Causas de impactación de premolares inferiores en pacientes pediátricos. Serie de casos.

Miguel  Hirschhaut; Maria Gabriela Acosta de Camargo; José Antonio Rodríguez; Hector Rodríguez

doi:10.47990/alop.v12i1.269

Autores

Miguel Hirschhaut https://orcid.org/0000-0002-3972-8619
Maria Gabriela Acosta de Camargo Universidad de Carabobo https://orcid.org/0000-0001-7615-918X
José Antonio Rodríguez
Hector Rodríguez

DOI:

https://doi.org/10.47990/alop.v12i1.269

Palavras-chave:

Pré-molares, Dentes impactados, Inferiores, Anomalias dentárias

Resumo

Dentes impactados são freqüentemente observados na prática clínica. No entanto, a presença de pré-molares impactados é uma anomalia dentária raramente relatada. Sabe-se de uma relação genética entre a presença de várias anomalias dentárias no mesmo paciente e também na mesma família. As impactações dos pré-molares inferiores podem estar associadas às impactações palatinas dos caninos e incisivos laterais superiores com alteração na forma e / ou número. Esta pesquisa teve como objetivo descrever as causas associadas à impactação de pré-molares por meio de uma série de 6 casos, com idades entre 11 e 15 anos. Os resultados encontrados sugerem que as causas associadas à impactação dos pré-molares inferiores foram: retenção prolongada dos dentes decíduos, padrão eruptivo alterado, presença de supranumerários, perda prematura dos dentes decíduos e erupção tardia associada a fatores hormonais. Concluise que a presença de impactação de pré-molares aponta para a associação de várias causas que convergem, observando-se não apenas uma, mas várias anomalias dentárias.

Referências

Bhaskar SN. Tooth eruption. Orban's Histology and Embriology. 11th Edition. St Louis: CV Mosby; 1990.

Full CA. Conception to age three. The dynamics of change. Dental changes. Infancy Through Adolescence, 3rd Edition. Philadelphia: WB Saunders, 1999.

Rasmussen P, Kotsaki A. Inherited primary failure of eruption in the primary dentitions report. ASDC J Dent Child 1997;64(1):43-47.

Alling CC, Catone GA. Management of impacted teeth. J Oral Maxillofac Surg. 1993;51 (1Suppl 1):3-6.

Burch J, Ngan P, Hackmar A. Diagnosis and treatment planning for unerupted premolars. Pediatr Dent. 1994; 16(2):89-95.

McDonald RE, Avery DR. Eruption of the teeth: local, systemic and congenital factors that influence the process. In: Dentistry for the child and adolescent. 6th edition. St Louis: Mosby; 1994.

Andreasen JO. The impacted premolar. In: Andreasen JO, Petersen JK, Laskin DM, editors. Textbook and color atlas of tooth impactions; diagnosis, treatment and prevention. Copenhagen: Munksgaard; 1997.

Oikarinen VJ, Julku M. Impacted premolars. An analysis of 10,000 orthopan- tomograms. Proc Finn Dent Soc. 1974; 70(3):95-8.

Wasserstein A, Brezniak N, Shalish M, Heller M, Rakocz M. Angular changes and their rates in concurrence to developmental stages of the mandibular second premolar. Angle Orthod. 2004;74(3):332-6.

Liu RR, Tian J. Current situation of clinical research on impacted premolars. Hua Xi Kou Qiang Yi Xue Za Zhi. 2018;36(2):215-9.

Topkara A, Sari Z. Impacted teeth in a turkish orthodontic patient population: prevalence, distribution and relationship with dental arch characteristics. Eur J Paediatr Dent. 2012;13(4):311-6.

Castañeda DA, Briceño CR, Sánchez AE, Rodríguez A, Castro D, Barrientos S. Prevalencia de dientes incluidos, retenidos e impactados analizados en radiografías panorámicas de población de Bogotá, Colombia. Univ Odontol. 2015; 34(73):149-57.

Ericson S, Kurol J. Radiographic assessment of maxillary canine eruption in children with clinical signs of eruption disturbances. Eur J Orthod. 1986;8 (3):133-40.

Lee PP. Impacted premolars. Dent Update. 2005;32(3):152-7.

Murray P, Brown NL. The conservative approach to managing unerupted lower premolars -- two case reports. Int J Paediatr Dent. 2003;13(3):198-203

Kaya GS, Omezli MM, Yapici G, Dayi E, Ertas U. Prevalecia de premolares impactados en una población turca y consideraciones para el tratamiento quirúrgico. Med Oral, Patolog Oral y Cirug Bucal. Ed Española. 2012;17(1):49-53.

Fardi A, Kondylidou-Sidira A, Bachour Z, Parisis N, Tsirlis A. Incidence of impacted and supernumerary teeth-a radiographic study in a North Greek population. Med Oral Patol Oral Cir Bucal. 2011;16 (1):e56- 61.

Baccetti T. A controlled study of associated dental anomalies. Angle Orthod. 1998;68(3):267-74.

Garib DG, Zanella NL, Peck S. Associated dental anomalies: Case report. J Appl Oral Sci. 2005;13(4):431-6

Garib DG, Alencar BM, Lauris JR, Baccetti T. Agenesis of maxillary lateral incisors and associated dental anomalies. Am J Orthod Dentofacial Orthop. 2010;137(6):732.e1-733.

Baccetti T, Leonardi M, Giuntini V. Distally displaced premolars: A dental anomaly associated with palatally displaced canines. Am J Orthod Dentofacial Orthop. 2010;138(3):318-322.

Garib D, Alencar B, Ferreira F, Okada Ozawa T. Associated dental anomalies: The orthodontist decoding the genetics which regulates the dental development disturbances. Dental Press J Orthod. 2010:15 (2):138-57.

Grahnen H. Hypodontia in the permanent dentition. Odontol Revy 1956;7:1100.

Vastardis H. The genetics of human tooth agenesis: new discoveries for understanding dental anomalies. Am J Orthod Dentofacial Orthop. 2000;117(6):650-6.

He D, Mei L, Wang Y, Li J, Li H. Association between maxillary anterior supernumerary teeth and impacted incisors in mixed dentition. J Am Dent Assoc. 2017;148(8):595-603.

Rajab LD, Hamdan MA. Supernumerary teeth: review of the literature and a survey of 152 cases. Int J Paediatr Dent. 2002;12(4):244-54.

Aktan AM, Kara I, Sener I, et al. An evaluation of factors associated with persistent primary teeth. Eur J Orthod. 2012;34(2):208-12.

Mossey PA. The heritability of malocclusion: part 2. The influence of genetics in malocclusion. Br J Orthod. 1999;26(3):195-203.

Frazier-Bowers SA, Puranik CP, Mahaney MC. The etiology of eruption disorders - further evidence of a 'genetic paradigm'. Semin Orthod. 2010;16(3):180-5.

García Y, Da Silva CL, Medina C, Crespo O. Efecto de la pérdida prematura de molares primarios sobre la relación horizontal incisiva. Revista de Odontopediatría Latinoamericana. 2011;1(1).

Padma Kumari B, Retnakumari N. Loss of space and changes in the dental arch after premature loss of the lower primary molar: A longitudinal study. J Indian Soc Pedod Prev Dent. 2006; 24(2):90-6.

Frank CA. Treatment options for impacted teeth. J Am Dent Assoc 2000; 131(5):623-32.

Kokich VG, Mathews DP. Surgical and orthodontic management of impacted teeth. Dent Clin North Am 1993; 37(2):181-204.

McNamara C, McNamara TG. Mandibular premolar impaction: 2 case reports. J Can Dent Assoc. 2005;71(11):859-63.