Abstract
Objectives
To evaluate the spontaneous eruption potential of impacted human permanent teeth localized in the anterior part of the maxilla, after the surgical extraction of obstacles in their eruption pathway, by means of a systematic review and meta-analysis.
Materials and methods
A systematic literature search was carried out to locate studies reporting on the percentage of anterior permanent teeth erupting after surgical removal of the obstacle, without other interventions. Eruption potential of impacted teeth was calculated using a random-effects meta-analysis. Information about the sex proportion, follow-up duration, age and years during which the study was carried out was used for subgroup analyses.
Results
A total of twelve studies were included, with a total sample size of 960 cases and a follow-up period of up to 36 months. The results show that more than 65.5% of impacted teeth erupt spontaneously following surgical extraction of the obstacle, with an odds ratio of 4 (95% CI 1.9, 8.2) (p < 0.001) favouring spontaneous eruption.
Conclusions
When faced with an impacted maxillary anterior tooth, surgical extraction of the obstacle can lead to spontaneous eruption of the impacted tooth in the majority of cases, with better success with a longer follow-up for up to 3 years.
Clinical relevance
Based on the present meta-analysis, clinical recommendation would be to surgically remove the obstacle impeding the eruption of a maxillary anterior permanent tooth and wait for the eruption of the tooth for a period of 12–36 months, depending on the age of the patient.
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References
Topkara A, Sari Z (2012) Impacted teeth in a Turkish orthodontic patient population: prevalence, distribution and relationship with dental arch characteristics. Eur J Paediatr Dent 13(4):311–316
Celikoglu M, Kamak H, Oktay H (2010) Investigation of transmigrated and impacted maxillary and mandibular canine teeth in an orthodontic patient population. J Oral Maxil Surg 68:1001–1006
Fardi A, Kondylidou-Sidira A, Bachour Z, Parisis N, Tsirlis A (2011) Incidence of impacted and supernumerary teeth-a radiographic study in a North Greek population. Med Oral Patol Oral Cir Bucal 16:e56–e61
Grover PS, Lorton L (1985) The incidence of unerupted permanent teeth and related clinical cases. Oral Surg Oral Med Oral Pat 59:420–425
Kramer RM, Williams AC (1970) The incidence of impacted teeth. A survey at Harlem hospital. Oral Surg Oral Med Oral Pat 29:237–241
Aktan AM, Kara S, Akgunlu F, Malkoc S (2010) The incidence of canine transmigration and tooth impaction in a Turkish subpopulation. Eur J Orthod 2:575–581
Betts A, Camilleri GE (December 1999) A review of 47 cases of unerupted maxillary incisors. Int J Paediatr Dent 9(4):285–292
Russell KA, Folwarczna MA (2003 Jun) Mesiodens--diagnosis and management of a common supernumerary tooth. J Can Dent Assoc 69(6):362–366
Leyland L, Batra P, Wong F, Llewelyn R (2006) A retrospective evaluation of the eruption of impacted permanent incisors after extraction of supernumerary teeth. J Clin Pediatr Dent 30:225–231
Von Arx T (1992) Anterior maxillary supernumerary teeth: a clinical and radiographic study. Aust Dent J 37:189–195
Bodenham RS (1967) The treatment and prognosis of unerupted maxillary incisors associated with the presence of supernumerary teeth. Br Dent J 123:173–177
Högström A, Andersson L (1987) Complications related to surgical removal of anterior supernumerary teeth in children. ASDC J Dent Child 54:341–343
Humerfelt D, Hurlen B, Humerfelt S (1985) Hyperdontia in children below four years of age: a radiographic study. ASDC J Dent Child 52:121–124
Solares R (1990) The complications of late diagnosis of anterior supernumerary teeth: case report. ASDC J Dent Child 57:209–211
Moher D, Liberati A, Tetzlaff J, Altman DG (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med 6(7). https://doi.org/10.1371/journal.pmed.1000097
Sterne JA, Hernán MA, Reeves BC et al (2016) ROBINS-I: a tool for assessing risk of bias in non-randomised studies of interventions. BMJ 355:i4919. https://doi.org/10.1136/bmj.i4919
Jung Y-H, Kim J-Y, Cho B-H (2016) The effects of impacted premaxillary supernumerary teeth on permanent incisors. Imaging Science in Dentistry 46(4):251–258
Patchett CL, Crawford PJ, Cameron AC, Stephens CD (2001) The management of supernumerary teeth in childhood--a retrospective study of practice in Bristol Dental Hospital, England and Westmead Dental Hospital, Sydney, Australia. Int J Paediatr Dent 11(4):259–265
Smailiene D, Sidlauskas A, Bucinskiene J (2006) Impaction of the central maxillary incisor associated with supernumerary teeth: initial position and spontaneous eruption timing. Stomatologija 8(4):103–107
Mitchell L, Bennett TG (1992) Supernumerary teeth causing delayed eruption--a retrospective study. Br J Orthod 19(1):41–46
Witsenburg B, Boering G (1981) Eruption of impacted permanent upper incisors after removal of supernumerary teeth. Int J Oral Surg 10(6):423–431
Bryan RA, Cole BO, Welbury RR (2005) Retrospective analysis of factors influencing the eruption of delayed permanent incisors after supernumerary tooth removal. Eur J Paediatr Dent 6(2):84–89
Ravn JJ, Fibaek B (1971) Retention af over-kaebens centrale incisiver i forbindelse med overtallige taender. Tandlaegebladet. 75:1–6
Mason C, Azam N, Holt RD, Rule DC (2000) A retrospective study of unerupted maxillary incisors associated with supernumerary teeth. Br J Oral Maxillofac Surg 38(1):62–65
Foley J (2004 Mar) Surgical removal of supernumerary teeth and the fate of incisor eruption. Eur J Paediatr Dent 5(1):35–40
Anthonappa RP, King NM, Rabie ABM (2012) Diagnostic tools used to predict the prevalence of supernumerary teeth: a meta-analysis. Dentomaxillofacial Radiology 41(6):444–449
Wedrychowska-Szulc B, Janiszewska-Olszowska J (2007) The supernumerary lateral incisors--morphology and concomitant abnormalities. Ann Acad Med Stetin 53(3):107–112 discussion 112-113
Higgins JPT, Thomas J, Chandler J, Cumpston M, Li T, Page MJ, Welch VA (editors). Cochrane Handbook for Systematic Reviews of Interventions version 6.0 (updated July 2019). Cochrane, 2019. Available from www.training.cochrane.org/handbook
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Raji Pescia declares that he has no conflict of interest. Stavros Kiliaridis declares that he has no conflict of interest. Gregory S. Antonarakis declares that he has no conflict of interest.
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Pescia, R., Kiliaridis, S. & Antonarakis, G.S. Spontaneous eruption of impacted maxillary incisors after surgical extraction of supernumerary teeth: a systematic review and meta-analysis. Clin Oral Invest 24, 3749–3759 (2020). https://doi.org/10.1007/s00784-020-03369-3
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DOI: https://doi.org/10.1007/s00784-020-03369-3