Author: Dr Shaun Goh
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Treatment Indications & Timings
Clinical Assessment & Presentations
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Description
Poor prognosis permanent teeth
“Poor prognosis permanent teeth can include teeth with severe dental caries, periodontitis, deep restorations with likely pulp pathology or localised conditions such as molar-incisor hypomineralisation.”
– Ashley and Noar 2019
Poor prognosis teeth are a significant consideration in a developing or developed dentition as they may require extractions or may complicate orthodontic treatment.
Treatment Indications & Timings
Early treatment indications:
➤ Severe caries, pulpitis or periodontitis of permanent teeth
➤ Developmental defects
➤ A class I malocclusion with normal overbite and nil crowding
➤ Extractions at the correct times
Comprehensive treatment indications:
➤ Severe caries, pulpitis or periodontitis of permanent teeth
➤ Poor restorative longevity
➤ Developmental defects
Clinical Assessment & Presentations
Intra-oral Features
Dental pathology
Hypomineralisation
Malocclusion
Diagnosis & Considerations
Diagnosis
- Poor prognosis permanent teeth
Clinical Considerations
- Is the tooth/teeth important to occlusal development?
- Is the tooth/space maintenance important for orthodontic treatment?
- At what ages can the tooth be extracted for maximal chance of complete space closure?
Treatment Options
Click a treatment category to explore.
➤ Poor prognosis permanent incisors
➤ Poor prognosis permanent canines
➤ Poor prognosis premolars
➤ Poor prognosis first permanent molars
➤ Poor prognosis second permanent molars
Associated Problems
Spacing | Deep bite | Class II | Hypodontia
