Diagnóstico y manejo de la anquilosis dentoalveolar

Cardozo, María Alejandra; Hernández, Jesús

doi:10.47990/alop.v5i2.5

Cited by 2 publications

(16 citation statements)

References 20 publications

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“…This result is similar to existing studies [ 24 , 25 ]. The prevalence of this condition is ten times higher in decidual dentition than in permanent dentition, with a percentage of 1.3–8.9% in children aged 6–10 years in the first stage of mixed dentition, according to the literature [ 10 ]. Zuniga-Tertre et al (2004) observed a maximum prevalence between six to eight years and another study conducted in 2009 by Loriato found the maximum incidence occurred between seven to nine years [ 26 ].…”

Section: Discussionmentioning

confidence: 99%

“…One of the theories states that any disruption in the continuity of the periodontal ligament caused by trauma can lead to the onset of the degenerative processes that will result in the fusion between tooth and bone [ 10 ]. If the trauma produced limited lesions, a slight osteoclastic activity will be initiated on the root surface which involves resorption and repair, resulting in healing by depositing new fibers on the cement surface [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

“…The diagnosis of dental ankylosis is established following clinical and preclinical investigations and it is essential to be as early as possible [ 10 , 13 ]. The affected tooth is unable to perform the post eruptive movements, thus, it will remain in infraposition with the degree of infraocclusion ranging from 1 mm to complete retention under the gingival tissue, a situation known as severe ankylosis [ 14 , 15 ].…”

Section: Introductionmentioning

confidence: 99%

“…Radiological images will show the fusion between the bone and the root surface as well as the absence of periodontal space. Additionally, the roots lose their opacity and, in cases of severe ankylosis, there is no clear delimitation from the surrounding bone [ 10 , 12 ].…”

Section: Introductionmentioning

confidence: 99%

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Prevalence and Manifestations of Dental Ankylosis in Primary Molars Using Panoramic X-rays: A Cross-Sectional Study

et al. 2022

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Dental ankylosis is a serious condition defined as the process that causes the fusion between the dentin or the cementum of the root and the alveolar bone, with the obliteration of the periodontal ligament becoming progressively replaced by bone tissue. The aim of the study was to determine the prevalence, location, severity, and association of dental ankylosis in primary molars with other dental anomalies such as the agenesis of permanent buds. For this study 150 panoramic x-rays were selected from patients with temporary or mixed dentition, aged six to twelve years old, from a private dentistry office and from the Pediatric Dentistry Department of UMFST in Targu-Mures, Romania. In order to identify the cases with dental ankylosis, the presence and severity of the infraocclusion, displacements of the neighboring teeth, the appearance of the root area, and the relationship with the bone tissue were examined. For evaluation of the categorical data we used Fischer’s exact test and the Chi-squared test and the chosen significance level was set at 0.05. The results showed that the highest percentage of cases with ankylosis was found in the first group (six to nine years old), respectively, with 72% of cases compared with the second group (ten to twelve years old) with 28% of cases. Findings showed that there was no positive association between dental ankylosis and gender, but a strong correlation was found regarding the location on the dental arches. Most cases were identified on the lower arch with a higher percentage in quadrant three. Of the two primary molars, the most affected by ankylosis was the first molar in quadrant three, followed by the second molar, and finally the first molar in quadrant four. Most cases diagnosed with ankylosis had a mild to moderate degree of infraocclusion; therefore, changes in the functional balance of the dental arch and on neighboring teeth were insignificant. There were some differences obtained between our results and studies from the literature, especially regarding the localization in the lower left dental arch, but these differences can be attributed to the number of the subjects selected and from the methodology of dental ankylosis diagnosis. Based on the data obtained, it was concluded that ankylosis is a dental condition which occurs in children in early mixed dentition, especially in the lower arch, with the first primary molar being the most affected tooth. The presence of infraocclusion and the absence of dental mobility, especially during the stage of primary molars’ root resorption, are the main signs which must be followed to make an early diagnosis and prevent further complications.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Prevalence and Manifestations of Dental Ankylosis in Primary Molars Using Panoramic X-rays: A Cross-Sectional Study

et al. 2022

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“…Es relativamente común encontrar un molar primario infraocluido que ha dejado de erupcionar verticalmente, en donde el diente permanece por debajo del plano oclusal de los dientes adyacentes. 1,2,4,5,9,12 La infraoclusión es una consecuencia directa de la anquilosis, siendo la anquilosis una anomalía dental que implica la fusión del hueso alveolar con el cemento o la dentina, generando obliteración del ligamento periodontal y pérdida de continuidad de este, puede ocurrir en presencia o ausencia de un diente sucesor permanente afectando el desarrollo óseo porque no sigue un patrón normal vertical de crecimiento, quedando más impactado, deteniendo su crecimiento al mismo tiempo que se detiene la erupción del diente primario 2,4,9,13 . Por otra parte, los dientes anquilosados producen pérdida de longitud del arco por la mesialización del diente adyacente como consecuencia de la pérdida de contacto interproximal.…”

Section: Introductionunclassified

Tratamiento de molares primarios severamente anquilosados. Reporte de caso

Barrera

Díaz

2022

Rev Cien CMDLT

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La anquilosis dental se produce por pérdida de continuidad del ligamento periodontal permitiendo la unión del hueso alveolar con el cemento. Es más prevalente en la dentición primaria (1,3 y 8,9%), sin diferencia entre sexos, afectando mayormente primeros molares primarios inferiores. Impide el proceso eruptivo normal y el crecimiento vertical óseo del diente anquilosado, quedando por debajo del plano oclusal ocasionado pérdida de perímetro del arco, inclinación de dientes adyacentes, pérdida de espacio y alteraciones de la masticación. Las anomalías de desarrollo dental pueden presentarse de forma conjunta, combinando presencia de dientes anquilosados y dientes supernumerarios. Objetivo: Presentar el caso clínico, diagnóstico y plan del tratamiento de molares primarios severamente anquilosados y mesiodens superior. Presentación de caso: Paciente femenina de 7 años de edad, con diastema entre 11 y 21 por inserción baja del frenillo labial y de supernumerario tipo mesiodens cónico invertido. Presenta anquilosis severa de 65 y 85, posición apical de gérmenes 25 y 45, con defecto alveolar vertical e inclinación mesial de 26 y 46 y acortamiento de perímetro de arco. Se realizan imágenes volumétricas para determinar posición del supernumerario y grado de anquilosis de dientes primarios. Se indica bajo anestesia general en ambiente hospitalario odontectomía de supernumerario y dientes primarios anquilosados 65 y 85. Se inicia tratamiento de ortodoncia interceptiva con tornillos distalizadores para 46 y 26. Conclusión: el tratamiento oportuno de los dientes anquilosados es fundamental para evitar consecuencias negativas en el crecimiento y desarrollo de los maxilares, evitar maloclusiones e impactación de gérmenes sucesores.

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Diagnóstico y manejo de la anquilosis dentoalveolar

Cited by 2 publications

References 20 publications

Prevalence and Manifestations of Dental Ankylosis in Primary Molars Using Panoramic X-rays: A Cross-Sectional Study

Prevalence and Manifestations of Dental Ankylosis in Primary Molars Using Panoramic X-rays: A Cross-Sectional Study

Tratamiento de molares primarios severamente anquilosados. Reporte de caso

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