MOBILE

Management of the Developing Dentition

Recommendations

Foundational Articles

American Academy of Pediatric Dentistry. Management of the Developing Dentition and Occlusion in Pediatric Dentistry. Pediatr Dent. 2021. Available at: https://www.aapd.org/globalassets/media/policies_ guidelines/bp_developdentition.pdf?v=new. Accessed Oct. 25, 2021.

Ahmad AJ, Parekh S, Ashley PF. Methods of space maintenance for premature loss of a primary molar: a review. Eur Arch Paediatr Dent. 2018 Oct;19(5):311-320.

Batista KBSL, Thiruvenkatachari B, Harrison JE, O’Brien KD. Orthodontic treatment for prominent upper front teeth (Class II malocclusion) in children and adolescents. Cochrane Database Syst Rev. 2018. Available at: https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD003452.pub4/full. Accessed Feb 2, 2019.

Borrie FRP, Bearn DR, Innes NPT, Iheozor-Ejiofor Z. Interventions for the cessation of non-nutritive sucking habits in children. Cochrane Database of Systematic Reviews. 2015; 3. Art. No.: CD008694. Available at: https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD008694.pub2/media/CDSR/CD008694/ CD008694.pdf. Accessed Jan.28, 2019.

Bhujel N, Duggal MS, Saini P, Day PF3. The effect of premature extraction of primary teeth on the subsequent need for orthodontic treatment. Eur Arch Paediatr Dent. 2016 Dec;17(6):423-434.

Doğramacı EJ, Rossi-Fedele G, Dreyer CW. Malocclusions in young children: Does breast-feeding really reduce the risk? A systematic review and meta-analysis. J Am Dent Assoc. 2017 Aug;148(8):566-574.

Feres MF, Abreu LG. Insabralde NM, Almeida MR, Flores-Mir C. Effectiveness of the open bite treatment in growing children and adolescents. A systematic review. Eu J Orthod. 2015; 38(3): 237-50.

Klein OD, Oberoi S, Huysseune A, Hovorakova M, Peterka M, Peterkova R. Developmental disorders of the dentition: an update. Am J Med Genet C Semin Med Genet. 2013;163C(4):318-32.

Laing E, Ashley P, Naini FB, Gill DS. Space maintenance. Int J Paed Dent. 2009; 19 (3): 155-162.

Millett DT, Cunningham SJ, O’Brien KD, Benson P, Williams A, de Oliveira CM. Orthodontic treatment for deep bite and retroclined upper front teeth in children. Cochrane Database Syst Rev. 2006 Oct 18;(4). Available at: https://www.cochrane.org/CD005972/ORAL_orthodontic-treatment-deep-bite-and-retroclinedupper-front-teeth-children. Accessed Jan.28, 2019.

Pino Guerrero EF, Castillo Cevallos JL. Toma de decisión para colocar mantenedor de espacio después de la pérdida prematura de primeros molares primarios: Revisión de literatura. Rev Odontoped Latinoam. 2017; 7 (1). Available at: https://www.revistaodontopediatria.org/ediciones/2017/1/art-5/. Accessed Jan.28, 2019.

Vedovello SA, Ambrosano GM, Pereira AC, Valdrighi HC, Filho MV, Meneghim Mde C. Association between malocclusion and the contextual factors of quality of life and socioeconomic status. Am J Orthod Dentofacial Orthop. 2016;150(1):58-63.

Background

Malocclusion, often beginning in early childhood is a common condition in children and may have a negative impact on oral health related quality of life. Several risk factors predisposing to malocclusion have been described, including non-nutritive sucking habits and premature loss of primary teeth. Other causative factors include genetic traits, and tooth and skeletal discrepancies. Paediatric dentists should recognize risk factors and establish accurate diagnosis of developing malocclusions to allow prevention, timely treatment or patient referral.

IAPD Recommendations

  1. Management of the developing dentition should include identification of risk factors, proper diagnosis, and timely treatment of developing malocclusions. x > Global agreement 94%

  2. Malocclusion may negatively affect the oral health quality of life (OHRQoL) of children. Consensus-based recommendation > Global agreement 88%

  3. Evaluation of the developing dentition should include identification of: unerupted teeth, anomalies of tooth number, size and shape, anterior and posterior crossbites, tooth positions (ectopic), presence of habits along with their dental and skeletal sequelae, abnormal dental relation, developing skeletal discrepancies, periodontal health, and airway problems. IAPD Recommendations Consensus-based statement > Global agreement 100%

  4. Management of an oral habit must be appropriate for the child’s development, malocclusion and ability to cooperate. Consensus-based statement > Global agreement 94%

  5. Space maintainers may prevent premature loss of space which may lead to malocclusion. Consensus-based statement > Global agreement 88%

  6. Interceptive treatment of increased overjet may reduce the risk of trauma of the incisors and improve facial esthetics. Consensus-based recommendation > Global agreement 100%

Other Recommendations