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    96 - Management of Ankylosed Primary Molars With Premolar Successors

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    Willan Jumbo
    This document summarizes a systematic review on the management of ankylosed primary molars with permanent successors. Ankylosed primary molars, which fail to exfoliate normally, occur in 8-14% of children and most commonly affect the mandibular primary molars. While mild cases can be monitored, more severe infraocclusion that interferes with the successor's eruption requires extraction to prevent problems. The review concludes that conservative monitoring for 6-12 months is typically sufficient, but extraction should be considered if the successor's path is altered or if infraocclusion is severe enough to impact the arch.

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    96 - Management of Ankylosed Primary Molars With Premolar Successors

    Uploaded by

    Willan Jumbo
    20 views1 page
    This document summarizes a systematic review on the management of ankylosed primary molars with permanent successors. Ankylosed primary molars, which fail to exfoliate normally, occur in 8-14% of children and most commonly affect the mandibular primary molars. While mild cases can be monitored, more severe infraocclusion that interferes with the successor's eruption requires extraction to prevent problems. The review concludes that conservative monitoring for 6-12 months is typically sufficient, but extraction should be considered if the successor's path is altered or if infraocclusion is severe enough to impact the arch.

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    ABO Article Review

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    96 - Management of Ankylosed Primary Molars with Premolar Successors

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    This document summarizes a systematic review on the management of ankylosed primary molars with permanent successors. Ankylosed primary molars, which fail to exfoliate normally, occur in 8-14% of children and most commonly affect the mandibular primary molars. While mild cases can be monitored, more severe infraocclusion that interferes with the successor's eruption requires extraction to prevent problems. The review concludes that conservative monitoring for 6-12 months is typically sufficient, but extraction should be considered if the successor's path is altered or if infraocclusion is severe enough to impact the arch.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    20 views1 page

    96 - Management of Ankylosed Primary Molars With Premolar Successors

    Uploaded by

    Willan Jumbo
    This document summarizes a systematic review on the management of ankylosed primary molars with permanent successors. Ankylosed primary molars, which fail to exfoliate normally, occur in 8-14% of children and most commonly affect the mandibular primary molars. While mild cases can be monitored, more severe infraocclusion that interferes with the successor's eruption requires extraction to prevent problems. The review concludes that conservative monitoring for 6-12 months is typically sufficient, but extraction should be considered if the successor's path is altered or if infraocclusion is severe enough to impact the arch.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
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    96 - Management of Ankylosed Primary Molars with Premolar Successors

    Long, TD et al. 2013 JADA

    Purpose of study: Systematic review of Advantages + Disadvantages of extraction vs. monitoring

    Relatively common to find infraerupted primary molar that has stopped erupting vertically
     8-14% Prevalence in children 6-11 yrs old
     Primary mandibular molars are the most affected vs primary maxillary molars
    o Debate in literature whether 1st or 2nd mandibular primary molars are the most
    affected
     Because 1st Mandibular primary molar only shows slight infraocclusion
    and typically exfoliates on schedule, clinicians may miss ankylosis and
    note that 2nd mandibular primary molar is the most affected because it
    is often more infraoccluded
     Exact etiology is not known – possibly due to genetics, excessive masticatory pressure
    and local metabolism disturbance
    Radiographically, appears as:
     Angular defect towards ankylosed tooth
     Step in occlusal plane
     Osteoid tissue between the tooth and the alveolar bone
    However, it can be challenging because often only a small section of the root is affected

    Percussion test- ankylosed tooth has high-pitched tone when struck with metal instrument
     Subjective test and reliability of this test is questioned
    Ankylosed primary molars complications:
     Distal eruption of 2nd premolar
     Hooked or altered radicular shape of premolar underlying ankylosed tooth
     Shifting of midline towards side of infraoccluded tooth
    Results:
    Most present with mild-moderate infraocclusion
     For those with permanent successors: Monitor for 6-12 months from expected time of
    exfoliation – most exfoliate spontaneously (96%) within 6 to 12 months of expected
    exfoliation
     Primary second molars create more problems than primary first molars
    o Because of the greater size difference between 2 nd primary molar and 2nd premolar
     Mesial component of eruptive force of permanent molars helps to close spaces resulting
    from size differences between primary and permanent dentitions
     Annual increase of progression of infraocclusion of ankylosed primary teeth:
    o 0.5 mm in mandible
    o 0.8 mm in maxilla
    Conclusions:
    - Ankylosed primary molars often manifest with mild to moderate infraoclusion that worsens with
    time
    - Arch-length loss, alveolar bone defects and occlusal disturbances often are temporary in mild
    infraocclusions and resolve once permanent successor erupts
    - Conservative monitoring of ankysoled primary molars is recommended (6 months)
    - To prevent impaction of the permanent succedaneous teeth, the clinician should consider
    extractions with the appropriate space management:
     If permanent successor has altered path of eruption and will not resorb primary molar
     If primarily molar is severely infraoccluded with notable tipping of adjacent teeth that
    prevents eruption of permanent successor – this can also lead to arch-length loss
     If the exfoliation time is significantly delayed

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