Dental and Medical Problems

Dent Med Probl
Index Copernicus (ICV 2020) – 128.41
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CiteScore (2021) – 2.0
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ISSN 1644-387X (print)
ISSN 2300-9020 (online)
Periodicity – quarterly

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Dental and Medical Problems

2013, vol. 50, nr 1, January-March, p. 88–95

Publication type: clinical case

Language: English

Own Cases Diagnosis and Treatment of Impacted Teeth

Przypadki własne diagnostyki i leczenia zębów zatrzymanych

Agnieszka Pękala1,A,B,D,E,F, Ewa Chmielewska1,A,F

1 Private Orthodontic Practice, Inowrocław, Poland

Abstract

The phenomenon of tooth retention is being observed more and more often. The development of radiological diagnostics enables clinicians to plan treatment more precisely, which leads to present this article documentting methods of management with regard to impacted teeth. The most common location and methods of directing the impacted teeth into the oral cavity are described. The case study consists of the cases of patients in whom impacted teeth were revealed on the basis of an intraoral examination as well as in-depth diagnostic imaging. In order to recreate the space and reorder the teeth, an archwire was applied in all the cases described. The process of exposure of the impacted teeth was conducted during the treatment. The preferred method was the tunnel technique, allowing to achieve a proper condition of the periodontium. The treatment is an interdisciplinary process, requiring the co-operation of experts in various fields of dentistry – an orthodontist, a dental surgeon, an endodontist, a periodontologist and a dental prosthetist. A therapeutic success can only be achieved by means of co-operation of these experts.

Streszczenie

Retencja zębów jest obserwowana coraz częściej. Rozwój diagnostyki radiologicznej umożliwia lekarzom dentystom precyzyjne planowanie leczenia, co skłania do przedstawienia kilku przypadków postępowania w przypadkach zębów zatrzymanych. Opisano najczęściej występujące umiejscowienia oraz techniki sprowadzania zębów zatrzymanych. Materiał stanowili pacjenci, u których na podstawie badania wewnątrzustnego oraz diagnostyki obrazowej wykryto zęby zatrzymane. We wszystkich opisanych przypadkach zastosowano aparat cienkołukowy w celu odtworzenia miejsca i uszeregowania zębów. Wykonano zabieg odsłonięcia zęba zatrzymanego. Preferowaną metodą pozwalającą uzyskać właściwy stan przyzębia była technika tunelowa. Leczenie takie jest procesem interdyscyplinarnym wymagającym specjalistów z różnych dziedzin stomatologii: ortodonty, chirurga, endodonty, periodontologa i protetyka.

Key words

impacted teeth, orthodontic-surgical co-operation, tunnel technique

Słowa kluczowe

zęby zatrzymane, współpraca ortodontyczno-chirurgiczna, technika tunelowa

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