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The first days after applying the device to the teeth

Adults already on the first visit want to know what it is like to have a dental device attached to the teeth. Do your teeth hurt? What can you eat?

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My patients have many questions about braces, care and treatment. I also often have to rectify their misconceptions and information that they have heard or found somewhere in the depths of the Internet. Why does it give me such satisfaction? Find out more about my motivations here.

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Retained teeth

10 March 2020

Recently at work I have often been encountering a similar situation — patients, sometimes teenagers, sometimes adults, who are wondering about the look of their canines, come for consultation. We take a pantomographic x-ray (i.e. a review x-ray of all teeth) and it turns out that above the strangely small — but in fact milk canines — large, retained permanent canines are found…

A retained tooth is a tooth that has exceeded the time when it should appear in the mouth — by two years. The most common cases are those where third molars, i.e. “eights”, are retained — in these cases, patients usually learn about the retained teeth after a routine pantomographic examination. A retained canine is a bigger problem and generally the patients concerned seek help from the orthodontist themselves, quickly noticing the aesthetic disorders in their smiles. Retained canines are more common in women, and for our population as a whole this problem occurs only in about 2% of people. There may be several reasons for the canines to become retained — the genetic factor is often emphasized, as well as a disturbance in the development or shape of the lateral incisor root, as the canine grows along the root of the lateral incisor. 

The position of the canines should be checked in the pantomographic x-ray at the age of 9, especially when the canines are still present in the mouth and do not move. In some cases, a rapid intervention — extraction of milk teeth — can prevent the canines from becoming retained.

How do we treat patients have retained teeth? In general, the treatment requires the application of permanent braces (i.e. orthodontic brackets) and restoration of the place for the retained tooth. The retained and displaced teeth often do not emerge themselves — an intervention of a dental surgeon is then necessary, in which case, under local anaesthesia, a surgeon exposes the retained tooth and then glues a bracket, with which we pull the tooth towards the braces.

In the pictures I attached you can see a retained canine, lying just behind the root of the lateral incisor.

The patient noticed only the abnormal position of the lateral incisor, which disturbed the aesthetics of the smile.

 

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Hi! I’m Karolina and I’m professionally involved in straightening teeth and myths about braces, orthodontics and dentistry. Make yourself at ease — you are welcome to read, watch, ask questions and share your experiences.

Karolina Rokita

791 375 371
kontakt@doktoraparatka.pl

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25-015 Kielce, Poland

 

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