Ectopic eruption is a disturbance in which the tooth does not follow its usual course. The purpose of this manuscript is to provide a brief review regarding the incidence, etiology, classification and different management techniques used for correcting ectopically erupting permanent first molar. The following manuscript further presents a case report for correction of ectopically erupting mandibular left permanent f irst molar by using a simple and effective appliance by the author.
This study revealed that Clearfil S3 could be of greater advantage in pediatric dentistry than Contax because of its fewer steps and better shear bond strength in dentin of both primary and permanent teeth.
Among the commonly encountered dental irregularities which constitute developing malocclusion is the crossbite. During primary and mixed dentition phase, the crossbite is seen very often and if left untreated during these phases then a simple problem may be transformed into a more complex problem. Different techniques have been used to correct anterior and posterior crossbites in mixed dentition. This case report describes the use of hexa helix, a modified version of quad helix for the management of anterior crossbite and bilateral posterior crossbite in early mixed dentition. Correction was achieved within 15 weeks with no damage to the tooth or the marginal periodontal tissue. The procedure is a simple and effective method for treating anterior and bilateral posterior crossbites simultaneously.
Peripheral ossifying fibroma is a relatively common gingival growth of reactive rather than neoplastic in nature. Clinically differentiating one from the other as a specific lesion is often difficult and requires histopathology examination. It predominantly affects adolescents and young adults, but rarely seen in infants. We report here a clinical case of peripheral ossifying fibroma in a 3 month old infant .clinical and histopathological features along with etiopathogenesis and differential diagnosis are also discussed.very concerned regarding the lesion whether it may affect her facial appearance.
Clinical ExaminationExtra-oral examination revealed no findings of clinical significance. Intra oral examination revealed a fibrous nodular mass with a sessile base in the mandibular anterior region measuring about 0.5 x 1.5 centimetres (Figure 1).The lesion appeared reddish pink with areas of white and rubbery in consistency. The lesion was tender to firm pressure but not to light palpation. However, the lesion was non fluctuant and did not blanch under pressure. Based on these findings and the history, the differential diagnosis consisted of irritation fibroma, pyogenic granuloma, and peripheral giant cell granuloma. Radiographic examination was not attempted as the parents did not want the baby to be exposed to any radiation.
TreatmentIt was decided to excise the lesion and an informed consent was obtained from the parents. A routine blood examination was done, which reflected normal findings. Under local anesthesia, the mass was excised using ligature technique, where the suture was ligated beneath the deeper part of the mass followed by excision of the lesion over the suture material (Figure 2). The tissue was submitted for histopathology examination. Microscopic examination revealed moderately cellular
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.