Int J Stomatol ›› 2022, Vol. 49 ›› Issue (2): 173-181.doi: 10.7518/gjkq.2022032

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Research progress on imaging evaluation and treatment of anterior dilacerated teeth

Ye Zelin1(),Liu Lu2,Long Hu2,You Meng1()   

  1. 1. State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Oral Imaging, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
    2. State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Orthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2021-07-10 Revised:2021-11-20 Online:2022-03-01 Published:2022-03-15
  • Contact: Meng You E-mail:yeahzelin@qq.com;228945075@qq.com
  • Supported by:
    Key Research and Development Projects in the Field of Social Development of the Sichuan Provincial Department of Science and Technology in 2020(2020YFS0045)

Abstract:

Anterior dilaceration is one of the common sequelae after the dental trauma of primary teeth while the permanent anterior teeth are still growing. It is characterized by displacement of a tooth root from its normal alignment and diagnosed via radiographic data. With the improvement of examination methods, such as cone beam computed tomography, the disease has been detected more frequently and received increasing clinical attention. New thoughts and treatment methods have been reported. The treatment method depends on the degree of dilaceration, which varies among different individuals and requires accurate assessment. This article reviews the etiology, epidemiology, features, imaging evaluation, diagnostic methods, and treatment methods of anterior dilaceration to provide clinical reference.

Key words: dilaceration, anterior teeth, cone beam computed tomography, diagnosis, surgery, orthodontic traction

CLC Number: 

  • R816.98

TrendMD: 

Fig 1

Natural history of a dilacerated anterior tooth without intervention in cone beam computed tomography (CBCT)"

Fig 2

A intraoral X-ray scan shows the “bull’s-eye” sign of the dilacerated upper left central incisor"

Fig 3

A panoramic radiography shows the dilacerated, impacted upper central incisors with the “bull’s-eye” sign and the impacted upper right central incisior"

Fig 4

The method to assess untreated dilacerated maxillary incisor"

Fig 5

The marking points of root lengths and inverse angles by CBCT images"

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