A retrospective analysis of the patient journey for children with an unerupted maxillary central incisor.

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

Original Publication: Oxford : Blackwell Scientific Publications, c1991-

Tooth, Unerupted*/therapy ; Tooth, Impacted*; Child ; Humans ; Incisor/surgery ; Retrospective Studies ; Tooth Eruption ; Maxilla/surgery

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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Keywords: ectopic; general anaesthetic; impacted; maxillary central incisor; surgical management; unerupted

Date Created: 20231120 Date Completed: 20240416 Latest Revision: 20240416

20240416

10.1111/ipd.13134

37985600