From childhood, it is common for permanent teeth to remain embedded in the jaw for many reasons and cannot be inserted in the mouth where they should come out. The first teeth, milk teeth, and the permanent teeth that start to appear in the mouth in the later period, the eruption, that is, the order of their appearance in the mouth is a process that proceeds with very delicate balances.
Decay or premature loss of milk teeth for any reason, It prevents the future permanent tooth from settling properly. In these cases, the teeth adjacent to the lost tooth are tipped towards the existing space, closing the place of the tooth that should come from below. Or, in people with genetically large tooth form and small jaw structure, permanent teeth may not find a place in the mouth when it is time to erupt. Impacted tooth condition may also occur in cases where there are uncompleted tooth fragments or excess teeth (supernumerary teeth). Even in cases with a very thick bone structure or soft tissue structure, the teeth may not be able to protrude into the mouth.
Well, what should be the treatment approach to these teeth that can remain in the mouth for many reasons?
This In such cases, only intraoral examination is not sufficient, it is absolutely necessary to make a comprehensive evaluation by obtaining x-ray examination and even tomographic images. The orthodontist, surgeon and radiologist evaluate these data and decide whether the tooth can be placed properly where it should be.
The most important thing is the angle between the space where the tooth needs to come out and the normal eruption position. In other words, if the tooth is standing in its natural position, with a very horizontal angle relative to the direction it should travel, it will be very difficult to maintain and sometimes it may be decided to be removed. In these cases, the normal orthodontic treatment process is initiated. After the space in which the tooth will be maintained is prepared, the top of the tooth is opened with a surgical operation and a wire is attached to the tooth that remains in the bone. Thanks to the apparatus or wires extending outward from this tooth, ideal forces are applied by taking support from other teeth or mini-screws in the mouth and the inner tooth is slowly moved towards its own place.
This process depends on the position of the tooth and the structure of the bone in each individual. will be at different times. But the patient's own tooth is so valuable that it is worth going through this whole process. After the tooth is in its original place, orthodontic treatment is terminated with normal protocols by ensuring full compatibility with the teeth in the adjacent and opposite jaw.
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