Surgical luxation and elevation as treatment approach for secondary eruption failure of permanent molars
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Abstract
BACKGROUND: Secondary eruption failure of permanent molars is a rare disturbance that usually causes serious clinical problems to the patient. Various treatment approaches have been proposed that depend on the age of the patient, the developmental stage of the root, the position of the tooth, the severity of infraocclusion and the presence of one or more affected teeth. Surgical luxation followed by elevation and stabilization of the luxated tooth has been proposed as a first-step treatment in cases of young patients with incomplete root formation and favourable position of the tooth. CASE REPORT: A boy initially aged 7.5 years old presented with localized secondary eruption failure of the mandibular right first permanent molar (46) and infra-occlusion. The medical and dental history of the child was uneventful, while there was no history of eruption failure or ankylosis in any other family member. TREATMENT: This included surgical luxation of the tooth, followed by elevation to the occlusal plane and immobilization to the adjacent primary molar. The splint was removed after 4 weeks. FOLLOW-UP: Three years follow-up revealed a successful result with no clinical or radiological pathology of the area. Root development of the affected tooth was arrested, but there was no sign of pulp necrosis. CONCLUSION: Favourable treatment outcome using surgical luxation and repositioning of the teeth in the present case of permanent molar with secondary eruption failure was observed.
Key words
eruption failure molars treatment surgical luxationPreview
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References
- Ahmad S., Bister D., Cobourne M. The clinical features and aetiological basis of primary eruption failure. Eur J Orthod. 2006; 28:535–540.PubMedCrossRefGoogle Scholar
- Baccetti T. Tooth anomalies associated with failure of eruption of first and second permanent molars. Am J Orthod Dentofacial Orthop. 2000; 118(6):608–10.PubMedCrossRefGoogle Scholar
- Decker E, Stellzig-Eisenhauer A, Fiebig BS, et al. PTHR1 loss-of-function mutations in familial, nonsyndromic primary failure of tooth eruption. Am J Hum Genet. 2008; 83(6):781–6.PubMedCrossRefGoogle Scholar
- Geiger AM, Brunsky MJ. Orthodontic management of ankylosed permanent posterior teeth: A clinical report of three cases. Am J Orthod Dentofacial Orthop 1994; 106:543–8.PubMedCrossRefGoogle Scholar
- Grover PS, Lorton L. The incidence of unerupted permanent teeth and related clinical cases. Oral Surg Oral Med Oral Pathol. 1985; 59(4):420–5.PubMedCrossRefGoogle Scholar
- Nielsen SH, Becktor KB, Kjaer I. Primary retention of first permanent mandibular molars in 29 subjects. Eur J Orthod. 2006; 28(6):529–34.PubMedCrossRefGoogle Scholar
- Owen A. Early surgical management of impacted mandibular second molars. J Clin Orthod 1998; 32:446–50Google Scholar
- Palma C, Coelho A, Gonzalez Y, Cahuana A. Failure of eruption of first and second permanent molars. J Clin Pediatr Dent. 2003; 27(3):239–45.PubMedGoogle Scholar
- Pogrel MA. The surgical uprighting of mandibular second molars. Am J Orthod Dentofacial Orthop 1995; 108(2):180–3.PubMedCrossRefGoogle Scholar
- Proffit WR, Vig KW. Primary failure of eruption: a possible cause of posterior open-bite. Am J Orthod 1981; 80(2):173–90.PubMedCrossRefGoogle Scholar
- Raghoebar GM, Boering G, Booy K, Vissink A. Treatment of the retained permanent molar. J Oral Maxillofac Surg 1990; 48:1033–1038.PubMedCrossRefGoogle Scholar
- Raghoebar GM, Boering G, Vissink A, Stegenga B. Eruption disturbances of permanent molars: a review. J Oral Pathol Medicine 1991a; 159–166.Google Scholar
- Raghoebar GM, Boering G, Vissink A. Clinical, radiological and histological characteristics of secondary retention of permanent molars. J Dent 1991b; 19:164–170.PubMedCrossRefGoogle Scholar
- Raghoebar GM, Jansen HWB, Longebloed WL, Boering G, Vissink A. Secondary retention of permanent molars: an assesment of ankylosis by scanning electron and light microscopy. Br J Oral Maxillofac Surg 1992; 30:50–55.PubMedCrossRefGoogle Scholar