Browse > Article
http://dx.doi.org/10.5933/JKAPD.2015.42.1.87

Clinical Implications of the Premature Loss of the Mandibular Primary Canine  

Lee, Sang-Ho (Department of Pediatric Dentistry, School of Dentistry, Chosun University)
Publication Information
Journal of the korean academy of Pediatric Dentistry / v.42, no.1, 2015 , pp. 87-101 More about this Journal
Abstract
The premature loss of the mandibular primary canine is relatively frequent and a sign of the upcoming space problems in the transitional period. This situation is caused by the permanent lateral incisor resorbing the root of the primary canine during its eruption. Bilateral loss of primary canines in a crowded arch leads to the lingual tipping of the permanent incisors, with the consequent reduction in the arch perimeter and increase in overbite. When the loss of a primary canine is unilateral, tipping of the adjacent incisors occurs toward the space, resulting in midline deviation. In these situations, treatment possibilities, such as extraction of the antimeric tooth or placement of a passive lingual arch, can be applied; although there are some controversies concerning this. Most space problems with less than 4 mm can be resolved through preservation of the leeway space using sequential disking of the primary teeth and a passive lingual arch, regaining space or limited arch expansion in the late mixed dentition. In cases with 4~6 mm of space problems, arch expansion (A-P or transverse) can be applied. Space problems with more than 6 mm should be treated through diagnosis and treatment planning. Most of these cases will require extraction of permanent teeth including serial extraction (guidance of eruption).
Keywords
Primary canine; Premature loss; Crowding; Sequential disking; Passive lingual arch;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Foley TF, Wright GZ, Weinberger SJ : Management of lower incisor crowding in the early mixed dentition. ASDC J Dent Child, 63:169-174, 1996.
2 Baume, LJ : Physiological tooth migration and its significance for the development of occlusion: I. The biogenetic course of the deciduous dentition. J Dent Res, 29:123, 1950.   DOI
3 Moorees CFA : The Dentition of the Growing Child. Cambridge, Harvard Univ. Press, 1959.
4 Leighton BC : The early sign of malocclusion. Transaction of the European Orthodontic Society, 353-368, 1969.
5 Ko CS : The statistical study of interdental space in the primary dentition. J Korean Acad Pediatr Dent, 7:53-61, 1980
6 Mayne WR : Serial extraction-orthodontics at the crossroads. Dent Clin North Am, 341-362, 1968.
7 Moorees CFA, Chadha JM : Available space for the incisors during dental development: A growth study based on physiologic age. Angle Orthod, 35:12-22, 1965.
8 Sampson WS, LC Richards : Prediction of mandibular incisor and canine crowding changes in the mixed dentition. Am J Orthod Dentofacial Orthop, 88:47-63, 1985.   DOI
9 Hagberg C : The alignment of permanent incisors in children. A longitudinal prospective study. Eur J Orthod, 16:121-129, 1994.   DOI
10 Lee KP : Behavior or erupting crowded lower incisors. J Clin Orthod, 14:24-33, 1980.
11 Turkkahraman H, Sayin MO : Relationship between mandibular anterior crowding and lateral dentofacial morphology in the early mixed dentition. Angle Orthod, 74:759-764, 2004.
12 Hunter WS, Smith NRW : Development of mandibular space-crowding from nine to sixteen years of age. J Can Dent Asso, 30:178-185, 1972
13 Melo L, Ono Y, Takagi Y : Indicators of mandibular dental crowding in the mixed dentition. Pediatr Dent, 23:118-122, 2001.
14 Nance HN : The limitations of orthodontic treatment; mixed dentition diagnosis and treatment. Am J Orthod, 33:177-223, 1947.
15 Moyers RE : Handbook of orthodontics. Year book medical publishers Inc., Ann Arbour, Michigan, 4th ed. 127, 1988.
16 Gianelly AA : Treatment of crowding in the mixed dentition. Am J Orthod Dentofacial Orthop, 121:569-571, 2002.   DOI
17 Bishara SE, Jakobsen JR, Treder J, et al. : Arch width changes from 6weeks to 45years of age. Am J Orthod Dentofacial Orthop, 111:401-409, 1997.   DOI
18 Rosa M, Cozzani M, Cozzani G : Sequential slicing of lower deciduous teeth to resolve incisor crowding. J Clin Orthod, 28:596-599, 1994.
19 Hotz RP : Guidance of eruption versus serial extraction. Am J Orthod, 58:1-20, 1970.   DOI
20 Gellin ME : Conservative treatment for malaligned permanent mandibular incisors in the early mixed dentition. ASDC J Dent Child, 56:288-292, 1989.
21 Bell RA, Sonis A : Space supervision and guidance of eruption in management of lower transitional crowding: A non-extraction approach. Seminars in Orthodontics, 20:16-35, 2014.   DOI
22 Shapira Y, Kuftinec M : The ectopically erupted mandibular lateral incisor. Am J Orthod, 82:426-438, 1982.   DOI
23 Singer J : The effect of the passive lingual arch on the lower denture. Angle Orthod, 44:146-155, 1974.
24 Hollander CS, Full CA : Midline correction by extraction of the remaining mandibular canine: myth or reality. ASDC J Dent Child, 59:207-211, 1992.
25 Sayin MO, Turkkaharaman H : Effects of lower primary canine extraction on the mandibular dentition. Angle Orthod, 76:31-35, 2006.
26 Brennan MM, Gianelly AA : The use of the lingual arch in the mixed dentition to resolve incisor crowding. Am J Orthod Dentofacial Orthop. 117:81-85, 2000.   DOI
27 Dugoni SA, Lee JS, Varela J. et al. : Early mixed dentition treatment: postretention evaluation of stability and relapse. Angle Orthod, 65:311-320, 1995.
28 Rebellato J, Lindauer SJ, RubensteinLK, et al. : Lower arch perimeter preservation lingual arch. Am J Orthod Dentofacacial Orthop, 112:449-456, 1997.   DOI
29 Villalobos FJ, Sinha PK, Nanda RS : Longitudinal assessment of vertical and sagittal control in the mandibular arch by the mandibular fixed lingual arch. Am J Ortho Dentofacial Orthop, 118:366-370, 2000.   DOI
30 Davidovitch M, McInnis D, Lindauer SJ : The effects of lip bumper therapy in the mixed dentition. Am J Orthod Dentofacial Orthop, 111:52-58, 1997.   DOI
31 Murphy C, Magness WB, English JD, et al. : A longitudinal study of incremental expansion using a lip bumper. Angle Orthod, 73:396-400, 2003.
32 Solomon M, English JD, Magness WB, et al. : Longterm stability of lip bumper therapy followed by fixed appliances. Angle Orthod, 76:36-42, 2006.
33 Wieslander L, Buck DL : Physiologic recovery after cervical traction therapy. Am J Orthod, 66:294-301, 1974.   DOI
34 Nevant CT, Buschang PH, Alexander RG, et al. : Lip bumper therapy for gaining arch length. Am J Orthod Dentofacial Orthop, 100:330-336. 1991.   DOI
35 Sfondrini MF, Cacciafesta V, Sfondrini G : Upper molar distalization: a critical analysis. Orthod Craniofac Res, 5:114-126, 2002.   DOI
36 Poulton DR : The influence of extraoral traction. Am J Orthod, 53:8-18, 1967.   DOI
37 Melsen B : Effects of cervical anchorage during and after treatment: an implant study. Am J Orthod, 73:526-540, 1978.   DOI
38 Dietz VS, Gianelly AA : Molar distalization with the acrylic cervical occipital appliance. Semi Orthod, 69:91-97, 2000.
39 Angelieri F, Almeida RR, Almeida MR, et al. : Dentoalveolar and skeletal changes associated with the pendulum appliance followed by fixed orthodontic treatment. Am J Orthod Dentofacial Orthop, 129:520-527, 2006.   DOI
40 Kinzinger GS, Gross U, Fritz UB, et al. : Anchorage quality of deciduous molars versus premolars for molar distalization with a pendulum appliance. Am J Orthod Dentofacial Orthop, 127:314-323, 2005.   DOI   ScienceOn
41 Bussick TJ, McNamara JA Jr. : Dentoalveolar and skeletal changes associated with the pendulum appliance. Am J Orthod Dentofacial Orthop, 117:333-343, 2000.   DOI
42 Housley JA, Nanda RS, Currier GF, et al. : Stability of transverse expansion in the mandibular arch. Am J Orthod Dentofacial Orthop, 124:288-293, 2013.
43 Mayne WR : Serial extraction. In Graber TM (Ed.), Current orthodontic concepts and techniques. saunders, Philadelphia, 259-364, 1975.
44 Filho HL, Maia LH, Lau TC, et al. : Early vs late orthodontic treatment of tooth crowding by first premolar extraction: A systematic review. Angle Orthod, Sep 10. [Epub ahead of print], 2014.
45 Wagner M, Berg R : Serial Extraction or Premolar Extraction in the Permanent Dentition? Comparison of Duration and Outcome of Orthodontic Treatment. J Orofac Orthop, 61:207-216, 2000.   DOI
46 Martins-Junior PA, Marques LS : Clinical implications of early loss of a lower deciduous canine. Int J Orthod Milwaukee, 23:23-27, 2012.
47 Frans P. G. M. van der Linden : Transition of the human dentition. Center for Human Growth and Development, University of Michigan. Ann Arbor, Michigan, 19-38, 1982.
48 Almeida RR, Oltramari-Navarro PV, Almeida MR, et al. : The nance lingual arch: an auxiliary device in solving lower anterior crowding. Braz Dent J, 22:329-333, 2011.   DOI