Center for Veterinary Dentistry, Gaithersburg, MD, USA.
J Vet Dent. 2022 Sep;39(3):234-240. doi: 10.1177/08987564221099133. Epub 2022 May 26.
A search of medical records at the Center for Veterinary Dentistry and Oral Surgery, Gaithersburg, MD was conducted to identify patients who received extractions of deciduous mandibular canine teeth to treat linguoversion. Patients were included if they were less than 5.5 months of age and had a diagnosis of deciduous class 2 or bilateral class 1 malocclusions. Treatment was considered a success if normocclusion of the permanent dentition was achieved at follow up evaluation. Seventeen patients represented 13 different breeds. No significant correlation was seen between age of treatment (mean age 3.34 months) or sex (11 males, 6 females). Six patients had class 1 malocclusions (35.29%) and eleven patients had class 2 malocclusion (64.71%). Of the six dogs treated for class 1 malocclusions, two had traumatic palatal contact and four had only minor soft tissue contact. Eleven cases of class 2 malocclusion were treated and of these there was one mild, six moderate, and four severe cases of mandibular distocclusion. All cases treated for class 1 malocclusions had a successful outcome resulting in permanent normocclusion (100%), while class 2 malocclusions had success in three of eleven cases (27.27%). The outcomes based on occlusion type were determined to be significant (p = 0.009). All participants had immediate relief of soft tissue trauma and no significant side effects of treatment were recorded. The results show that extractions of deciduous linguoverted mandibular canine teeth (LMC) can immediately improve traumatic impingement and may be a factor in providing a comfortable and functional adult occlusion. Further investigation with a larger sample size would be warranted.
对马里兰州盖瑟斯堡兽医牙科和口腔外科学中心的医疗记录进行了检索,以确定因治疗舌倾而下颌乳切牙的患者。如果患者年龄小于 5.5 个月且患有乳 2 类或双侧 1 类错牙合,则将其纳入研究。如果在随访评估时恒牙正常咬合,则认为治疗成功。17 例患者代表 13 个不同品种。治疗年龄(平均年龄 3.34 个月)或性别(11 只雄性,6 只雌性)之间无显著相关性。6 例患者存在 1 类错牙合(35.29%),11 例患者存在 2 类错牙合(64.71%)。6 例 1 类错牙合患者中,2 例有创伤性腭接触,4 例仅有轻微的软组织接触。11 例 2 类错牙合患者接受了治疗,其中 1 例为轻度,6 例为中度,4 例为下颌远中错牙合。所有 1 类错牙合患者均有成功的结果,导致永久性正常咬合(100%),而 2 类错牙合中有 3 例(27.27%)成功。基于咬合类型的结果被确定为具有统计学意义(p=0.009)。所有患者软组织创伤立即得到缓解,未记录到治疗的明显副作用。结果表明,立即拔除舌倾下颌乳切牙(LMC)可以立即改善创伤性撞击,并可能是提供舒适和功能性成人咬合的因素。进一步的研究需要更大的样本量。