National Clinical Guidelines for Unerupted Maxillary Incisors in Children

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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. Signup and view all the answers

According to early studies, which technique showed better results in terms of gingival, periodontal, and pulpal status in the long run?

Closed eruption technique Signup and view all the answers

What is recommended to be done to maintain space following permanent maxillary incisor removal for subsequent replacement?

Incisal removal Signup and view all the answers

What are some clinical features that should be identified and recorded during the examination of unerupted maxillary incisors?

Spacing, rotations, displacement Signup and view all the answers

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 Signup and view all the answers

What is the prevalence of impacted maxillary incisors in the UK's regional hospitals among patients aged 6-14 years old?

2.4% (supernumerary) Signup and view all the answers

What percentage of maxillary central incisors fail to erupt?

42% Signup and view all the answers

What are some associated anomalies mentioned in the text related to unerupted maxillary incisors?

Supernumerary, enamel hypoplasia, ectopic teeth Signup and view all the answers

What is the incidence of impacted maxillary incisors in the population of 17-26 years old mentioned in the text?

0.04% Signup and view all the answers

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 Signup and view all the answers

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. Signup and view all the answers

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. Signup and view all the answers

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. Signup and view all the answers

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. Signup and view all the answers

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. Signup and view all the answers

National Clinical Guidelines for Unerupted Maxillary Incisors in Children

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