Fleury J E, Deboets D, Assaad-Auclair C, Maffre N, Sultan P
Rev Stomatol Chir Maxillofac. 1985;86(2):122-31.
The authors have studied the localization, the functional and radiological signs, the complications, the etiologies and the treatment, according to 212 cases of impacted canines. The upper impacted canines are more frequent and women are more concerned, it can be unilateral as well as bilateral. If the mentioned etiologies are debatable and if the functional signs are poor, the complications are frequent: infectious, mechanical, tumorous or algesic. The therapeutic approach should primarily consider the evolutive potential of the tooth. As a matter of fact, before undergoing any surgical or any complicated surgical orthodontic treatment, the result of our study shows that the eventual absence of any ankylosis image has to be precised on successive profile headfilms taken with an interval of 6 to 12 months. If any evolution is seen, it would be enough to remove the mucous obstacle and then bring the tooth to a normal position by some mechanical means. In the adverse case, the prognosis won't be favorable and leads to either abstention or a dubious therapeutics.
作者根据212例埋伏阻生尖牙病例，研究了其定位、功能和放射学表现、并发症、病因及治疗方法。上颌埋伏阻生尖牙更为常见，女性更为多见，可为单侧或双侧。尽管上述病因存在争议且功能表现不佳，但并发症却很常见：感染性、机械性、肿瘤性或疼痛性。治疗方法应首先考虑牙齿的发育潜力。事实上，在进行任何外科手术或复杂的外科正畸治疗之前，我们的研究结果表明，必须在间隔6至12个月拍摄的连续侧面头颅片中明确是否存在任何牙根粘连影像。如果观察到有任何进展，只需去除黏膜障碍，然后通过一些机械手段将牙齿恢复到正常位置。在相反的情况下，预后将不理想，导致要么放弃治疗，要么采用不确定的治疗方法。
