First and second permanent molars with failed or delayed eruption: Clinical and statistical analyses
The aim of this work was to analyze data of patients with failed or delayed eruption of first and second permanent molars, to assess the effectiveness of the treatment methods used. Epidemiologic and clinical data of 125 patients (mean age 14.08 ± 4.04 years) with 197 affected molars (30 first and 1...
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| Veröffentlicht in: | American journal of orthodontics and dentofacial orthopedics 2019-09, Vol.156 (3), p.355-364 |
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| creator | la Monaca, Gerardo Cristalli, Maria Paola Pranno, Nicola Galluccio, Gabriella Annibali, Susanna Pippi, Roberto |
| description | The aim of this work was to analyze data of patients with failed or delayed eruption of first and second permanent molars, to assess the effectiveness of the treatment methods used.
Epidemiologic and clinical data of 125 patients (mean age 14.08 ± 4.04 years) with 197 affected molars (30 first and 167 second molars) were retrospectively analyzed. The treatment outcome was known in 161 molars after patient drop-out (20 patients with 36 molars). The cases were categorized into 8 groups according to the choice of treatment: orthodontic uprighting, surgical-orthodontic uprighting, surgical uprighting, surgical repositioning, surgical exposure, first or second molar extraction, third molar extraction, or removal of pathologic conditions.
The overall treatment outcome was positive in 141 molars (87.6%). It was positive in all cases treated with orthodontic uprighting (7 molars), surgical exposure (10 molars), surgical uprighting (38 molars), and surgical repositioning (8 molars), but it was significantly lower for surgical-orthodontic uprighting (34/48 molars, 70.8%). The positive outcome was significantly lower for inclusion (52/68 molars, 76.5%) than for early-diagnosed condition (11/11 molars, 100%) and retention (78/82 molars, 95.1%), and for total bone crown coverage (21/28 molars, 75.0%) than for osteomucosal or mucosal crown coverage (120/133 molars, 90.2%).
This study demonstrates that an early diagnosis results in a better outcome regardless of the treatment used, with the number of cases with a positive outcome being higher in younger patients.
•Eight different modalities were used to treat 29 unerupted first and 132 unerupted second molars.•The overall positive outcome was 87.6% (65.5% first and 92.4% second molars).•The positive outcome was lower for first molar, inclusion, and total bone coverage.•The positive outcome was lower for surgical-orthodontic uprighting.•Early diagnosis resulted in a better outcome regardless of the treatment used. |
| doi_str_mv | 10.1016/j.ajodo.2018.09.020 |
| format | Article |
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Epidemiologic and clinical data of 125 patients (mean age 14.08 ± 4.04 years) with 197 affected molars (30 first and 167 second molars) were retrospectively analyzed. The treatment outcome was known in 161 molars after patient drop-out (20 patients with 36 molars). The cases were categorized into 8 groups according to the choice of treatment: orthodontic uprighting, surgical-orthodontic uprighting, surgical uprighting, surgical repositioning, surgical exposure, first or second molar extraction, third molar extraction, or removal of pathologic conditions.
The overall treatment outcome was positive in 141 molars (87.6%). It was positive in all cases treated with orthodontic uprighting (7 molars), surgical exposure (10 molars), surgical uprighting (38 molars), and surgical repositioning (8 molars), but it was significantly lower for surgical-orthodontic uprighting (34/48 molars, 70.8%). The positive outcome was significantly lower for inclusion (52/68 molars, 76.5%) than for early-diagnosed condition (11/11 molars, 100%) and retention (78/82 molars, 95.1%), and for total bone crown coverage (21/28 molars, 75.0%) than for osteomucosal or mucosal crown coverage (120/133 molars, 90.2%).
This study demonstrates that an early diagnosis results in a better outcome regardless of the treatment used, with the number of cases with a positive outcome being higher in younger patients.
•Eight different modalities were used to treat 29 unerupted first and 132 unerupted second molars.•The overall positive outcome was 87.6% (65.5% first and 92.4% second molars).•The positive outcome was lower for first molar, inclusion, and total bone coverage.•The positive outcome was lower for surgical-orthodontic uprighting.•Early diagnosis resulted in a better outcome regardless of the treatment used.</description><identifier>ISSN: 0889-5406</identifier><identifier>EISSN: 1097-6752</identifier><identifier>DOI: 10.1016/j.ajodo.2018.09.020</identifier><identifier>PMID: 31474265</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Child ; Child, Preschool ; Dentistry ; Female ; Humans ; Italy ; Logistic Models ; Male ; Molar - pathology ; Molar - surgery ; Molar, Third - surgery ; Retrospective Studies ; Tooth Abnormalities ; Tooth Eruption ; Tooth Movement Techniques - methods ; Tooth, Impacted - diagnosis ; Tooth, Impacted - surgery ; Tooth, Impacted - therapy ; Treatment Outcome ; Young Adult</subject><ispartof>American journal of orthodontics and dentofacial orthopedics, 2019-09, Vol.156 (3), p.355-364</ispartof><rights>2019 American Association of Orthodontists</rights><rights>Copyright © 2019 American Association of Orthodontists. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c359t-30df27d16148280560ce8ed12344074b83b0a3bdf2e723df957f4c3b49f377e53</citedby><cites>FETCH-LOGICAL-c359t-30df27d16148280560ce8ed12344074b83b0a3bdf2e723df957f4c3b49f377e53</cites><orcidid>0000-0003-0855-1416 ; 0000-0001-7583-7030</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.ajodo.2018.09.020$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,45974</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31474265$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>la Monaca, Gerardo</creatorcontrib><creatorcontrib>Cristalli, Maria Paola</creatorcontrib><creatorcontrib>Pranno, Nicola</creatorcontrib><creatorcontrib>Galluccio, Gabriella</creatorcontrib><creatorcontrib>Annibali, Susanna</creatorcontrib><creatorcontrib>Pippi, Roberto</creatorcontrib><title>First and second permanent molars with failed or delayed eruption: Clinical and statistical analyses</title><title>American journal of orthodontics and dentofacial orthopedics</title><addtitle>Am J Orthod Dentofacial Orthop</addtitle><description>The aim of this work was to analyze data of patients with failed or delayed eruption of first and second permanent molars, to assess the effectiveness of the treatment methods used.
Epidemiologic and clinical data of 125 patients (mean age 14.08 ± 4.04 years) with 197 affected molars (30 first and 167 second molars) were retrospectively analyzed. The treatment outcome was known in 161 molars after patient drop-out (20 patients with 36 molars). The cases were categorized into 8 groups according to the choice of treatment: orthodontic uprighting, surgical-orthodontic uprighting, surgical uprighting, surgical repositioning, surgical exposure, first or second molar extraction, third molar extraction, or removal of pathologic conditions.
The overall treatment outcome was positive in 141 molars (87.6%). It was positive in all cases treated with orthodontic uprighting (7 molars), surgical exposure (10 molars), surgical uprighting (38 molars), and surgical repositioning (8 molars), but it was significantly lower for surgical-orthodontic uprighting (34/48 molars, 70.8%). The positive outcome was significantly lower for inclusion (52/68 molars, 76.5%) than for early-diagnosed condition (11/11 molars, 100%) and retention (78/82 molars, 95.1%), and for total bone crown coverage (21/28 molars, 75.0%) than for osteomucosal or mucosal crown coverage (120/133 molars, 90.2%).
This study demonstrates that an early diagnosis results in a better outcome regardless of the treatment used, with the number of cases with a positive outcome being higher in younger patients.
•Eight different modalities were used to treat 29 unerupted first and 132 unerupted second molars.•The overall positive outcome was 87.6% (65.5% first and 92.4% second molars).•The positive outcome was lower for first molar, inclusion, and total bone coverage.•The positive outcome was lower for surgical-orthodontic uprighting.•Early diagnosis resulted in a better outcome regardless of the treatment used.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Dentistry</subject><subject>Female</subject><subject>Humans</subject><subject>Italy</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Molar - pathology</subject><subject>Molar - surgery</subject><subject>Molar, Third - surgery</subject><subject>Retrospective Studies</subject><subject>Tooth Abnormalities</subject><subject>Tooth Eruption</subject><subject>Tooth Movement Techniques - methods</subject><subject>Tooth, Impacted - diagnosis</subject><subject>Tooth, Impacted - surgery</subject><subject>Tooth, Impacted - therapy</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>0889-5406</issn><issn>1097-6752</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1v1DAQhi0EokvLL6hU5cglYfwVJ5U4oBWllSpxoWfLsSfCKyfe2l7Q_ntcduHIaWakZ2b0PoRcU-go0P7jrjO76GLHgA4djB0weEU2FEbV9kqy12QDwzC2UkB_Qd7lvAOAUTB4Sy44FUqwXm6Iu_Mpl8asrsloYy17TItZcS3NEoNJufnly49mNj6ga2JqHAZzrC2mw774uN422-BXb004XSmm-FzOswnHjPmKvJlNyPj-XC_J092X79v79vHb14ft58fWcjmWloObmXK0p2JgA8geLA7oKONCgBLTwCcwfKoQKsbdPEo1C8snMc5cKZT8knw43d2n-HzAXPTis8UQap54yJqxgXMmJVMV5SfUpphzwlnvk19MOmoK-kWv3uk_evWLXg2jrnrr1s35wWFa0P3b-euzAp9OANaYPz0mna3H1aLzCW3RLvr_PvgNlPCNBA</recordid><startdate>201909</startdate><enddate>201909</enddate><creator>la Monaca, Gerardo</creator><creator>Cristalli, Maria Paola</creator><creator>Pranno, Nicola</creator><creator>Galluccio, Gabriella</creator><creator>Annibali, Susanna</creator><creator>Pippi, Roberto</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-0855-1416</orcidid><orcidid>https://orcid.org/0000-0001-7583-7030</orcidid></search><sort><creationdate>201909</creationdate><title>First and second permanent molars with failed or delayed eruption: Clinical and statistical analyses</title><author>la Monaca, Gerardo ; Cristalli, Maria Paola ; Pranno, Nicola ; Galluccio, Gabriella ; Annibali, Susanna ; Pippi, Roberto</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c359t-30df27d16148280560ce8ed12344074b83b0a3bdf2e723df957f4c3b49f377e53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Dentistry</topic><topic>Female</topic><topic>Humans</topic><topic>Italy</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Molar - pathology</topic><topic>Molar - surgery</topic><topic>Molar, Third - surgery</topic><topic>Retrospective Studies</topic><topic>Tooth Abnormalities</topic><topic>Tooth Eruption</topic><topic>Tooth Movement Techniques - methods</topic><topic>Tooth, Impacted - diagnosis</topic><topic>Tooth, Impacted - surgery</topic><topic>Tooth, Impacted - therapy</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>la Monaca, Gerardo</creatorcontrib><creatorcontrib>Cristalli, Maria Paola</creatorcontrib><creatorcontrib>Pranno, Nicola</creatorcontrib><creatorcontrib>Galluccio, Gabriella</creatorcontrib><creatorcontrib>Annibali, Susanna</creatorcontrib><creatorcontrib>Pippi, Roberto</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of orthodontics and dentofacial orthopedics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>la Monaca, Gerardo</au><au>Cristalli, Maria Paola</au><au>Pranno, Nicola</au><au>Galluccio, Gabriella</au><au>Annibali, Susanna</au><au>Pippi, Roberto</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>First and second permanent molars with failed or delayed eruption: Clinical and statistical analyses</atitle><jtitle>American journal of orthodontics and dentofacial orthopedics</jtitle><addtitle>Am J Orthod Dentofacial Orthop</addtitle><date>2019-09</date><risdate>2019</risdate><volume>156</volume><issue>3</issue><spage>355</spage><epage>364</epage><pages>355-364</pages><issn>0889-5406</issn><eissn>1097-6752</eissn><abstract>The aim of this work was to analyze data of patients with failed or delayed eruption of first and second permanent molars, to assess the effectiveness of the treatment methods used.
Epidemiologic and clinical data of 125 patients (mean age 14.08 ± 4.04 years) with 197 affected molars (30 first and 167 second molars) were retrospectively analyzed. The treatment outcome was known in 161 molars after patient drop-out (20 patients with 36 molars). The cases were categorized into 8 groups according to the choice of treatment: orthodontic uprighting, surgical-orthodontic uprighting, surgical uprighting, surgical repositioning, surgical exposure, first or second molar extraction, third molar extraction, or removal of pathologic conditions.
The overall treatment outcome was positive in 141 molars (87.6%). It was positive in all cases treated with orthodontic uprighting (7 molars), surgical exposure (10 molars), surgical uprighting (38 molars), and surgical repositioning (8 molars), but it was significantly lower for surgical-orthodontic uprighting (34/48 molars, 70.8%). The positive outcome was significantly lower for inclusion (52/68 molars, 76.5%) than for early-diagnosed condition (11/11 molars, 100%) and retention (78/82 molars, 95.1%), and for total bone crown coverage (21/28 molars, 75.0%) than for osteomucosal or mucosal crown coverage (120/133 molars, 90.2%).
This study demonstrates that an early diagnosis results in a better outcome regardless of the treatment used, with the number of cases with a positive outcome being higher in younger patients.
•Eight different modalities were used to treat 29 unerupted first and 132 unerupted second molars.•The overall positive outcome was 87.6% (65.5% first and 92.4% second molars).•The positive outcome was lower for first molar, inclusion, and total bone coverage.•The positive outcome was lower for surgical-orthodontic uprighting.•Early diagnosis resulted in a better outcome regardless of the treatment used.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>31474265</pmid><doi>10.1016/j.ajodo.2018.09.020</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0003-0855-1416</orcidid><orcidid>https://orcid.org/0000-0001-7583-7030</orcidid></addata></record> |
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| ispartof | American journal of orthodontics and dentofacial orthopedics, 2019-09, Vol.156 (3), p.355-364 |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Adolescent Adult Child Child, Preschool Dentistry Female Humans Italy Logistic Models Male Molar - pathology Molar - surgery Molar, Third - surgery Retrospective Studies Tooth Abnormalities Tooth Eruption Tooth Movement Techniques - methods Tooth, Impacted - diagnosis Tooth, Impacted - surgery Tooth, Impacted - therapy Treatment Outcome Young Adult |
| title | First and second permanent molars with failed or delayed eruption: Clinical and statistical analyses |
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