From Volume 5, Issue 3, July 2012 | Pages 70-76
This second article aims to outline the role of combined paediatric dentistry-orthodontic planning in the management of complex cases of the developing dentition. Case studies have been used to highlight those patients who would most benefit from such a combined approach.
Following a six-month survey of joint paediatric-orthodontic clinics (CDHCC – Child Dental Health Consultant Clinic), it became evident that over a third of patients presented to these clinics with uncommon yet complex needs. The cases ranged from those with delayed or unerupted teeth, abnormalities of tooth size and form, as well as those with complex medical needs. This article will highlight some of those cases.
Dental infra-occlusion has been defined as when teeth are below the occlusal plane. Infra-occlusion is usually associated with primary molars.1 It is also frequently associated with ankylosis, which is a direct bony union between tooth and bone. The infra-occluded deciduous molars are believed to remain static while the adjacent teeth move vertically with growth and development of the alveolar process.2 The exact aetiology of infra-occlusion is unknown but a number of possible causes have been identified:
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