Treatment of a patient with multiple impacted teeth

Non-syndromal multiple supernumerary and permanent impacted teeth in mother and her one child

Multiple permanent impacted supernumerary teeth are rare and are most of the times associated with syndromes. The prevalence for non-syndromic multiple supernumerary teeth is less than 1%. We herein presenting a case of non-syndromic multiple supernumerary impacted teeth in a female patient and her child. The patient has three children; out of them, two had normal dentition and the youngest child had 60 teeth (35 impacted supernumerary with 25 erupted teeth). The patient herself had a total of 54 teeth. Their medical history was not significant. The systemic investigations were not suggestive of any syndrome and disease. Very few cases reported more than 30 supernumerary and impacted teeth bilaterally in both the jaws. This case report becomes unique as both mother and her child presented with more than 30 supernumerary impacted teeth.

Implant supported prosthesis on edentulous mandible with multiple impacted teeth - a case report with 5 year follow up

Multiple impacted teeth are quite often syndromically related, which could be hormonal or metabolic. It may be also due to infection, cyst, or trauma. A number of idiopathic multiple impacted teeth cases have been reported in the literature. In most of these situations, the impacted teeth are few in number. Here, we present a case with all mandibular teeth impacted. The number of reports in the literature of rehabilitation of such a clinical situation is very less. Impacted teeth can significantly complicate the rehabilitation of an otherwise straight forward case. When all teeth are impacted, the situation becomes even more complex. This case report illustrates prosthodontic rehabilitation of mandibular arch of a 24-year-old, asyndromic patient with implant-retained dentures following the surgical removal of impacted teeth. The objective of presenting this clinical report is primarily to increase the awareness, with which, the rehabilitation can be handled in a similar situation and also for the fact that such a report is a rarity.

Management of Non-syndromic Multiple Impacted Teeth with Dentigerous Cysts: A Case Report

Impacted teeth may not only interfere with function, but also can act as a source of many pathological lesions such as odontogenic cysts and tumors. One of the most prevalent types of odontogenic cysts associated with erupted, developing or impacted tooth is dentigerous cyst. Multiple impacted teeth with dentigerous cysts in both the maxillary and mandibular arches without the association of any syndromes is a very rare occurrence. In the present article, we report such a non-syndrome case of bilateral multiple impacted teeth in both maxilla and mandible with dentigerous cysts treated with enucleation and ridge augmentation with autogenous bone graft harvested from posterior iliac region. Further, dental rehabilitation was carried out with dentures.

Concurrent manifestation of clinical hypodontia and blindness: a case report

A case is reported of a 26-year-old blind man with hypodontia and multiple apparently underdeveloped impacted teeth. The patient reported that he had progressively developed visual impairment at the age of 11 years whence he became totally blind when he turned 12 years. The aim of this report is to open an academic and professional debate on the challenges of its definitive diagnosis and appropriate intervention.Blindness is not reported in any of the previously described syndromes; therefore, concurrent manifestation of "hypodontia, blindness, failure of eruption and digital lesions" can be proposed as a syndrome. However, in the absence of genetic studies, it is difficult to characterize this case with any one of the specifically documented syndromes; therefore, academic and professional discourse is suggested with regard to appropriate intervention.

Orthodontic Management with Traction and Asymmetric Extraction for Multiple Impacted Permanent Maxillary Teeth – A Case Report

Multiple impacted teeth are a rare eruption disturbance that increases the case complexity. In this article, we described a 13-year-old boy whose 5 permanent maxillary teeth were not erupted although their root formation was complete. The orthodontic treatment with traction and asymmetric extraction was performed to achieve a significantly improved functional and esthetic result.

Successful treatment of multiple bilateral impactions - a case report

BACKGROUND

Successful treatment of patients with multiple bilateral impactions can be an orthodontic challenge, but few reports on treatment planning and execution exist.

CASE PRESENTATION

In this case report, we describe the successful orthodontic treatment of a 16.3-year old female patient without systemic or genetic disease with initially nine persisting deciduous and nine impacted permanent teeth with complete root formation and closed apices in both jaws. After extraction of the deciduous and surgical exposure of the impacted permanent teeth, the Easy-Way-Coil™ system was used in conjunction with a skeletal anchorage (maxilla, BENEfit™ system) to guide the eruption of all impacted teeth. After a total treatment time of only 22.8 months all impacted teeth could be aligned successfully and a stable and functional class I occlusion was achieved. In addition, there were no adverse treatment effects such as anchorage loss, root resorptions or periodontal problems and an esthetic result could be achieved.

CONCLUSIONS

The presented treatment approach thus proved to be highly effective in cases with multiple bilateral impactions with minimal side effects and considerably reduced treatment time.

[Innovations in diagnosis and treatment about a case of primary failure eruption linked to a PTHR1 gene mutation]

Primary failure of eruption is a rare condition marked by non-eruption of the posterior teeth due to mutation of a gene responsible for tooth eruption. Today, this anomaly can be detected early using innovative 3D-imaging techniques. Genetic and histologic testing will confirm the diagnosis and unfavorable prognosis. Alveolar growth must be followed in other areas too in order to avoid structural and functional asymmetry. An analysis of the diagnostic and therapeutic options using bone-borne anchorage is presented via the long-term monitoring of a female patient presenting primary failure of eruption linked to mutation of the PTHR1 gene.

Combined Orthodontic-surgical Treatment for Skeletal Class III Malocclusion with Multiple Impacted Permanent and Supernumerary Teeth: Case Report

In this report we describe a combined orthodontic and surgical treatment for a 14-year-old boy with severe skeletal class III deformity and dental problem. His upper posterior primary teeth in the left side were over-retained and 6 maxillary teeth (bilateral central incisors and canines, left first and second premolars) were impacted, together with 5 supernumerary teeth in both arches. The treatment protocol involved extraction of all the supernumerary and deciduous teeth, surgical exposure and orthodontic traction of the impacted teeth, a bimaxillary orthognathic approach including Lefort I osteotomy. Bilateral sagittal split ramus osteotomy (BSSRO) and genioplasty was performed to correct skeletal problem. After treatment, all of the impacted teeth were brought to proper alignment in the maxillary arch. A satisfied profile and good posterior occlusion was achieved. Treatment mechanics and consideration during different stages are discussed.

Idiopathic multiple impacted unerupted teeth: Case report and discussion

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.

Perfuração do esmalte para o tracionamento de caninos: vantagens, desvantagens, descrição da técnica cirúrgica e biomecânica

INTRODUÇÃO: a tração de dentes não irrompidos sempre foi considerada um procedimento de risco na prática ortodôntica. Com essa perspectiva, é indispensável a busca por eficiência nos procedimentos adotados para esse mister, o que justifica a proposta do presente artigo. Ao perfurar, vazamos uma estrutura natural, cuja restauração com material artificial é uma ação que está no escopo da área de maior evolução da Odontologia, não havendo justificativa para se evocar procedimentos de maior risco, como a colagem ou laçada com fios. OBJETIVO: este artigo objetiva apresentar protocolos para a Perfuração do Esmalte para o Tracionamento de Caninos (PETC), especificamente os caninos superiores, mais acometidos pelas anomalias de posicionamento, também denominadas disgenesias. Serão abordadas as vantagens e desvantagens da PETC em relação à Colagem de Acessório para o Tracionamento de Caninos (CATC), apresentando-se casos clínicos de diferentes níveis de complexidade, tendo como ponto de partida a literatura e a experiência clínica de 30 anos com elevado índice de sucesso.

Multiple bilateral impactions in an adolescent girl

This article describes a patient whose permanent canines and premolars had not erupted at age 14 years, although their root formation was complete, with closed apices. Surgical and orthodontic treatment was planned to correct the multiple impactions. The orthodontic traction used 5 strategic teeth and allowed for the eruption of all 12 impacted teeth. The surgical-orthodontic treatment of many impacted teeth yielded good esthetic and periodontal results, as shown by the patient's satisfaction and the periodontal probing 2 years after the treatment. Multiple impacted teeth are a rare eruption disturbance that requires early detection: no signs of a genetic syndrome or an endocrine disorder had been found, or failure to move along the eruption path, which is a characteristic of another syndrome, primary failure of eruption.

An Adolescent Patient with Multiple Impacted Teeth

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.