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      Review of Dilaceration of Maxillary Central Incisor: A Mutidisciplinary Challenge

      case-report

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          ABSTRACT

          Traumatic injuries to primary dentition may interfere with the development of permanent dentition. Among the many malformations, dilaceration is particularly important to the clinician. Management of dilacerated maxillary central incisor requires a multidisciplinary approach.

          The main purpose of this review is to present the etiological factors, the mechanism, clinical features, radiographic features and treatment of dilaceration of the maxillary central incisors.

          How to cite this article: Walia PS, Rohilla AK, Choudhary S, Kaur R. Review of Dilaceration of Maxillary Central Incisor: A Multidisciplinary Challenge. Int J Clin Pediatr Dent 2016;9(1):90-98.

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          Most cited references85

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          Outcome of tooth transplantation: survival and success rates 17-41 years posttreatment.

          The literature contains no follow-up studies of transplanted teeth with mean observation times exceeding 10 years. This article describes long-term outcomes, including gingival and periodontal conditions, and the patients' attitudes about treatment and outcome. The material comprised all accessible patients in the files of the Department of Orthodontics, University of Oslo, Norway, on whom treatment had been performed at least 17 years ago (n = 28). Established clinical criteria were used to assess tooth mobility, plaque and gingival indexes, and probing pocket depth. Standardized radiography was used to evaluate the presence of pathology, pulp obliteration, and root length. Similar recordings were obtained from the in situ tooth contralateral to the initial position of the grafted tooth. Criteria for determining treatment success were established. All patients responded to questions about their treatment using visual analogue scales. The mean age at surgery was 11.5 years, and the mean observation period was 26.4 years (range, 17-41 years). Of the 33 teeth transplanted in the 28 patients, 3 teeth were lost after 9, 10, and 29 years, respectively. Therefore, the 30 teeth in the 25 patients we examined yielded a survival rate of 90%. The success rate was 79% because 2 transplants had ankylosed, and 2 others failed to fulfill the proposed criteria. The patients generally responded very favorably regarding their perception of the treatment. Their only hesitation was related to some discomfort during surgery. It was concluded that survival and success rates for teeth autotransplanted when the root is partly developed compare favorably in a long-term perspective with other treatment modalities for substituting missing teeth.
            • Record: found
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            • Book: not found

            Textbook and Colour Atlas of Traumatic Injuries to the Teeth

              • Record: found
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              • Article: not found

              A proposal for a new analysis of craniofacial morphology by 3-dimensional computed tomography.

              Three-dimensional (3D) analysis is essential for making a precise diagnosis of craniofacial morphology. Two-dimensional (2D) x-ray films are used to understand 3D structures. However, 2D images have several limitations. This article proposes a new type of cephalometric analysis by using 3D computed tomography. Axial images of 30 subjects (16 men; mean age, 19.2 years; 14 women, mean age, 20.5 years) were reconstructed into 3D models by using Vworks 4.0 (Cybermed, Seoul, Korea). The 3D models were measured with Vsurgery (Cybermed). The zygoma, maxilla, mandible, and facial convexity were analyzed. The measurements were compared with Korean normal averages, and no statistically significant differences were found. Landmark identification was reproducible. Three-dimensional computed tomography can provide information for use in diagnosis and treatment planning.

                Author and article information

                Journal
                Int J Clin Pediatr Dent
                Int J Clin Pediatr Dent
                IJCPD
                International Journal of Clinical Pediatric Dentistry
                Jaypee Brothers Medical Publishers
                0974-7052
                0975-1904
                Jan-Mar 2016
                22 April 2016
                : 9
                : 1
                : 90-98
                Affiliations
                [1 ]Professor and Head, Department of Orthodontics, PDM Dental College and Research Institute, Bahadurgarh, Haryana, India
                [2 ]Reader, Department of Orthodontics, PDM Dental College and Research Institute, Bahadurgarh, Haryana, India
                [3 ]Reader, Department of Prosthodontics, PDM Dental College and Research Institute, Bahadurgarh, Haryana, India
                [4 ]Senior Lecturer, Department of Orthodontics, PDM Dental College and Research Institute, Bahadurgarh, Haryana, India
                Author notes
                Pawanjit Singh Walia, Professor and Head, Department of Orthodontics, PDM Dental College and Research Institute, Bahadurgarh, Haryana, India, Phone: 01276221845, e-mail: pawanjitwalia@yahoo.in
                Article
                10.5005/jp-journals-10005-1341
                4890071
                27274164
                aae8d49e-e085-4682-92d9-cddcd82a4afa
                Copyright © 2016; Jaypee Brothers Medical Publishers (P) Ltd.

                This work is licensed under a Creative Commons Attribution 3.0 Unported License. To view a copy of this license, visit http://creativecommons.org/licenses/by/3.0/

                History
                : 07 October 2015
                : 10 October 2015
                Categories
                Case Report

                dilaceration,maxillary central incisor,multidisci-plinary management,trauma.

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