Qualitative and quantitative assessment of infraoccluded deciduous teeth: a systematic review
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Philipps-Universität Marburg
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Abstract
This publication is with permission of the rights owner freely accessible due to an Alliance licence and a national licence (funded by the DFG, German Research Foundation) respectively
Background Infraocclusion of deciduous teeth is a frequent dental anomaly caused by ankylosis accompanied by
local growth disturbance. During puberal growth spurt an increasing progression of infraocclusion is detected. The
clinical classification of ankylosed deciduous teeth varies considerably among scientific studies. The aim of this paper
is to present an up-to-date overview of the variety of methods.
Methods The systematic literature search followed the PRISMA guidelines and included the analysis of the following
databases and study registries: PubMed (MEDLINE), the Cochrane Library, Web of Science, Embase.com and
ClinicalTrials.gov from database inception until September 23, 2024. Studies that investigated at least one ankylosed
deciduous tooth per participant in a quantitative or qualitative manner were included. Studies that evaluated only
histological data were excluded. Controlled and uncontrolled clinical studies, retrospective studies, observational
studies and cross-sectional studies were included. The studies were restricted to English and German languages. Case
reports, case series, comments, expert opinions, letters to the editor, literature reviews and studies enrolling less than
10 patients or 10 infraoccluded teeth in total were excluded.
Results Of 5645 records, 42 papers qualified for the final analysis. The evaluation of infraoccluded deciduous teeth
was mainly (n = 37) performed by quantitative and semiquantitative assessment of the extent of infraposition at the
occlusal level. The measurement reference differed considerably. Fewer studies have analyzed ankylosed deciduous
teeth at the alveolar level by examining the contour of the alveolar ridge (n = 7) or the height of the alveolar process
(n = 5). Even fewer studies (n = 4) have performed qualitative analysis at the skeletal level by evaluating the influence
of the vertical skeletal growth pattern on the incidence of ankylosed deciduous teeth.
Conclusions To carry out a comprehensive evaluation of infraoccluded deciduous teeth, an assessment of the
occlusal, alveolar and potentially skeletal levels is advisable. Radiographic investigations i.e. panoramic radiographs
are therefore essential as a supplement to clinical examination. There is a need for standardization and objectification
of the methods for the classification of infraoccluded deciduous teeth to give a general recommendation of clinical
performance.
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Created: 2024Issued: 2025-04-22Updated: 2025-04-23
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Is part of: es/2024/0401Is part of: es/2023/0094
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Philipps-Universität Marburg
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eng
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Article
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610
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Temming, Teresa; Waldmann, Susanne (0000-0003-2745-1592); Jablonski-Momeni, Anahita; Korbmacher-Steiner, Heike; Universitätsbibliothek: Qualitative and quantitative assessment of infraoccluded deciduous teeth: a systematic review. In: , Jg. (2025-04-22), . DOI: https://doi.org/10.1186/s13005-024-00469-3.