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The multidisciplinary management of unerupted maxillary incisors. A report of three cases Rozana Valiji Bharmal Claire Furness David Slattery Catherine Campbell Dental Update 2024 9:4, 707-709.
An unerupted maxillary incisor can have a major impact on aesthetics and function. To achieve optimum results, early detection, referral and treatment is essential. This article will review the aetiology of delayed eruption and discuss the clinical and radiographic assessment of unerupted maxillary incisors. Three treated cases will be presented that demonstrate the management according to guidelines produced by the Royal College of Surgeons, England. These cases illustrate the importance of early referral as the treatment strategy varies according to the patient's age and stage of root development and late treatment has been shown to have a longer treatment time and increased risk of damage to the incisor.
CPD/Clinical Relevance: This article reviews the aetiology, diagnosis and management of unerupted incisors.
Article
An unerupted maxillary incisor can have a major impact on aesthetics and function. To achieve optimum results, early detection, referral and treatment is essential. Early detection and referral by general dental practitioners (GDPs) to secondary care will increase the treatment options available for the multidisciplinary team and reduce the risk of complications.
The incidence of unerupted maxillary central incisors has been reported as 0.13% in the 5–12 year-old age group.1 In a referred population to regional hospitals the prevalence has been estimated at 2.6%.2
The Royal College of Surgeons, England (RCS) has developed guidelines for the management of unerupted incisors.3 The treatment protocol differs, depending on the age of the patient and stage of root development. This highlights the importance of early referral to achieve the best possible outcome for the patient.
The aetiology of delayed eruption of maxillary incisors can be broadly subdivided into two causative groups, local and systemic. Examples are shown in Table 1.
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