Universidade Federal do Rio de Janeiro, School of Dentistry, Department of Pediatric Dentistry and Orthodontics, Rio de Janeiro, RJ, Brazil.
Braz Oral Res. 2021 Nov 19;35:e092. doi: 10.1590/1807-3107bor-2021.vol35.0092. eCollection 2021.
Premature loss of primary anterior teeth in deciduous arches is a controversial topic in the literature, especially due to the lack of robust scientific evidence regarding the types and magnitudes of the consequences involved. Morphological, functional, and psychosocial problems may arise from untreated premature loss of primary incisors and canines. The morphological problems include impaction and eruption disturbances of permanent successors; inclination and/or extrusion of adjacent and antagonist teeth, respectively; midline deviation; and crowding. Functional complications, such as speech disorders, aesthetic problems, and development of non-nutritive habits may occur, resulting in psychosocial implications, including a decrease in self-esteem, and even being targeted for bullying. The current critical review aimed to present and discuss the evidence available in the literature about the etiology, characteristics, implications and interventions resulting from the premature loss of primary anterior teeth. It is of utmost importance that future studies be developed to support the clinical decisions made by dental professionals on this topic.
乳牙列中前牙过早丧失是文献中的一个有争议的话题，特别是由于缺乏关于涉及的后果类型和程度的强有力的科学证据。未治疗的乳切牙和乳尖牙过早丧失可能会引起形态、功能和社会心理问题。形态学问题包括恒牙的阻生和萌出障碍；邻牙和对颌牙的倾斜和/或外展；中线偏斜；以及拥挤。功能性并发症，如言语障碍、美观问题和非营养性习惯的发展，可能会导致社会心理问题，包括自尊心下降，甚至成为被欺凌的对象。目前的批判性综述旨在介绍和讨论文献中关于乳前牙过早丧失的病因、特征、影响和干预措施的现有证据。未来的研究对于支持牙科专业人员在这一主题上的临床决策至关重要。
