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Abstract

Treatment of Adult Patients in Orthodontic Practice is important, as existence of impacted or missing tooth/teeth may hurdle orthodontic treatment sometimes and become a dilemma especially if complications exist and multidisciplinary treatments required. The Purpose of This Presentation: How the practitioner can handle the impacted or missing tooth/teeth case(s) of adults? Materials and Methods: The purpose of this presentation is to discuss the prognosis of impacted, dilacerated and missing teeth and the available approaches or managements of such cases in adults. It answers the questions about the available orthodontic treatments. Orthodontist has two approaches to manipulate the impacted teeth, when thinking to go for orthodontic assisted eruption, the two approaches are: â�?¢ Open exposure or open orthodontic eruption. â�?¢ Closed orthodontic eruption. However, not all impacted teeth are available to be treated by the enforced orthodontic eruption and not all the impacted teeth are even liable to erupt finally; so other approaches may be chosen in treatment plan like: 1- Extraction of the impacted tooth with poor prognosis or in the sequence of orthodontic treatment plan (e.g. space deficit). 2- â�?�?Disregardâ�? and observation for a few cases under restricted conditions. The Orthodontic Treatment is crucial in the interdisciplinary cases as well. The aforementioned notion is a part of a very vast domain of orthodontics called â�?�?Rehabitative Orthodonticsâ�?. The presentation shows cases as examples of management possibilities, complications and discuss the matters from a clinical standpoint. Results: The orthodontic assisted eruption is successful in most part of cases, if fulfilled properly, however other options have to be taken into account. Conclusion: It is recommended that right decision be taken regarding orthodontic assisted eruption according to each case per se. Complications should be taken into account, as there is â�?�?no recipe or cook bookâ�? that encompasses all the variant cases of all the individual differences. Finally, thorough diagnosis and treatment plan is a must in successful treatment results.

Biography

Commonwealth of Saint Kitts & Nevis Orthodontist & Dentofacial Orthopedist Bachelor’s Degree in Dentistry. – Certificate of French Language Completion, S2-CCF. 20-01-1997. – Certificate of English Language Completion, 7B-ALC. 29-01-2000. – Certificates in Orthodontic Specialization: University of Medicine and Pharmacy of Timisoara, “Victor Babes”, Romania-European Union 2003. – Ph.D. în Medicin�?�? Dentar�?�?.