; 14: 29-47)

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Clinical Implications of the Premature Loss of the Mandibular Primary Canine

Cited by 2 publications

References 22 publications

Effects of Premature Primary Tooth Loss on Midline Deviation and Asymmetric Molar Relationship in the Context of Orthodontic Treatment

Effects of Premature Primary Tooth Loss on Midline Deviation and Asymmetric Molar Relationship in the Context of Orthodontic Treatment

Effects of premature loss of deciduous teeth on the morphology and functions of the masticatory organ. Literature review

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