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Genetic (inheritance) factors, extra teeth, lost teeth, impacted teeth, or abnormally shaped teeth have been cited as causes of crowding. Ill-fitting dental fillings, crowns, appliances, retainers, or braces as well as misalignment of jaw fractures after a severe injury are also known to cause crowding. [26]
A Cochrane investigation found that the use of antibiotics either just before or just after surgery reduced the risk of infection, pain and dry socket after wisdom teeth are removed by oral surgeons, but that using antibiotics also causes more side effects for these patients. Nineteen patients needed to receive antibiotics to prevent one infection.
Eventually the dual dental specialties of orthodontic and oral surgery were popularised and came to work together in coordinating adolescent dental crowding by the treatment duopoly of extracting excessive teeth, and orthodontically straightening the remaining - especially front - teeth.
In some individuals, the additional teeth can erupt far from the dental arch, within the maxillary sinus. The extra teeth may also migrate to a different location after development. [1] In some cases, supernumerary teeth can lead to the formation of cysts. Crowding is also frequently seen in people with hyperdontia. [2]
Wisdom teeth may become stuck [3] and not erupt fully, if there is not enough space for them to come through normally. Impacted wisdom teeth are still sometimes removed for orthodontic treatment, believing that they move the other teeth and cause crowding, though this is no longer held as true. [4] [5]
This will lead to anterior crossbite where upon biting, upper teeth are behind the lower front teeth and may involve few or all frontal incisors. In this type of crossbite, the maxillary and mandibular proportions are normal to each other and to the cranial base. Another reason that may lead to a dental crossbite is crowding in the maxillary arch.
Prosthetics; teeth detrimental to the fit or appearance of dentures. [12] Head and neck radiation therapy, to treat and/or manage tumors, may require extraction of teeth, either before or after radiation treatments. Lower cost, compared to other treatments. [13]: 98 Medically unnecessary extraction as a form of physical torture. [14]
This may involve having fixed or removable appliances for a few months before the transplant is done. [10] Occasionally the tooth to be transplanted will need to be removed before there is enough space available at the donor site. [10] These teeth can be kept in liquid nitrogen until pre-surgical orthodontic treatment is completed. [10]
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