Title
Author
DOI
Article Type
Special Issue
Volume
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Determination of the range of intervention timing for supernumerary teeth using the Korean health insurance review and assessment service database
1Department of Pediatric Dentistry, , Kyung Hee University Hospital at Gangdong, 05278 Seoul, Republic of Korea
2Department of Pediatric Dentistry, Kyung Hee University Medical Center, 02447 Seoul, Republic of Korea
3Department of Pediatric Dentistry, Kyung Hee University College of Dentistry, Kyung Hee University Medical Center, 02447 Seoul, Republic of Korea
4Department of Pediatric Dentistry, Kyung Hee University College of Dentistry, Kyung Hee University Hospital at Gangdong, 05278 Seoul, Republic of Korea
DOI: 10.22514/jocpd.2022.036 Vol.47,Issue 1,January 2023 pp.67-73
Submitted: 08 September 2022 Accepted: 24 November 2022
Published: 03 January 2023
*Corresponding Author(s): Mi Sun Kim E-mail: happystation@empal.com
This study aimed to identify the frequency of complications during the diagnosis, observation, and treatment of supernumerary teeth or odontomas and evaluate the relationship between complications and the timing of surgical intervention. This study was conducted based on data from the Korea Health Insurance Review and Assessment Service between January 2008 and December 2019. A 2-year washout period was applied, and a follow-up period of at least 2 years was also included. During the observation period, the age at diagnosis of supernumerary teeth and odontomas was analyzed using major diagnostic codes, and the treatment codes were used to determine the interval between diagnosis and surgical intervention. The incidence rates of supernumerary teeth (1.21%) and odontomas (0.36%) were comparable to that reported in previous studies. The frequency of supernumerary teeth was the highest in the anterior region, followed by the premolar and molar regions. The average ages at diagnosis according to the location of the supernumerary teeth were 7.25, 13.98, and 16.11 years in the anterior, premolar, and molar regions, respectively. The age at diagnosis correlated with the maturity period of the teeth at the corresponding location. For the supernumerary tooth group, surgical intervention was more likely to occur when malocclusion (p < 0.0001) or tooth eruption disturbances (p < 0.0001) were present or dentigerous cysts were absent (p = 0.006). For the odontoma group, malocclusion (p = 0.251) was not correlated with surgical intervention. When tooth eruption disturbances (p = 0.002) and dentigerous cysts (p < 0.0001) were present, surgical intervention was more likely to occur. Pediatric dentists should conduct timely clinical checks and periodic follow-ups to prevent complications and unnecessary orthodontic treatments in patients with supernumerary teeth or odontomas.
Supernumerary teeth; Odontoma; Surgical intervention; Optimal intervention timing; Complications
Da Hyeo Jang,Yong Kwon Chae,Ko Eun Lee,Ok Hyung Nam,Hyo-Seol Lee,Sung Chul Choi,Mi Sun Kim. Determination of the range of intervention timing for supernumerary teeth using the Korean health insurance review and assessment service database. Journal of Clinical Pediatric Dentistry. 2023. 47(1);67-73.
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