The retrieval of unerupted teeth in pedodontics: two case reports

Abstract

IntroductionThe retrieval of unerupted teeth in pedodontics is always significant to preserve the trophism of adjacent tissues, establish the correct space, provide adequate function and maintain good esthetics for the patient. The treatment plan is based on radiographic examinations and measurements, and on an accurate clinical evaluation; it aims to achieve the best treatment possible depending on the complexity of the specific case.In the most difficult clinical cases it is very important to have an early diagnosis, which is essential to plan the treatment and achieve success. In these cases, the pediatrician is in a strategic position to give an early diagnosis through a child’s medical history and by counting the child’s teeth.Case presentationThis article presents two different difficult clinical cases of impacted teeth diagnosed during pediatric age, with a radiological analysis, and successfully treated with orthodontic devices designed for these specific cases. Clinical case 1 describes a 13-year-old Italian girl; clinical case 2 describes a 9-year-old Italian girl. The use of these devices achieved the desired treatment goals. The problems associated with impacted teeth and the biomechanical interventions used for these patients are discussed.ConclusionsAn early and careful diagnosis followed by an accurate treatment plan for the individual cases can lead to retrieval of the impacted teeth without affecting other anatomic structures and adjacent teeth. In these cases, the pediatrician is in a strategic position to give an early diagnosis through a child’s medical history and by counting the child’s teeth.

Mesial Rotation of the Upper First Molar: Association with Anterior Dental Crowding in Mixed and Permanent Dentition

“…Among the possible alterations of the UFM position, the occurrence of a mesiopalatal rotation in the previous literature seems to reach a prevalence of 83% in a population of subjects with presence of malocclusion [5][6][7], or even higher in subjects with class II malocclusion where it ranges from 83% to 95% [5,[8][9][10]. Some authors hypothesized that the rotation itself could influence the correct occlusion with the lower first molar, generating a class II malocclusion [8,9].…”

Evaluation of Lower Dental Arch Crowding and Dimension after Treatment with Lip Bumper versus Schwarz Appliance. A Prospective Pilot Study

“…While in the present study a significant decrease in crowding was observed after treatment with SA, there are no previous data in the literature about the changes of lower dental arch dimensions after a treatment with this appliance. Looking at the present results, SA seems to be more effective with respect to the LB in achieving a higher increase in the intercanine dimension, with possible clinical implications in the prevention of the lower canine impaction [28,29].…”

Impaction of primary tooth molar in mandibule – case report

“…It is important to identify different anomalies and conditions to ensure the correct diagnosis and as a consequence the best approach to be adopted. Many conditions already have specific treatments discussed in the literature with high scientific evidence indices, with no relevant or contradictory questions related [10,13]. Moreover, the case described it does not fit into any classifications of diseases or conditions discussed in the literature.…”

“…Most of the time the cause for non-eruption of primary tooth is the presence of a mechanical obstacle, not anatomical, in its trajectory. It is fairly described in literature the association of lesions suchs as odontogenic tumors, cysts and non-neoplastic proliferative lesions (odontoma, cementoblastoma, adenomatoid odontogenic tumor, radicular cysts) with impacted primary teeth [2,6,[10][11][12][13]. Chronology may be modified by factors already discussed, and primary tooth remains impacted by the presence of permanent tooth that have a premature eruption.…”