Self-correction of the ectopic eruption of the maxillary first permanent molar and its predictive factors: A systematic review.

Autor: Bastos RTDRM; Department of Orthodontics, Dental School, Federal University of Pará, Belém, Brazil., Dos Santos CCO; Department of Orthodontics, Dental School, Federal University of Pará, Belém, Brazil., Bellini-Pereira SA; Department of Orthodontics, Bauru Dental School, University of São Paulo, São Paulo, Brazil., Normando D; Department of Orthodontics, Dental School, Federal University of Pará, Belém, Brazil.
Jazyk: angličtina
Zdroj: International journal of paediatric dentistry [Int J Paediatr Dent] 2024 Jul; Vol. 34 (4), pp. 348-359. Date of Electronic Publication: 2023 Oct 24.
DOI: 10.1111/ipd.13131
Abstrakt: Background: Ectopic eruption of the maxillary first permanent molar is a local disturbance that affects the development of the occlusion.
Aim: To evaluate the occurrence of self-correction of maxillary first permanent molar's ectopic eruption and its predictive factors.
Design: Five electronic databases and part of the gray literature were investigated. The risk of bias was assessed using the Newcastle-Ottawa scale and the certainty of evidence using the GRADE tool.
Results: Four studies were selected: Three had a low risk of bias, and one, moderate. Evidence with a moderate level of certainty was generated, indicating a possibility of 47%-78% of spontaneous correction up to 7 years of age. Supporting the prognosis, whether reversible or irreversible, there was a positive correlation between the severity of the atypical distal resorption of the second primary molar, a higher magnitude of impaction, a larger eruption angle, and a bilateral occurrence with the irreversibility of the cases.
Conclusion: Spontaneous correction of the ectopic eruption of the maxillary first permanent molar is feasible and dependent on the severity of predictive factors. Early intervention is mandatory in irreversible cases.
(© 2023 BSPD, IAPD and John Wiley & Sons Ltd.)
Databáze: MEDLINE
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