Consultant Orthodontist, Department of Orthodontics, St. Helens Hospital, Merseyside, Ireland .
Br Dent J. 2012 Aug;213(4):171-6. doi: 10.1038/sj.bdj.2012.726.
This review summarises updated clinical guidelines produced by the Clinical Standards Committee of the Faculty of Dental Surgery, Royal College of Surgeons of England (FDSRCS). This guideline on the management of the palatally ectopic maxillary canine illustrates the information contained in the recently updated online version. The timely recognition of ectopic canines is important for the overall management of the dentition. This review illustrates five management strategies for ectopic permanent canines: interceptive treatment by extraction of the deciduous canine, surgical exposure and orthodontic alignment, surgical removal of the palatally ectopic permanent canine, auto-transplantation and no active treatment/leave and observe. The current available evidence for each of these management options has been evaluated and awarded a grade used by the Scottish Intercollegiate Guidelines Network.
本综述总结了英国皇家外科学院牙外科学院临床标准委员会(FDSRCS)制定的最新临床指南。本指南介绍了上颌恒尖牙腭侧异位的管理,展示了最近更新的在线版本中的信息。及时发现异位尖牙对于整个牙列的管理非常重要。本综述介绍了异位恒尖牙的五种管理策略:拔除乳尖牙的阻断性治疗、手术暴露和正畸矫正、手术切除腭侧异位恒尖牙、自体移植和不主动治疗/观察。已对每种管理方案的现有证据进行了评估,并授予苏格兰校际指南网(Scottish Intercollegiate Guidelines Network)使用的等级。