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Experiences with unerupted anterior and posterior teeth.

The causes of tooth impaction are as numerous as are ways to manage the problem. Treatment is usually instituted only after an unfavourable eruption prognosis of the impacted tooth has been established from radiographic and clinical examination. Advantages of guided eruption and surgical removal have to be weighed. Fifteen cases of various degrees of impaction, difficulty of treatment, complications and failures of eruption are discussed.

Cuspid↗

Propagation of the impact on the tooth caused by jaw tapping movement.

The influence of mechanical stimulation on the human body is extremely important. We hypothesized that if tooth impact is propagated to other sites of the body, this impact will have some effect on those sites as well. The purpose of this study was to investigate the extent to which tooth impact was propagated in the head and neck. It was found that the waves recorded on the upper canine are divided into a high frequency component and a low frequency component at a border of approximately 7 kHz. The amplitude of the impulse wave was 80.813 g for the low frequency component, and 177.839 g for the high frequency component. In terms of propagated vibration from the canine, the amplitude of the low frequency component was larger than that of the high frequency component, and greatest at the chin, followed in descending order by the zygomatic bone, forehead and vertebra prominens. For both frequency components, the amplitude of the propagated vibrations was small compared with the impulse waves. These results provide a basis for future analysis of the influence of such impact on cell response.

Adult↗

Fractures of the mandible involving the impacted third molar tooth: an analysis of 47 cases.

An attempt is made to correlate mesio-angular, horizontal, disto-angular and vertical tooth impaction with the incidence, displacement and management of fractures in the region of the mandibular third molar. Evidence was taken principally from a radiographic study of 47 cases of fracture of the mandible at this site. No particular single mandibular third molar angulation showed itself more commonly in this series of fractures. However, fractures involving unerupted mesio-angular third molard tended to remain undisplaced and could, therefore, be treated by simpler measures.

Adolescent↗

Impacted premolars.

Tooth impaction is not uncommon among the population. Its management is important aesthetically and functionally to the patient. Treatment ranges from regular review, extraction of the primary tooth, surgical exposure of the impacted tooth, with or without orthodontic traction, auto-transplantation to its surgical removal. Any decision taken should be judged on individual merit.

Adolescent↗

[Autotransplantation of an impacted supernumerary tooth].

The Authors report on a case of interesting tooth transplantation using a supernumerary in the site of a lower premolar root affected by periapical granuloma. Irrespective of local unfavourable conditions, the good result of surgical operation is demonstrated by up to now vitality and stability of transplanted tooth.

Adult↗