دورية أكاديمية
A retrospective analysis of the patient journey for children with an unerupted maxillary central incisor.
| العنوان: | A retrospective analysis of the patient journey for children with an unerupted maxillary central incisor. |
|---|---|
| المؤلفون: | Hurry KJ; Paediatric Dental Department, Institute of Dentistry, Faculty of Medicine and Dentistry, Barts Health NHS Trust, London, UK., Bolooki H; Orthodontic Department, Royal London Dental Hospital, Barts Health NHS Trust, London, UK., Davies J; Paediatric Dental Department, Institute of Dentistry, Faculty of Medicine and Dentistry, Barts Health NHS Trust, London, UK., Chang C; Paediatric Dental Department, Institute of Dentistry, Faculty of Medicine and Dentistry, Barts Health NHS Trust, London, UK., Jauhar P; Orthodontic Department, Royal London Dental Hospital, Barts Health NHS Trust, London, UK. |
| المصدر: | International journal of paediatric dentistry [Int J Paediatr Dent] 2024 May; Vol. 34 (3), pp. 277-284. Date of Electronic Publication: 2023 Nov 20. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Blackwell Scientific Publications Country of Publication: England NLM ID: 9107511 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1365-263X (Electronic) Linking ISSN: 09607439 NLM ISO Abbreviation: Int J Paediatr Dent Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Oxford : Blackwell Scientific Publications, c1991- |
| مواضيع طبية MeSH: | Tooth, Unerupted*/therapy , Tooth, Impacted*, Child ; Humans ; Incisor/surgery ; Retrospective Studies ; Tooth Eruption ; Maxilla/surgery |
| مستخلص: | Background: Maxillary central incisors (MCI) are the third most impacted teeth. Timely multidisciplinary management is indicated as unerupted incisors can cause functional- and appearance-related distress. Aim: To assess the patient journey for children with unerupted MCI, including referral, clinical assessment, surgical management and follow-up treatment, and highlight areas for improvement, as well as identify factors impacting orthodontic treatment burden (OTB). Design: A retrospective service evaluation of children aged 6-16 years who had surgical management of unerupted MCI under general anaesthetic (GA) between 2018 and 2021. Results: Fifty-two children with 62 unerupted MCI were identified. Mean age at referral was 8.8 years. Most children (82.7%) had supernumerary teeth in the anterior maxilla. Mean time between listing for GA and surgery increased from 4.3 to 15.2 months following the COVID-19 lockdown. Mean age at surgery was 10.4 years. Supernumerary removal and incisor exposure and bond was the most common treatment (56.6%). Most patients required hospital orthodontic treatment post-surgery (65.4%). Conclusion: Most children referred were below 9 years (60.1%); these children had reduced OTB compared to those who had been referred at an older age. Stage of root development was also a significant predictor in OTB. An unexpected finding was that conical supernumeraries were found to prevent MCI eruption. (© 2023 The Authors. International Journal of Paediatric Dentistry published by BSPD, IAPD and John Wiley & Sons Ltd.) |
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| فهرسة مساهمة: | Keywords: ectopic; general anaesthetic; impacted; maxillary central incisor; surgical management; unerupted |
| تواريخ الأحداث: | Date Created: 20231120 Date Completed: 20240416 Latest Revision: 20240416 |
| رمز التحديث: | 20240416 |
| DOI: | 10.1111/ipd.13134 |
| PMID: | 37985600 |
| قاعدة البيانات: | MEDLINE |
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