Effect of age on the treatment duration and proposed “impacted incisor severity score” of impacted maxillary incisor: A retrospective study

Background: Absence of anterior maxillary teeth has a significantly impact on esthetics, speech, mastication, and psychosocial well-being in young patients. Materials and methods: A retrospective study was conducted from January 2012 to January 2022, the data include children (8–15 years) with maxil...

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Main Authors: Umer Mukhtar, Manoj kumar Jaiswal, Rigzen Tamchos, Ashima Goyal, Satinder Pal Singh, Aditi Kapur
Format: Article
Language:English
Published: Elsevier 2025-03-01
Series:Journal of Oral Biology and Craniofacial Research
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Online Access:http://www.sciencedirect.com/science/article/pii/S2212426825000260
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author Umer Mukhtar
Manoj kumar Jaiswal
Rigzen Tamchos
Ashima Goyal
Satinder Pal Singh
Aditi Kapur
author_facet Umer Mukhtar
Manoj kumar Jaiswal
Rigzen Tamchos
Ashima Goyal
Satinder Pal Singh
Aditi Kapur
author_sort Umer Mukhtar
collection DOAJ
description Background: Absence of anterior maxillary teeth has a significantly impact on esthetics, speech, mastication, and psychosocial well-being in young patients. Materials and methods: A retrospective study was conducted from January 2012 to January 2022, the data include children (8–15 years) with maxillary impacted incisors. After initial screening of the digital records, 75 cases with 80 impacted maxillary central incisors were recruited; 9 cases were excluded due to incomplete records. Results: 75 patients were found to have impacted incisors with a prevalence of 0.21 %. Patients were then divided into group 1 (<11years) and group 2 (11–15years) with a mean age of 9.51 ± 1.2 and 13.31 ± 1.74, respectively. Patients who reported at 11–15 years of age were significantly more as compared to <11years (p = 0.014). Among the various etiological factors, physical obstruction or inadequate space was found to be most common. Among dilacerated teeth, 75 % had a history of trauma, and only 35 % of normal impacted central incisors had a history of trauma (p = 0.00139). The mean duration of treatment time was found to be 16.77 ± 8.83months and 21.75 ± 6.08months for impacted incisors with normal morphology and with dilaceration, respectively and the difference was statistically significant (p = 0.042). Conclusions: Considering the age of the patient, it does not show significant effect on the duration of treatment, but a change in root morphology like dilaceration, significantly increases the duration of treatment. In addition, the proposed objective scoring system “Impacted incisor severity score” could help the clinicians to assess the difficulty and duration of treatment of impacted incisors.
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spelling doaj-art-927b13ba1ed649ee83f630a493ea0f752025-02-12T05:31:02ZengElsevierJournal of Oral Biology and Craniofacial Research2212-42682025-03-01152297304Effect of age on the treatment duration and proposed “impacted incisor severity score” of impacted maxillary incisor: A retrospective studyUmer Mukhtar0Manoj kumar Jaiswal1Rigzen Tamchos2Ashima Goyal3Satinder Pal Singh4Aditi Kapur5Corresponding author.; Oral Health Sciences Center, Postgraduate Institute of Medical Education and Research, Chandigarh, IndiaOral Health Sciences Center, Postgraduate Institute of Medical Education and Research, Chandigarh, IndiaOral Health Sciences Center, Postgraduate Institute of Medical Education and Research, Chandigarh, IndiaOral Health Sciences Center, Postgraduate Institute of Medical Education and Research, Chandigarh, IndiaOral Health Sciences Center, Postgraduate Institute of Medical Education and Research, Chandigarh, IndiaOral Health Sciences Center, Postgraduate Institute of Medical Education and Research, Chandigarh, IndiaBackground: Absence of anterior maxillary teeth has a significantly impact on esthetics, speech, mastication, and psychosocial well-being in young patients. Materials and methods: A retrospective study was conducted from January 2012 to January 2022, the data include children (8–15 years) with maxillary impacted incisors. After initial screening of the digital records, 75 cases with 80 impacted maxillary central incisors were recruited; 9 cases were excluded due to incomplete records. Results: 75 patients were found to have impacted incisors with a prevalence of 0.21 %. Patients were then divided into group 1 (<11years) and group 2 (11–15years) with a mean age of 9.51 ± 1.2 and 13.31 ± 1.74, respectively. Patients who reported at 11–15 years of age were significantly more as compared to <11years (p = 0.014). Among the various etiological factors, physical obstruction or inadequate space was found to be most common. Among dilacerated teeth, 75 % had a history of trauma, and only 35 % of normal impacted central incisors had a history of trauma (p = 0.00139). The mean duration of treatment time was found to be 16.77 ± 8.83months and 21.75 ± 6.08months for impacted incisors with normal morphology and with dilaceration, respectively and the difference was statistically significant (p = 0.042). Conclusions: Considering the age of the patient, it does not show significant effect on the duration of treatment, but a change in root morphology like dilaceration, significantly increases the duration of treatment. In addition, the proposed objective scoring system “Impacted incisor severity score” could help the clinicians to assess the difficulty and duration of treatment of impacted incisors.http://www.sciencedirect.com/science/article/pii/S2212426825000260Maxillary incisorImpacted severity scoreTreatment time
spellingShingle Umer Mukhtar
Manoj kumar Jaiswal
Rigzen Tamchos
Ashima Goyal
Satinder Pal Singh
Aditi Kapur
Effect of age on the treatment duration and proposed “impacted incisor severity score” of impacted maxillary incisor: A retrospective study
Journal of Oral Biology and Craniofacial Research
Maxillary incisor
Impacted severity score
Treatment time
title Effect of age on the treatment duration and proposed “impacted incisor severity score” of impacted maxillary incisor: A retrospective study
title_full Effect of age on the treatment duration and proposed “impacted incisor severity score” of impacted maxillary incisor: A retrospective study
title_fullStr Effect of age on the treatment duration and proposed “impacted incisor severity score” of impacted maxillary incisor: A retrospective study
title_full_unstemmed Effect of age on the treatment duration and proposed “impacted incisor severity score” of impacted maxillary incisor: A retrospective study
title_short Effect of age on the treatment duration and proposed “impacted incisor severity score” of impacted maxillary incisor: A retrospective study
title_sort effect of age on the treatment duration and proposed impacted incisor severity score of impacted maxillary incisor a retrospective study
topic Maxillary incisor
Impacted severity score
Treatment time
url http://www.sciencedirect.com/science/article/pii/S2212426825000260
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