Current Concepts in Dentistry Day 3

Code: HPDS005-3
Apply this course towards: Current Concepts in Dentistry

Course description

Missing in Action: Interdisciplinary Treatment of Missing
and Impacted Teeth

Monday, Nov. 13, 2023
Presented by Liat Tzur Gadassi, DMD, MSc, FRCD(C)

Congenitally missing teeth and impacted teeth pose an interesting challenge to the entire dental team. In this course, we will discuss some of the most commonly presenting missing and impacted teeth. We will examine the prevalence, etiology, associated anomalies and treatment modalities available in the management of impacted and missing teeth. The importance of collaborative work between the different disciplines in the planning and execution of a comprehensive treatment plan will be highlighted.

Early detection by the dentist is key, as in some cases severe consequences and unfortunate sequelae can be prevented. The contribution of the many specialties involved – Orthodontics, Periodontics, Prosthodontics, Oral Maxillofacial surgery and Restorative Dentistry will be reviewed. The importance of the collaboration and strong bonds between the dental teams will be emphasized as each will bring their knowledge, experience, input and support in various aspects of care. This will provide the patient with the most encompassing, comprehensive treatment plan addressing all aspects of esthetics and function both temporarily and long term.

Learning objectives

Ectopic permanent maxillary canines

  • list the conditions and anomalies associated with impacted maxillary canines
  • describe and compare methods of locating impacted maxillary canines
  • list the appropriate early treatment techniques for ectopic canines with success rates
  • describe open and closed surgical techniques and their advantages/disadvantages

Impacted central incisors:

  • recognize etiological factors
  • discuss early detection, associated anomalies
  • discuss treatment options and sequence of care
  • describe long term periodontal and restorative considerations

Missing mandibular second premolars:

  • identify the longevity of retainer primary molars with no permanent successors
  • list the reasons that retained primary molars without permanent successors fail
  • list the treatment possibilities for children with missing second premolars
  • identify 4 important criteria when dealing with children with missing second premolars

Missing maxillary lateral incisors:

  • discuss prevalence, associated anomalies
  • list considerations in space opening for implant replacement vs canine substitution
  • describe periodontal and restorative considerations
  • review retention- esthetic considerations and management
  • discuss growth considerations in planning the timing of implant placement

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