Wednesday, August 31, 2011

Breed Predisposition to Oral Disease: The Boxer Part 2


Impacted teeth:
  • What are impacted teeth?
    • Impacted teeth remain below the surface and not exposed in the mouth.
    • The most common impacted teeth are the mandibular first premolars.
  • What causes impacted teeth?
    • Impacted teeth cannot erupt normally due to abnormal positioning, crowding or complete obstruction by bone or gums.
  • Can teeth appear impacted for other reasons?
    • A tooth that has previously erupted may become submerged by overgrowth of soft tissue.
    • A tooth that has previously erupted may become intruded by trauma.
    • A tooth may erupt incompletely due to malocclusion.
  • What effect do these teeth have?
    • Dentigerous cysts are the most common result of impacted teeth.
  • How is it diagnosed?
    • Step 1: count the teeth
    • Step 2: take dental radiographs even if there are 42 adult teeth; sometimes extra teeth are impacted.
  • How is it treated?
    • If the impacted tooth is in an abnormal position that cannot be corrected, extraction is required.
    • If the impacted tooth is in a normal position and still developing, remove the obstruction then monitor the pattern of eruption. Extraction may be required if the tooth becomes submerged.
    • If the impacted tooth is in a normal position but development is complete, extraction or surgical correction may be required.
    • If a dentigerous cyst is present, oral surgery is required.
Premolar impacted beneath lip frenulum

COMING SOON: Dentigerous cyst    

No comments:

Post a Comment