Abstract
BackgroundAlthough dental dilaceration disinclusion is an accepted treatment modality, few studies have evaluated the prognosis for dilacerated maxillary incisors and changes in clinical periodontal parameters still need to be demonstrated. The objectives of this study were to evaluate the prognosis and changes in clinical attachment level (CAL), probing depth (PD), and soft tissue recession (REC) for disincluded dilacerated maxillary incisors.MethodsTen impacted dilacerated teeth were scheduled for disinclusion. Five of them were disincluded with the apically repositioned flap technique and the other five with the closed eruption technique and brought into alignment with light orthodontic forces.ResultsAll the dilacerated teeth were disincluded as planned. CAL, PD, and REC were the same as natural teeth. Among the two surgical techniques, no statistically significant differences have been found.ConclusionThe choice to disinclude dilacerated central maxillary incisors reached the goals planned. Periodontal parameters obtained in a short- and long-term follow-up allow to affirm that the disinclusion of dilacerated teeth has a good survival rate.
Highlights
Dental dilaceration disinclusion is an accepted treatment modality, few studies have evaluated the prognosis for dilacerated maxillary incisors and changes in clinical periodontal parameters still need to be demonstrated
Clinical findings All the dilacerated teeth were disincluded as planned, and all surgical sites healed with no evidence of postoperative infection
The normal structure of the gingiva was formed within the first year after disinclusion and remained constant during the follow-up period
Summary
Dental dilaceration disinclusion is an accepted treatment modality, few studies have evaluated the prognosis for dilacerated maxillary incisors and changes in clinical periodontal parameters still need to be demonstrated. The objectives of this study were to evaluate the prognosis and changes in clinical attachment level (CAL), probing depth (PD), and soft tissue recession (REC) for disincluded dilacerated maxillary incisors. Dilaceration is a dental deformity characterized by an angulation between crown and root causing non-eruption of the tooth [1,2]. This deformity is due to a disturbance between mineralized and mineralized portions of the developing tooth germ [3].
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