18 Questions
What is the management option recommended for soft tissue impaction when the tooth is in a superficial position just beneath the mucosa?
Open surgical exposure
When is apically repositioned flap considered in the management of soft tissue impaction?
When the vertical height of the unerupted incisor doesn't allow a simple soft tissue excision.
What is the major benefit of open surgical exposure in managing soft tissue impaction?
Ability to bond the unerupted incisor under a dry field and plan the direction of traction applied.
What is the key feature of the attachment in the close eruption technique management option?
It should incorporate a gold chain or traction ligature to apply orthodontic force.
According to early studies, which technique showed better results in terms of gingival, periodontal, and pulpal status in the long run?
Closed eruption technique
What is recommended to be done to maintain space following permanent maxillary incisor removal for subsequent replacement?
Incisal removal
What are some clinical features that should be identified and recorded during the examination of unerupted maxillary incisors?
Spacing, rotations, displacement
Why is it important to obtain detailed medical and dental history when dealing with unerupted maxillary incisors?
To determine hereditary or environmental factors contributing to delay in eruption
What is the prevalence of impacted maxillary incisors in the UK's regional hospitals among patients aged 6-14 years old?
2.4% (supernumerary)
What percentage of maxillary central incisors fail to erupt?
42%
What are some associated anomalies mentioned in the text related to unerupted maxillary incisors?
Supernumerary, enamel hypoplasia, ectopic teeth
What is the incidence of impacted maxillary incisors in the population of 17-26 years old mentioned in the text?
0.04%
What are some factors that can contribute to space loss in the maxillary incisor region?
Drift of adjacent lateral incisor into central incisor position, Presence of palatal or labial bulge/swelling, Angulation and inclination of adjacent teeth
How can radiographs assist in diagnosing issues with the maxillary incisors?
Radiographs can help determine the presence and position of the incisors, developmental anomalies/pathology, and bucco-lingual position.
What is the purpose of a cephalometric radiograph in assessing maxillary incisors?
To determine the location and assess unerupted, malformed, or misplaced incisors, including the height of impaction and bucco-lingual inclination of the crown and root.
How does CBCT imaging help in evaluating impacted or ectopic teeth in the maxillary incisor region?
CBCT provides a 3D view of impacted or ectopic teeth, assesses the degree of aberrant crown-root angulation, and visualizes associated structures.
Why is patient compliance an important factor to consider in the management of maxillary incisor issues?
Patient compliance is crucial as the treatment may require long-term cooperation, especially in younger children.
At what age is it suggested to remove an associated supernumerary tooth for better chances of spontaneous eruption of an unerupted permanent maxillary incisor?
Between 8-9 years of age.
Learn about the management of unerupted maxillary incisors in children as outlined in the clinical guidelines. Understand the incidence, prevalence, and treatment options for impacted maxillary incisors in different age groups.
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