ABSTRACT
AIM: This paper reported a rare case of hyperdontia in a child of 10 years who revealed a mixed dentition and a light mental retardation. MATERIALS AND METHODS: The therapeutic approach has been based on interdisciplinary cooperation between the pediatric dentist, orthodontist and oral surgeon. TC-Dentascan, with a panoramic and occlusal radiographs revealed the presence of two supernumerary teeth in the premaxillary region and clinical examination showed an abnormality of dentoalveolar complex. Both impacted supernumerary teeth were extracted under general anesthesia. Clinical examination revealed that they appeared two premolars in shape with fully formed crowns and partly formed roots. RESULTS: Three months after the extraction of supernumerary teeth there was a spontaneous eruption of permanent central incisors and left lateral incisor. CONCLUSION: The authors emphasized the importance of removal of supernumerary teeth to eliminate the cause of a delayed eruption of permanent teeth.
Subject(s)
Intellectual Disability/complications , Tooth, Supernumerary/complications , Tooth, Supernumerary/surgery , Tooth, Unerupted/prevention & control , Bicuspid/abnormalities , Child , Dentition, Mixed , Humans , Incisor/physiology , Male , Maxilla , Radiography , Tooth Eruption , Tooth Extraction , Tooth, Supernumerary/diagnostic imagingABSTRACT
The present paper emphasizes the importance of early diagnosis of retarded eruption because of trauma and the plan for the surgical management of impacted teeth. The permanent incisor was localized horizontally on the nasal spine and the roots seemed to be in a retarded stage of formation beside of contralateral tooth. The treatment plan consisted in the valuation of the necessity of space to move the impacted incisor in the normal position and the biomechanical approach for the anchorage.
Subject(s)
Incisor/injuries , Tooth, Impacted/surgery , Child , Humans , Incisor/diagnostic imaging , Male , Maxilla , Orthodontics, Corrective/methods , Radiography , Tooth, Impacted/diagnostic imaging , Tooth, Unerupted/diagnostic imaging , Tooth, Unerupted/surgeryABSTRACT
AIM: This was to report a rare case of strong familiar tendency of ankylosis of maxillary second primary molars. CASE REPORT: Three Caucasian children, male twins of 8.5 years and a sister of 10 years, were diagnosed as having severely infraccluded maxillary second primary molars with underlying second premolars. In all three cases, the early extraction of the infraoccluded molars and an active treatment with cervical extraoral traction allowed the physiologic eruption of second premolars. Follow-up showed that normal vertical relationship and bone height had been obtained. CONCLUSION: Early diagnosis, as well as appropriate treatment and careful follow-up are very important in the presence of severe infraocclusion, when the marginal ridge of affected primary teeth is at or below gingival level.
