scholarly journals Severe Impaction of the Primary Mandibular Second Molar Accompanied by Displacement of the Permanent Second Premolar

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Junko Matsuyama ◽  
Shoko Kinoshita-Kawano ◽  
Sachiko Hayashi-Sakai ◽  
Tomoe Mitomi ◽  
Tomiko Sano-Asahito

Tooth impaction is defined as any tooth that fails to erupt into a normal functional position and remains unerupted beyond the time at which it should normally erupt. Reports of impaction and eruption failure in primary teeth are relatively rare compared to permanent teeth. We report 2 rare cases where the second premolar was located on the occlusal side of the impacted mandibular second primary molar. In the first case, the succedaneous permanent tooth erupted after extraction of the primary tooth, fenestration, and traction. In the second case, the succedaneous permanent tooth erupted without fenestration or traction. Although the etiology of the tooth displacement was unknown in both cases, inhibition of the eruptive movement of the primary molar may have been associated with displacement of the succedaneous permanent premolar.

e-GIGI ◽  
2013 ◽  
Vol 1 (2) ◽  
Author(s):  
Rilly Sylvester Ngangi

Pencabutan gigi merupakan suatu tindakan mengeluarkan gigi dari soket tulang alveolar.Faktor yang seringkali menjadi indikasi pencabutan gigi ialah karies, dan penyakit periodontal.Kehilangan gigi dapat menjadi kerugian bagi pasien karena dapat mengurangi efisiensi pengunyahan, malposisi gigi, masalah pada temporo mandibular joint, dan masalah di dalam rongga mulut lainnya. Sekarang ini angka kasus pencabutan gigi masih terbilang tinggi, sehingga menjadi tugas penting bagi seluruh lapisan masyarakat untuk membangun perilaku sadar akan kesehatan gigi dan mulut. Tujuan penelitian ini untuk mengetahui gambaran pencabutan gigi di Balai Pengobatan Rumah Sakit Gigi Mulut Universitas Sam Ratulangi pada tahun 2012.Penelitian ini bersifat deskriptif dengan jenis penelitian retrospektif.Pengambilan sampel menggunakan teknik total samplingdimana tercatat ada 1389 kasus pencabutan gigi pada tahun 2012. Hasil penelitian menunjukan kasus pencabutan gigi paling tinggi terdapat pada kelompok usia dewasa yaitu berjumlah 837 kasus (60.25%), dan jumlah kasus pencabutan gigi untuk jenis kelamin perempuan lebih tinggi yaitu sebesar 455 kasus (62.51%) dibandingkan dengan laki-laki yang berjumlah 310 kasus (37.49%). Jenis gigi permanen yang paling banyak dicabut ialah gigi molar pertama rahang bawah sebesar 167 kasus (12.02%).Jenis gigi desidui yang paling banyak dicabut ialah molar kedua rahang bawah sebesar 45 kasus (3.31%). Kasus pencabutan gigi dengan diagnosis nekrosis pulpa mempunyai frekuensi paling tinggi yaitu sebesar 787 kasus (56.65%), sedangkan frekuensi kasus dengan diagnosis paling rendah ialah gigi impaksi yang hanya berjumlah satu kasus (0.07%).Kata kunci : Pencabutan gigi, karies, periodontitis, pulpitisABSTRACTTooth extraction is a procedure of pulling out the teeth from the alveolar bone socket. Extractions were mostly happened because of caries and, periodontal diseases. Tooth loss can be a detriment to the patient because it can reduce the efficiency of mastication, malpositioned teeth, temporo mandibular joint problems, and other problems in the oral cavity. The number of tooth extraction is still high until now, so it become an important thing for the whole society to build a conscious behavior of oral health. Objective of this study to describe the extraction of teeth at Balai Pengobatan Rumah Sakit Gigi Mulut Universitas Sam Ratulangi in 2012. This research is a descriptive study with a type of retrospective study and use total sampling method. There are 1389 cases of tooth extraction in 2012. The results showed cases of tooth extraction in adults were the highest, total 837 cases (60.25%),and the number of cases for female gender was higher (455 cases, 62.51%) than men (310 cases, 37.49%). the most frequent extracted permanent tooth was mandibular first molar (167 cases, 12.02%), and for primary tooth was mandibular second molar (45 cases, 3.31%). pulp necrosis were the most frequent diagnosis that cause tooth extraction in this study (787 cases, 56.65%) and the fewest were impacted teeth that only one case founded.Keyword: tooth extraction, caries, periodontitis, pulpitis


Author(s):  
F. S. Ayupova ◽  
S. N. Alekseenko ◽  
V. Ya. Zobenko ◽  
T. V. Gayvoronskaya

Relevance. To study the incidence of different types of resorption of multirooted primary teeth, to specify indications for deciduous molar extraction to prevent eruption abnormalities of permanent posterior teeth in mixed dentition.Materials and methods. Root resorption of 375 multirooted primary teeth (166 first primary molars and 209 second primary molars) was studied on panoramic X-rays of 60 children (30 girls and 30 boys) aged between 7 and 15. Illustrated classification by T.F. Vinogradova (1967) improved by authors was used to determine type and degree of root resorption of multi-rooted primary teeth. Received data were described with absolute values of number of cases and percentage. Chi-square was used to detect differences in sign incidence rate between groups, p<0.05 was considered statistically significant.Results. There were no statistically significant gender differences (p>0,05) in type and degree of root resorption of multirooted primary teeth. Type A resorption prevailed and constituted 53.3% of all primary molars. Disturbances in root resorption of multirooted primary teeth in mixed dentition were related to health condition of primary teeth. Transition of even resorption to unven was considered a risk factor of delayed eruption and aberrant position of permanent teeth, and indication for extraction of a primary molar in question. Conclusions. 1) Even root resorption (type A) was detected in 53.3% of primary molars in mixed dentition by orthopantomography. 2) Transition from even resorption of primary molar roots to uneven resorption was associated with eruption deviations and delayed premolar eruption. 3) Timely extraction of primary molars with uneven root resorption facilitated correct eruption of premolars and increased effectiveness of secondary prevention of malocclusion in children.


2021 ◽  
Vol 6 (4) ◽  
pp. 105-110
Author(s):  
Nadia Irshad Wani ◽  
Navneet Kour ◽  
Manju Verma

Background: the main idea behind the pulpotomy of a primary tooth is to remove the infected or inflamed coronal pulp tissues and cover the pulp with a suitable medicament or dressing which promotes healing and preserve the vitality of the teeth especially in young permanent teeth. A medicament should be biologically compatible, have healing capabilities, should be non cytotoxic, or mutagenic and with no carcinogenic potential. Aim: the main aim of the study was to compare and evaluate the efficacy of commonly used two medicaments i.e. formocresol and sodium hypochlorite in pulpotomy of mandibular primary teeth. Material and methodology: a randomized controlled single blinded clinical trial was done on 50 subjects of age ranging from 3 to 6 years with bilateral mandibular first or second molar requiring pulpotomy. The subjects were randomly divided into two groups with 25 subjects in each. Group I, consisted of subjects on which formocresol medicament was used after extirpation of coronal pulp while in Group II, 3% sodium hypochlorite was used. Clinical along with the radiographic signs and symptoms were blindly recorded at an interval of 1, 3, 6 and 12 months respectively. Results: Statistically significant results were obtained in group II, when patients treated with 3% sodium hypochlorite. There was no major difference between the two medicaments used, but to the various adverse effects of formocresol, its usage has been limited. Conclusion: within the limitation of the study, it was concluded that sodium hypochlorite medicament proved to have better prognosis and can be suggested as a pulpotomy agent for primary teeth. Although formocresol was found to have similar significant results can also be used as a medicament. Keywords: Formocresol, Pulpotomy, Primary Teeth, Sodium Hypochlorite


2019 ◽  
Vol 25 (4) ◽  
pp. 37
Author(s):  
Mélanie Le Donne ◽  
Océane Abattu ◽  
Claire Pernier ◽  
Emeline Durieux ◽  
Anne-Gaëlle Bodard

Introduction: An impacted tooth is a permanent tooth that has a completely developed root but which has failed to erupt. Many etiologies can lead to impaction, including a mechanical obstacle, such as benign tumor. Observation: An 11-year-old girl was referred for the avulsion of the left mandibular permanent canine, which was impacted. A radiolucent lesion with ground glass opacity was found on the eruption pathway of the tooth. Anterior radiographs showed the lesion that seemed to be the cause of the impacted canine. Anatomopathological examination revealed the lesion to be a juvenile trabecular ossifying fibroma. Comments: Ossifying fibromas are rare jaw tumors. They can be of various types: ossifying fibroma, psammomatoid, or trabecular juvenile ossifying fibroma. This is the first case that clearly shows the association between ossifying fibroma and tooth impaction. A literature review of ossifying fibromas and the management of fibro-osseous benign lesions of the jaws was performed. Conclusion: Although benign, juvenile trabecular ossifying fibroma can be locally aggressive and has a high rate of recurrence. It is very important to establish a precise diagnosis of a fibro-osseous benign lesion of the jaws to plan optimal management.


Author(s):  
Asha Karadwal ◽  
Sushruth Nayak ◽  
Prachi Nayak ◽  
Kush Pathak

Turner’s tooth is a form of enamel hypoplasia. Periapical pathology of the primary tooth is the main culprit behind the enamel deficiency in the permanent tooth. The altered tooth is called a Turner’s tooth. Color of the affected tooth varies from focal areas of white, yellow, or brown discoloration to extensive hypoplasia which can involve the entire crown. The crown of the permanent teeth develops mainly from six months and extends upto fifteen years. The part of the crown which gets damaged is directly related to the location of the ameloblastic activity at the time of damage. Therefore, we are here discussing the case of a seven year old boy which was reported to be the case of turner’s tooth hypoplasia.


2016 ◽  
Vol 2 (1) ◽  
pp. 73-86 ◽  
Author(s):  
V. Qvist ◽  
M.K. Borum ◽  
K.D. Møller ◽  
T.R. Andersen ◽  
P. Blanche ◽  
...  

The purpose of this study was to investigate the possibility of postponing restorative intervention of manifest occlusal caries in young, permanent dentition by non-invasive sealing. This RCT-designed study included 521 occlusal lesions in 521 patients aged 6 to 17 y. Based on clinical and radiographic assessments, all lesions required restorative treatment. After randomization (ratio 2:1), 368 resin sealings and 153 composite–resin restorations were performed by 68 dentists in 9 municipalities. The primary aims were to 1) analyze survival of sealings until replacement by restoration, 2) compare longevity of sealings and restorations until retreatments, and 3) compare effectiveness of sealings and restorations to halt caries progression in sealed lesions and beneath restorations. Furthermore, we aimed to identify factors influencing longevity and the effectiveness of sealings and restorations. Treatments were annually controlled, clinically and radiographically. After 7 y, the drop out rate was 8%, and 54% of the treatments were completed due to age. Of the sealings, 48% were retreated, including 31% replaced by restorations; 12% were still functioning. Of the restorations, 7% were repaired/renewed and 20% were still functioning. No endodontics was performed. Kaplan–Meier and Cox regression survival analyses were performed on 341 sealings and 152 restorations in first and second molar teeth. The 7-y survival was 37% (CI, 29% to 45%) for sealings and 91% (CI, 85% to 96%) for restorations (P < 0.001). The median survival time for sealings not replaced by restorations was 7.3 y (CI, 6.4 y to NA). Survival of sealings was increased in patients with low caries risk and/or excellent oral hygiene, second molars compared with first molars, and lesions not extending the middle one-third of the dentin. Survival of sealings was not influenced by municipality, sex, eruption stage or clinical surface cavitation. The results underline that it is possible to postpone or avoid restorative intervention of occlusal dentin caries lesions in young permanent teeth by non-invasive sealing. Knowledge Transfer Statement: The first restoration can ultimately be fatal for a young permanent tooth. A restoration may not be the final treatment but the start of an ongoing treatment with still more loss of tooth substance. The present study shows the possibility of treating occlusal dentin caries lesions with non-invasive resin sealings instead of conventional resin composite restorations in children and adolescents. Improved oral health can be expected.


2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Sivakumar Nuvvula ◽  
Swapna Manepalli ◽  
Abinash Mohapatra ◽  
Sreekanth Kumar Mallineni

Cementoblastoma is a benign lesion of the odontogenic ectomesenchymal origin. It rarely occurs in primary dentition. This report describes a case of a cementoblastoma relating to the right mandibular second primary molar in a 7-year-old girl. Her panoramic radiograph revealed a well-defined radiopaque lesion with a radiolucent border extending from the distal surface of the mandibular right first primary molar to the distal surface of mandibular second primary molar. The tumor was attached to the mesial root of primary second molar and was excised along with the teeth involved and sent for histopathological evaluation, which showed irregular trabeculae of mineralized tissue interspersed with fibrovascular connective tissue, trabeculae of mineralized tissue with prominent reversal lines, and peripheral rimming of the mineralized tissue with blast cells. On a six-month follow-up, there has been no recurrence of the lesion.


2020 ◽  
Vol 47 (2) ◽  
pp. 219-227
Author(s):  
Garam Yoon ◽  
Nanyoung Lee ◽  
Sangho Lee ◽  
Myeongkwan Jih

Tooth eruption involves a complex developmental process of tooth migration from the dental follicular origin to the final occlusion position in the oral cavity via the alveolar process. Disturbance of tooth eruption can occur at any point in a series of eruption stages; however, horizontal impaction of the mandibular first molar and primary retention of the primary mandibular second molar are rarely observed simultaneously. This study describes the treatment for two cases of horizontally impacted first molar with primary retention of primary molar. The primary retention of the primary mandibular second molar was extracted, and orthodontic traction was applied to the horizontally impacted primary mandibular first molar. Subsequently, displacement of the premolar tooth bud was improved and space regaining for eruption was achieved, guiding to normal eruption of the first molar.


2021 ◽  
Vol 10 (9) ◽  
pp. 619-623
Author(s):  
Viddyasagar Prabhakar Mopagar ◽  
Meghana Vasant Phadnis ◽  
Sourabh Ramesh Joshi ◽  
Vikranth Shetty ◽  
Gowri Swaminatham Pendyala

Avulsion of a primary tooth is a disturbing type of traumatic injury occurring in children. Paediatric dentists are likely to encounter a child with an avulsed primary tooth routinely in their clinical practice. Tooth avulsions are common in permanent teeth. However, avulsions can be seen even in primary teeth. The question of replantation of the avulsed tooth has been a focus of debate and controversy since years. The primary and most important factor in these injuries is to calculate the riskbenefit ratio keeping the underlying permanent tooth in mind. Utmost importance has to be given on the care of development and normal eruptive movements of the succedaneous tooth. This is mandatory if any treatment like replantation is to be done. The amount of primary root resorption, stage of development of the underlying permanent tooth, type of splinting to be done etc. needs a lot of attention. Many authors have given their opinions regarding the replantation of primary teeth based on the type of tooth avulsed. Moreover, the evidence might differ as to whether or not replantation might alter the difficulty levels for the eruption process of succedaneous tooth. There is not much evidence regarding the benefits and risks of replantation post avulsion of primary teeth. However, individual authors have reported a successful outcome in their case reports. This article reports a review on avulsed primary teeth replantation. This would enable the dentists to analyze the risks and benefits associated with replantation, thereby guiding them to arrive at the best clinical decision. KEY WORDS Primary Tooth, Avulsion, Replantation.


1996 ◽  
Vol 75 (2_suppl) ◽  
pp. 652-660 ◽  
Author(s):  
R.H. Selwitz ◽  
D.M. Winn ◽  
A. Kingman ◽  
G.R. Zion

Over the past decade, dental sealants have become recognized as an important adjunct to the use of fluorides in the prevention of dental caries. The most recent national survey of oral health in children conducted in 1986–1987 found that only 7.6% of children had any sealed teeth. As part of the oral health component of the 1988–1991 Third National Health and Examination Survey (NHANES III-Phase 1), the prevalence of dental sealants in children, adolescents, and adults was determined. The presence of dental sealants on posterior teeth (excluding third molars) and maxillary lateral incisors was recorded by visual and tactile methods during the dental caries examination. Findings in this paper are based on those examined persons having at least one sealable primary tooth for children aged 2–11 years (n = 3,792); at least one sealable permanent tooth for persons aged 5–17 years (n = 2,989); and at least one sealable permanent tooth for persons aged 18 years and over (n = 7,146). During 1988–1991, about 18.5% of US children and youth ages 5–17 had one or more sealed permanent teeth. A significantly higher percentage of non-Hispanic whites had sealants in comparison with their non-Hispanic black and Mexican-American counterparts (for all contrasts, p < 0.001). As expected, molar teeth were the most frequently sealed tooth type. Only 1.4% of US children ages 2–11 had at least one sealed primary tooth. The prevalence of dental sealants decreased in the US adult population with increasing age; 5.5% of adults ages 18–24 had at least one sealed permanent tooth. Data collected from NHANES III-Phase 2 (1991–1994) will be analyzed to determine if the upward trend in sealant use continues.


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