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The extraction of the deciduous canine may encourage the ectopic permanent canine to erupt. This interceptive treatment is recommended for children aged 10–13 with normal physiological spacing. This is supported by the Royal College of Surgeons England (RCS Eng) guidelines; based primarily on 2 studies: A case series, with no control group [20]
Other impacted teeth, especially canines or incisors, can be aligned with the rest of the dental arch by orthodontic treatment, thus regaining and retaining their mechanical and aesthetic function. In some cases, impacted teeth can be let sleeping inside the alveolus, but periodical check-ups are required for a possible pathological development.
Surgical extraction of an impacted molar. Growing state of patient is one of the factors when deciding what treatment is going to be used. For growing patients, decoronation is used. Decoronation is the removal of tooth crown. [5] It serves as an alternative surgery for tooth extraction.
There is evidence that use of antibiotics before and/or after impacted wisdom tooth extraction reduces the risk of infections by 66%, and lowers incidence of dry socket by one third. For every 19 people who are treated with an antibiotic following impacted wisdom tooth removal, one infection is prevented. [19]
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Treatment time is prolonged as the treatment is carried out in stages spread over 2–3 years; Patient has a tendency to develop tongue thrust, due to creation of extraction spaces that close gradually; Extraction of posterior teeth may lead to deepening of bite; There is a risk of arch length reduction because of mesial migration of the buccal ...
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