Title : The consequences of the impacted maxillary incisor and their management in orthodontics
Abstract:
Maxillary central incisors are rated the third most commonly impacted tooth after third permanent molars and maxillary canines. Although relatively rare, impacted maxillary centrals present at a young age and can be difficult to treat and often require a multidisciplinary approach from orthodontists and oral surgeons alike. Treatment often requires surgical exposure under general anesthesia followed by fixed orthodontic treatment. Due to the complexity of this treatment, inappropriate case management including late referral can have a devastating impact on the patient which will result to complex restorative work being required for their entire life.
Aside from the background of this complex condition, this presentation will discuss in detail the aetiology of impacted maxillary incisors, different methods of diagnosis for general dentists and specialist orthodontists. The benefits and consequences and different treatment options will also be discussed including risks of inappropriate action from clinicians. This presentation will also discuss current guidelines set by the Royal College of Surgeons in England on suggested protocol in management of unerupted maxillary incisors and how these guidelines could improve outcomes for patients.
The presentation will also touch on a study performed at the Royal Surrey Hospital looking at referral patterns to the hospital from both general dentists and specialist orthodontists and the surgical complications which patients endured, including repeating surgery. Results will be presented in this presentation with suggestions on how specialist orthodontists and general dentists could improve their clinician awareness.
