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PEDIATRIC DENTISTRY
INTRODUCTION
Early loss of primary teeth is most commonly
caused by dental caries, trauma and premature root
resorption1,2. The early or premature loss is defined by
the loss of a deciduous tooth before the time of its
natural exfoliation3.
It is generally accepted that the premature loss of
deciduous teeth is associated with the malocclusion of
permanent dentition. The premature loss of primary
teeth may reduce the arch length required for the
succeeding tooth, hence predisposes crowding, rotation, and impaction of the permanent teeth4.
Early loss of primary first molars can cause distal
drifting of the primary canine if the loss occurs during
the active eruption of the permanent lateral incisors.
* DDS, MSc, PhD, Professor, Pediatric Dentistry Division, School of Dentistry, State University of Paraiba,
Campina Grande, Paraiba, Brazil.
** Undergraduate student, School of Dentistry, State University of Paraiba, Campina Grande, PB. Brazil.
Correspondence: Prof. Dr. Alessandro Leite Cavalcanti, Avenida Manoel Moraes. 471 /802 - Manaira, 58038230 Joao Pessoa. Paraiba, Brasil, Phone: +55833315-3326, E-mail: dralessandro@ibest.com.br
Pakistan Oral & Dental Journal Vol 28, No. 1
113
Gender
(Age in years)
8
n
%
Male
Female
5
10
5.4
10.9
12
10
13.0
10.9
13
9
Total
15
16.3
22
23.9
22
10
Total
14.1
9.8
14
11
15.2
12.0
5
3
5.4
3.3
49
43
53.3
46.7
23.9
25
27.2
8.7
92
100.0
Gender
Female
n
54
4.7
2.0
10
6.7
55
64
5
7
3.4
4.7
3
3
2.0
2.0
8
10
5.4
6.7
65
74
5
8
3,4
5.4
5
7
3.4
4.7
10
15
6.8
10.1
75
84
14
20
9.5
13.5
16
13
10.8
8.8
30
33
20.3
22.3
85
Total
15
81
10.1
54.7
17
67
11.5
45.3
32
148
21.6
100.0
Tooth
Male
Total
%
114
Ngan P, Alkire RG, Fields H Jr. Management of space problems in the primary and mixed dentitions. J Am Dent Assoc
1999; 130:1330-1339.
10
Brazilian children present one of the highest indices of premature dental extractions without space
maintenance2,9. Premature loss of primary teeth is
regarded as the most common local factor leading to a
malocclusion10. A premature loss of temporary teeth
interferes with the harmony of the adult dentition and
the main consequence of this loss is crowding, caused
by migration of the adjacent teeth11.
115
12
15
16
Lin YT, Lin WH, Lin YTJ. Immediate and six-month space
changes after premature loss of a primary maxillary first
molar. J Am Dent Assoc 2007; 138; 362-368.
13
17
14
18
116