Document Detail

Treatment strategies for ankylosed primary molars.
MedLine Citation:
PMID:  19995503     Owner:  NLM     Status:  MEDLINE    
AIM: The purpose of this article is to focus on aetiology and appropriate treatment techniques concerning anklyosis of primary molars.
LITERATURE: The dental literature is reviewed in detail concerning aetiology, frequency of occurrence, diagnosis and longevity of ankylosed primary molars without successors. Treatment concepts are discussed. Long term implications of treatment decisions made in the mixed dentition are emphasised. Areas of treatment that are unsupported by evidence are identified as potential research topics.
CONCLUSION: When the underlying premolar is present and the infra-occlusion is not progressive, then observation is appropriate. Only when there is severe disruption to the occlusion and/or the underlying premolar, extraction and space management may be appropriate. When the ankylosed primary molar has no underlying premolar, orthodontic input is needed to determine if extraction and space closure, extraction and transplantation or extraction and prosthetic replacement is the best plan.
D B Kennedy
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry     Volume:  10     ISSN:  1818-6300     ISO Abbreviation:  Eur Arch Paediatr Dent     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2009-12-09     Completed Date:  2010-05-04     Revised Date:  2013-11-06    
Medline Journal Info:
Nlm Unique ID:  101277157     Medline TA:  Eur Arch Paediatr Dent     Country:  England    
Other Details:
Languages:  eng     Pagination:  201-10     Citation Subset:  D; IM    
Dr D.B. Kennedy. 200, South Tower, Vancouver, British Columbia, Canada, V5Z 2M9.
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MeSH Terms
Bicuspid / pathology
Dentition, Mixed
Molar / pathology*
Patient Care Planning
Tooth Ankylosis / etiology,  therapy*
Tooth Extraction
Tooth, Deciduous / pathology*
Tooth, Unerupted / pathology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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