Vol. 15 No. 1 (2023): Arch Pub Health
Oral Health

Non-syndromic multiple teeth impaction - case report

Daniela Srbinoska
University Dental Clinical Centre “St. Panteleimon”, Skopje, Republic of North Macedonoa
Vesna Trpevska
Faculty of Dentistry, Ss. Cyril and Methodius University in Skopje, Republic of North Macedonia
Aneta Mijoska
Faculty of Dentistry, Ss. Cyril and Methodius University in Skopje, Republic of North Macedonia

Published 2023-06-16

Keywords

  • tooth eruption,
  • impacted teeth,
  • first permanent molar,
  • second permanent molars,
  • Schwartz removable appliance

How to Cite

1.
Srbinoska D, Trpevska V, Mijoska A. Non-syndromic multiple teeth impaction - case report. Arch Pub Health [Internet]. 2023 Jun. 16 [cited 2023 Dec. 6];15(1):134-4. Available from: https://id-press.eu/aph/article/view/6095

Abstract

Tooth eruption is а continuous process by which developing teeth move through the soft tissue, oral epithelium, jaw bones and overlying mucosa, to emerge in the oral cavity, contact the teeth of the opposing dental arch, and enable teeth functional position in mastication. Abnormal tissue interactions during tooth development may be potentially revealed as ectopic tooth development, ectopic eruption or tooth impaction. In human dentition, permanent tooth impaction is relatively common. Impaction of the first permanent molar is an uncommon condition and few cases are reported in the literature. It is essential to diagnose and treat the impacted permanent molars as early as possible because treatment at a later stage is usually more complicated due to the tendency of malocclusion to increase with time. We report a case with impaction of the maxillary first permanent molar and impaction of all, maxillary and mandibular permanent second molars. This condition compromise masticatory function. Unilateral mastication also compromises the function of temporomandibular joint. The aim of this case-report was to present orthodontic treatment with Schwartz removable appliance in a patient with maxillary left-side impaction of the second premolar, first molar and second molar. The goal of the first phase was positioning the maxillary first molar into the dental arch with good bone and periodontal support. The surgical intervention, operculectomy, was done and the orthodontic treatment started by traction of the first molar with elastic ligature attached from the bonded bracket to the mobile appliance. One month later the tooth movement was obvious.

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References

  1. Massler M, Shour I. Studies in tooth development: theories of eruption. American Journal of Orthodontics and Oral Surgery. 1941; 27:552-576.
  2. Marks SCJr & Schroeder H E. Tooth eruption: theories and facts. The Anatomical record 1996; 245(2): 374–393.
  3. Peterson LJ, Ellis E, Hupp JR, and Tucker MR. Principles of management of impacted teeth. Eds. Contemporary Oral and Maxillofacial Surgery, Mosby, Maryland Heights, Missouri. 1998;215-248.
  4. Grover PS, Lorton L. The incidence of unerupted permanent teeth and related clinical cases. Oral Surg Oral Med Oral Pathol. 1985 Apr;59(4):420-5. doi: 10.1016/0030-4220(85)90070-2.
  5. Brady J. Familial primary failure of eruption of permanent teeth. Br J Orthod. 1990; 17(2):109-113. doi: 10.1179/bjo.17.2.109.
  6. Oliver RG, Richmond S, Hunter B. Submerged permanent molars: four case reports. Br Dent J. 1986;160(4):128-30. doi: 10.1038/sj.bdj.4805789.
  7. Raghoebar GM, Boering G, Vissink A, Stegenga B. Eruption disturbances of permanent molars: a review. J Oral Pathol Med. 1991; 20(4):159-66. doi: 10.1111/j.1600-0714.1991.tb00913.x.
  8. Mariano RC, Mariano Lde C, de Melo WM. Deep impacted mandibular second molar: a case report. Quintessence Int. 2006;37(10):773-6.
  9. Magnusson C, Kjellberg H. Impaction and retention of second molars: diagnosis, treatment and outcome. A retrospective follow-up study. Angle Orthod. 2009; 79(3):422-7. doi: 10.2319/021908-97.1.
  10. Guruprasad Y, Naik RM. Multiple impacted teeth in a non-syndromic patient. SRM J Res Dent Sci 2012; 3:279-80.
  11. Raghoebar GM, Boering G, Vissink A. Clinical, radiographic and histological characteristics of secondary retention of permanent molars. Journal of dentistry1991; 19(3), 164–170.
  12. Jacobs SG. The surgical exposure of teeth--simplest, safest and best. Australian orthodontic journal. 1987;10(1), 5–11.
  13. Nlla C M. The development of the permanent teeth. J Dent Child. 1960; 27, 254-66.
  14. Suri L, Gagari E, Vastardis H. Delayed tooth eruption: pathogenesis, diagnosis, and treatment. A literature reviews. American journal of orthodontics and dentofacial orthopaedics: official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics. 2004; 126(4), 432–445.
  15. Sujatha G, Sivapathasundharam B, Sivakumar G, Nalinkumar S, Ramasamy M, Prasad T S. Idiopathic multiple impacted unerupted teeth: Case report and discussion. Journal of oral and maxillofacial pathology: JOMFP 2012;16(1): 125–127.
  16. Huber KL, Suri L, Taneja P. Eruption disturbances of the maxillary incisors: a literature review. The Journal of clinical paediatric dentistry 2008; 32(3), 221–230.
  17. Bayar GR, Ortakoglu K, Sencimen M. Multiple impacted teeth: report of 3 cases. European journal of dentistry, 2008; 2(1), 73–78.
  18. Guruprasad Y, Naik RM. Multiple impacted teeth in a non-syndromic patient. SRM J Res Dent Sci 2012; 3:279-280.
  19. Yalcin S, Gurbuzer B. Multiple impacted teeth in the maxilla. Oral Surg Oral Med Oral Pathol. 1993;76(1):130. doi: 10.1016/0030-4220(93)90310-z.
  20. Sivakumar A, Valiathan A, Gandhi S, Mohandas AA. Idiopathic failure of eruption of multiple permanent teeth: report of 2 adults with a highlight on molecular biology. Am J Orthod Dentofacial Orthop. 2007;132(5):687-92. doi: 10.1016/j.ajodo.2006.04.034..
  21. Tanaka E, Kawazoe A, Nakamura S, Ito G, Hirose N, Tanne Y, et al. An adolescent patient with multiple impacted teeth. Angle Orthod. 2008; 78(6):1110-8. doi: 10.2319/121007-581.1.
  22. Sujatha G, Sivapathasundharam B, Sivakumar G, Nalinkumar S, Ramasamy M, Prasad TS. Idiopathic multiple impacted unerupted teeth: Case report and discussion. J Oral Maxillofac Pathol. 2012; 16(1):125-7. doi: 10.4103/0973-029X.92989.
  23. Chodirker BN, Chudley AE, Toffler MA, Reed MH. Zimmerman-Laband syndrome and profound mental retardation. Am J Med Genet. 1986; 25(3):543-547. doi: 10.1002/ajmg.1320250317.
  24. Wise GE, Frazier-Bowers S, D'Souza RN. Cellular, molecular, and genetic determinants of tooth eruption. Crit Rev Oral Biol Med. 2002;13(4):323-34. doi: 10.1177/154411130201300403.
  25. Karsten Al. The orthodontic treatment of impacted teeth, 2nd edition. European Journal of Orthodontics 2007; 29(6): 662.