Therapeutic Strategies of Primary Molar Infraocclusion: A Systematic Review

Background: Infraocclusion of deciduous molars is a clinical disturbance that occurs during primary and mixed dentition and has some orthodontic implications. Infraoccluded teeth are believed to be potential sites of malocclusion, with a risk of tipping neighbouring teeth and losing space. This syst...

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Main Authors: Assunta Patano, Angelo Michele Inchingolo, Claudia Laudadio, Daniela Azzollini, Grazia Marinelli, Sabino Ceci, Giulia Latini, Biagio Rapone, Alessio Danilo Inchingolo, Antonio Mancini, Francesco Inchingolo, Daniela Di Venere, Gianluca Martino Tartaglia, Gianna Dipalma, Giuseppina Malcangi
Format: Article
Language:English
Published: MDPI AG 2023-03-01
Series:Children
Subjects:
Online Access:https://www.mdpi.com/2227-9067/10/3/582
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author Assunta Patano
Angelo Michele Inchingolo
Claudia Laudadio
Daniela Azzollini
Grazia Marinelli
Sabino Ceci
Giulia Latini
Biagio Rapone
Alessio Danilo Inchingolo
Antonio Mancini
Francesco Inchingolo
Daniela Di Venere
Gianluca Martino Tartaglia
Gianna Dipalma
Giuseppina Malcangi
author_facet Assunta Patano
Angelo Michele Inchingolo
Claudia Laudadio
Daniela Azzollini
Grazia Marinelli
Sabino Ceci
Giulia Latini
Biagio Rapone
Alessio Danilo Inchingolo
Antonio Mancini
Francesco Inchingolo
Daniela Di Venere
Gianluca Martino Tartaglia
Gianna Dipalma
Giuseppina Malcangi
author_sort Assunta Patano
collection DOAJ
description Background: Infraocclusion of deciduous molars is a clinical disturbance that occurs during primary and mixed dentition and has some orthodontic implications. Infraoccluded teeth are believed to be potential sites of malocclusion, with a risk of tipping neighbouring teeth and losing space. This systematic review aims to analyse the management of primary molars infraocclusion and to provide updated guidelines. Methods: A literature search was performed using PubMed, Scopus, and Web of Science databases from 1 January 2017 to 28 November 2022. The inclusion criteria were: studies only on human subjects, open access studies, case reports, randomised trials, retrospective, observational studies, and English language. Results: A total of 372 publications were identified from the databases and a final number of nine studies were included in the review for qualitative analysis. Conclusion: Management of patients suffering from infraocclusion depends on the severity, age at diagnosis, and presence of succeeded premolars. Early diagnosis of infraoccluded primary elements is fundamental and cannot be postponed. Preservation of the primary molars may be a valid option with long-term stability if there is no or moderate primary molar infraocclusion, root resorption of less than half of the root, and no decay or restoration.
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spelling doaj.art-5b574f6b79524660bcb7ec29f7fa0ffd2023-11-17T10:22:19ZengMDPI AGChildren2227-90672023-03-0110358210.3390/children10030582Therapeutic Strategies of Primary Molar Infraocclusion: A Systematic ReviewAssunta Patano0Angelo Michele Inchingolo1Claudia Laudadio2Daniela Azzollini3Grazia Marinelli4Sabino Ceci5Giulia Latini6Biagio Rapone7Alessio Danilo Inchingolo8Antonio Mancini9Francesco Inchingolo10Daniela Di Venere11Gianluca Martino Tartaglia12Gianna Dipalma13Giuseppina Malcangi14Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, ItalyDepartment of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, ItalyDepartment of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, ItalyDepartment of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, ItalyDepartment of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, ItalyDepartment of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, ItalyDepartment of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, ItalyDepartment of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, ItalyDepartment of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, ItalyDepartment of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, ItalyDepartment of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, ItalyDepartment of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, ItalyDepartment of Biomedical, Surgical and Dental Sciences, School of Dentistry, University of Milan, 20100 Milan, ItalyDepartment of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, ItalyDepartment of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, ItalyBackground: Infraocclusion of deciduous molars is a clinical disturbance that occurs during primary and mixed dentition and has some orthodontic implications. Infraoccluded teeth are believed to be potential sites of malocclusion, with a risk of tipping neighbouring teeth and losing space. This systematic review aims to analyse the management of primary molars infraocclusion and to provide updated guidelines. Methods: A literature search was performed using PubMed, Scopus, and Web of Science databases from 1 January 2017 to 28 November 2022. The inclusion criteria were: studies only on human subjects, open access studies, case reports, randomised trials, retrospective, observational studies, and English language. Results: A total of 372 publications were identified from the databases and a final number of nine studies were included in the review for qualitative analysis. Conclusion: Management of patients suffering from infraocclusion depends on the severity, age at diagnosis, and presence of succeeded premolars. Early diagnosis of infraoccluded primary elements is fundamental and cannot be postponed. Preservation of the primary molars may be a valid option with long-term stability if there is no or moderate primary molar infraocclusion, root resorption of less than half of the root, and no decay or restoration.https://www.mdpi.com/2227-9067/10/3/582paediatric dentistrypublic health dentistryorthodonticstooth ankylosistoothunerupted
spellingShingle Assunta Patano
Angelo Michele Inchingolo
Claudia Laudadio
Daniela Azzollini
Grazia Marinelli
Sabino Ceci
Giulia Latini
Biagio Rapone
Alessio Danilo Inchingolo
Antonio Mancini
Francesco Inchingolo
Daniela Di Venere
Gianluca Martino Tartaglia
Gianna Dipalma
Giuseppina Malcangi
Therapeutic Strategies of Primary Molar Infraocclusion: A Systematic Review
Children
paediatric dentistry
public health dentistry
orthodontics
tooth ankylosis
tooth
unerupted
title Therapeutic Strategies of Primary Molar Infraocclusion: A Systematic Review
title_full Therapeutic Strategies of Primary Molar Infraocclusion: A Systematic Review
title_fullStr Therapeutic Strategies of Primary Molar Infraocclusion: A Systematic Review
title_full_unstemmed Therapeutic Strategies of Primary Molar Infraocclusion: A Systematic Review
title_short Therapeutic Strategies of Primary Molar Infraocclusion: A Systematic Review
title_sort therapeutic strategies of primary molar infraocclusion a systematic review
topic paediatric dentistry
public health dentistry
orthodontics
tooth ankylosis
tooth
unerupted
url https://www.mdpi.com/2227-9067/10/3/582
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