An Adolescent Patient with Multiple Impacted Teeth

Abstract

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.

Idiopathic Multiple Impacted Teeth: A Case Report

“…Duration and results of treatment in less frequent cases of multiple impactions is a major concern when compared to more frequent single tooth impaction cases [15]. Multidisciplinary approach would be the appropriate choice as treatment involves aesthetics, functional, and oral health problems [16].…”

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

“…Orthodontists have recommended that the first thing to do with impacted teeth is to create adequate space and then surgically expose the tooth to give orthodontists access so that they can apply mechanical force to erupt the tooth [7]. Surgical transplantation may be another choice, but it has a high risk of complication, such as pulp necrosis, root resorption, and ankylosis [8]. Based on these considerations, we chose surgical exposure combine with orthodontic traction.…”

Retrospective analysis of impacted first and second permanent molars in the Turkish population: A multicenter study

“…However, orthodontic treatment of an impacted tooth is not always possible or practical. In clinical practice, the position and direction of the impacted tooth, the amount of root formation, and the degree of root dilacerations are used to determine whether an impacted tooth can be successfully aligned in a proper position (19). The best time to orthodontically treat impacted mandibular molars is between 10-17 years of age, when development of the second permanent molar roots is still incomplete (20).…”