Limited evidence that extraction of deciduous canines prevents impaction of palatally displaced permanent canines

shutterstock_8524240-unerupted canines

This ADA Centre for Evidence-based Dentistry critical summary of  a systematic review  published in 2011. The original review was asked whether interceptive treatment involving the early extraction of the deciduous canine prevents impaction of palatally displaced canines (PDC) [ see Dental Elf 28th July ].

The ADA noted that while the review was generally well conducted the quality of the studies identified was not ideal  with both of the identified trials have important methodological issues so having a high risk of bias.

As a consequence the available evidence does not  allow clear recommendations for practice to be made and further studies of more robust design are needed.

Go to ADA summary

Go to PubMed abstract of original article.

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Derek Richards

Derek Richards is a specialist in dental public health, Director of the Centre for Evidence-Based Dentistry and Specialist Advisor to the Scottish Dental Clinical Effectiveness Programme (SDCEP) Development Team. He is a former editor of the Evidence-Based Dentistry Journal, the chief blogger for the Dental Elf website and a past president of the British Association for the Study of Community Dentistry. He has been involved with a wide range of evidence-based initiatives both nationally and internationally since 1994. Retired from the NHS he is currently a part-time senior lecturer at Dundee Dental School.

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