An Adolescent Patient with Multiple Impacted Teeth
Department of Orthodontics and Craniofacial Developmental Biology, Hiroshima University Graduate School of Biomedical Sciences, Hiroshima, Japan.The Angle Orthodontist (Impact Factor: 1.23). 12/2008; 78(6):1110-8. DOI: 10.2319/121007-581.1
Multiple impacted permanent teeth is uncommon and rarely reported in the literature. This article reports the treatment of an adolescent patient with multiple impacted teeth without systemic disease. A 9-year 2-month-old boy complained of a delay of eruption of the first molars. All first molars were unerupted, and the left deciduous second molar was a submerged tooth. The panoramic radiograph showed all permanent teeth except the incisors were unerupted and, especially for the first molars, spontaneous eruption was not expected. His medical history was uneventful. A lingual arch appliance and a segmental arch were placed on the mandibular and maxillary dentitions, respectively, to guide eruption of the impacted first molars. After traction of the first molars, eruption of the impacted lower premolars was induced. Furthermore, at 15 years the impacted mandibular second molars were also positioned properly by use of the lingual arch with auxiliary wires. After achieving traction of the impacted teeth, tooth alignment was initiated using multibracket appliances after the bilateral extraction of the second premolars. After 22 months of treatment with multibracket appliances, an acceptable occlusion was achieved with a Class I molar relationship. After 2 years of retention an acceptable occlusion was maintained without any relapse in the occlusion. Since a delay in the treatment of impacted teeth may induce secondary problems such as root dilacerations and ankylosis, it is highly recommended to perform early treatment of multiple impacted teeth during adolescence.
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- "Duration and results of treatment in less frequent cases of multiple impactions is a major concern when compared to more frequent single impaction cases. Multidisciplinary approach would be the appropriate choice as treatment involves esthetics, functional, and oral health problems. "
ABSTRACT: Multiple impacted permanent teeth are usually related to syndromes, metabolic and hormonal disorders. However, in some cases, impaction of multiple teeth is not associated with any syndrome. In this report, we present a case of 17-year-old male patient with missing teeth. Radiographs revealed multiple impacted permanent teeth, though medical and family history along with physical examination was not suggestive of any syndromes. If other investigations are negative, an idiopathic case of multiple impacted teeth is suggested to be the possible diagnosis. The objective of this report is to increase awareness of such cases especially in the absence of hereditary/genetic/metabolic factors usually inherent in such scenarios. The patient management in such cases needs to be planned specifically from a multidisciplinary standpoint.
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ABSTRACT: BACKGROUND: Few dentists have seen an impacted mandibular canine and first premolar, and there is little information in the literature on the treatment of this rare condition. CASE REPORT: A 13-year-old Japanese male with an impacted mandibular right canine and first premolar was treated orthodontically. We discuss both the surgical and orthodontic options and present the successful orthodontic correction of a unilaterally impacted mandibular canine and first premolar.
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ABSTRACT: The purpose of the present study was to retrospectively analyze 170 case series of patients with 200 impacted first and second permanent molars. Records of 104.408 patients were retrospectively screened in this multicenter study. The chosen study population consists of 170 patients who presented with impacted or retained first and second permanent molar. All patients with impacted first or second permanent molar had undergone clinical and radiographic examinations. The following factors were analyzed: age and gender, frequency, distribution, location, position, the number of impacted tooth, primary and secondary retention, degree of infraocclusion, associated pathologic conditions and treatment method. There were a total of 170 patients (male: 91, female: 79, mean ages 22.69 ± 8.99 years ranging from 13 to 66 years of age) with 200 retained or impacted permanent molars in 104.408 patients. In this study, 200 impacted teeth which were analyzed were 125 molars (62.5%) vertical position, 17 (8.5%) horizontal, 38 (19%) mesioangular, 12 (6%) distoangular, and 7 (3.5%) buccolingual inclination There were 52 primarily retained (26%) and 32 secondarily retained (16%) molars. 137 (68.5%) molars were asymptomatic. Cystic formation was present in 13 (6.5%) cases. Although the impactions of first and second permanent molars do not occur frequently, it is important to make an early diagnosis in order to start treatment at the optimal time.