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Background:
The lateral incisor is a highly aesthetic area making it technically difficult procedure,further the failure of development of the tooth can result in deficiencies of the soft tissues which are normally present following the eruption and establishment of a tooth. Combining Orthodontic, surgical and prosthodontic reconstruction for this situation involves excellent communication and planning.
Aim/Hypothesis:
The aim of this study following on from previous studies investigates the success of Orthodontic treatment in providing the ideal situation for implant placement and prosthodontic reconstruction.
Material and Methods:
The Eastman Dental Hospital has one of the largest clinics for the management of hypodontia in Europe. Evaluation of case notes 100 lateral incisor hypodontia cases planned for implant therapy between the years 2005-2010, assessment of whether implant therapy was achieved, the space created and evaluation of radiographs and success of implant treatment, patient satisfaction at completion of treatment and how referred back to dental practitioner at the end of treatment.
Results:
Results so far have have identified 54 cases as having undergone and completed all aspects of the treatment. These cases are at present being recalled for assessment of the aesthetics and clinical success of the implant therapy. Previous results from this ongoing evaluation from the Eastman hypodontia clinic have revealed previously that only 45% of cases had periapicals prior to debonding of the orthodontic brackets. In this evaluation a total of 30% of the 100 cases had not proceeded to implant therapy either patients being considered too young but a total of 20% had not proceeded as insufficient space had been created for complete implant placement - root angulation was not conducive to implant placement.
Conclusions and clinical implications:
20% of patients were not completed with the original treatment of choice for a number of reasons the majority of which were as a result of failing to achieve the desired orthodontic result. The results illustrate that further work is required to improve the clinical outcomes from early assessment of when implant therapy is the appropriate treatment of choice through to the ongoing communication that is required between the specialists.
Background:
The lateral incisor is a highly aesthetic area making it technically difficult procedure,further the failure of development of the tooth can result in deficiencies of the soft tissues which are normally present following the eruption and establishment of a tooth. Combining Orthodontic, surgical and prosthodontic reconstruction for this situation involves excellent communication and planning.
Aim/Hypothesis:
The aim of this study following on from previous studies investigates the success of Orthodontic treatment in providing the ideal situation for implant placement and prosthodontic reconstruction.
Material and Methods:
The Eastman Dental Hospital has one of the largest clinics for the management of hypodontia in Europe. Evaluation of case notes 100 lateral incisor hypodontia cases planned for implant therapy between the years 2005-2010, assessment of whether implant therapy was achieved, the space created and evaluation of radiographs and success of implant treatment, patient satisfaction at completion of treatment and how referred back to dental practitioner at the end of treatment.
Results:
Results so far have have identified 54 cases as having undergone and completed all aspects of the treatment. These cases are at present being recalled for assessment of the aesthetics and clinical success of the implant therapy. Previous results from this ongoing evaluation from the Eastman hypodontia clinic have revealed previously that only 45% of cases had periapicals prior to debonding of the orthodontic brackets. In this evaluation a total of 30% of the 100 cases had not proceeded to implant therapy either patients being considered too young but a total of 20% had not proceeded as insufficient space had been created for complete implant placement - root angulation was not conducive to implant placement.
Conclusions and clinical implications:
20% of patients were not completed with the original treatment of choice for a number of reasons the majority of which were as a result of failing to achieve the desired orthodontic result. The results illustrate that further work is required to improve the clinical outcomes from early assessment of when implant therapy is the appropriate treatment of choice through to the ongoing communication that is required between the specialists.
Background:
The lateral incisor is a highly aesthetic area making it technically difficult procedure,further the failure of development of the tooth can result in deficiencies of the soft tissues which are normally present following the eruption and establishment of a tooth. Combining Orthodontic, surgical and prosthodontic reconstruction for this situation involves excellent communication and planning.
Aim/Hypothesis:
The aim of this study following on from previous studies investigates the success of Orthodontic treatment in providing the ideal situation for implant placement and prosthodontic reconstruction.
Material and Methods:
The Eastman Dental Hospital has one of the largest clinics for the management of hypodontia in Europe. Evaluation of case notes 100 lateral incisor hypodontia cases planned for implant therapy between the years 2005-2010, assessment of whether implant therapy was achieved, the space created and evaluation of radiographs and success of implant treatment, patient satisfaction at completion of treatment and how referred back to dental practitioner at the end of treatment.
Results:
Results so far have have identified 54 cases as having undergone and completed all aspects of the treatment. These cases are at present being recalled for assessment of the aesthetics and clinical success of the implant therapy. Previous results from this ongoing evaluation from the Eastman hypodontia clinic have revealed previously that only 45% of cases had periapicals prior to debonding of the orthodontic brackets. In this evaluation a total of 30% of the 100 cases had not proceeded to implant therapy either patients being considered too young but a total of 20% had not proceeded as insufficient space had been created for complete implant placement - root angulation was not conducive to implant placement.
Conclusions and clinical implications:
20% of patients were not completed with the original treatment of choice for a number of reasons the majority of which were as a result of failing to achieve the desired orthodontic result. The results illustrate that further work is required to improve the clinical outcomes from early assessment of when implant therapy is the appropriate treatment of choice through to the ongoing communication that is required between the specialists.
Background:
The lateral incisor is a highly aesthetic area making it technically difficult procedure,further the failure of development of the tooth can result in deficiencies of the soft tissues which are normally present following the eruption and establishment of a tooth. Combining Orthodontic, surgical and prosthodontic reconstruction for this situation involves excellent communication and planning.
Aim/Hypothesis:
The aim of this study following on from previous studies investigates the success of Orthodontic treatment in providing the ideal situation for implant placement and prosthodontic reconstruction.
Material and Methods:
The Eastman Dental Hospital has one of the largest clinics for the management of hypodontia in Europe. Evaluation of case notes 100 lateral incisor hypodontia cases planned for implant therapy between the years 2005-2010, assessment of whether implant therapy was achieved, the space created and evaluation of radiographs and success of implant treatment, patient satisfaction at completion of treatment and how referred back to dental practitioner at the end of treatment.
Results:
Results so far have have identified 54 cases as having undergone and completed all aspects of the treatment. These cases are at present being recalled for assessment of the aesthetics and clinical success of the implant therapy. Previous results from this ongoing evaluation from the Eastman hypodontia clinic have revealed previously that only 45% of cases had periapicals prior to debonding of the orthodontic brackets. In this evaluation a total of 30% of the 100 cases had not proceeded to implant therapy either patients being considered too young but a total of 20% had not proceeded as insufficient space had been created for complete implant placement - root angulation was not conducive to implant placement.
Conclusions and clinical implications:
20% of patients were not completed with the original treatment of choice for a number of reasons the majority of which were as a result of failing to achieve the desired orthodontic result. The results illustrate that further work is required to improve the clinical outcomes from early assessment of when implant therapy is the appropriate treatment of choice through to the ongoing communication that is required between the specialists.