scholarly journals Severe Posterior Infra-occlusion on a Young Girl Posing a Diagnostic Challenge- Review and Report of a Case of Primary Failure of Eruption

Author(s):  
Mirna Awad ◽  
Lana Dalbah ◽  
M Srirengalakshmi ◽  
Adith Venugopal ◽  
Nikhilesh Vaid

Primary failure of eruption is characterized by a non-syndromic eruption failure of permanent teeth in the absence of any mechanical obstruction. Applying orthodontic traction to teeth affected by PFE will not be successful and may cause ankylosis. This correspondence reviews and demonstrates the treatment of a case of PFE.

2018 ◽  
Vol 88 (3) ◽  
pp. 275-282 ◽  
Author(s):  
Cristina Grippaudo ◽  
Concetta Cafiero ◽  
Isabella D'Apolito ◽  
Beatrice Ricci ◽  
Sylvia A. Frazier-Bowers

ABSTRACT Objective: To test the hypothesis that mutations in the parathyroid hormone 1 receptor (PTH1R) include effects in both primary and permanent teeth. Materials and Methods: DNA was extracted from saliva samples of 29 patients (8 familial and 21 sporadic) who presented with clinical evidence of infraoccluded teeth, and their unaffected relatives (N = 22). Sequencing followed by mutational analysis of the coding regions of PTH1R gene was completed for all individuals (N = 29). Results: Eight of 29 cases revealed a heterozygous pathogenic variant in the PTH1R gene; five of eight variants represented distinct mutations based on comparison with the dbSNP, HGMD, and ESP databases. One mutation (c.1765 T>C p.Trp89Arg) was found to segregate within a family (n = 3). In silico analyses for all variants revealed a putative pathogenic effect. A genotype-phenotype correlation was reported as defined by a functional mutation in PTH1R and corresponding effects on one or more posterior teeth only; unilateral or bilateral involvement, infraoccluded primary teeth. Conclusions: Novel mutations were reported in the PTH1R gene that included PFE-affected primary molars, thus providing the basis for using a genetic diagnostic tool for early diagnosis leading to proper management.


1991 ◽  
Vol 29 (19) ◽  
pp. 76-76

In commenting on this article, a gynaecologist well-versed in bladder function notes that gynaecological problems do not cause a hypotonic bladder. In women this follows a lower motor neurone lesion, or rarely a mechanical obstruction; sometimes it might result from infrequent voiding as a young girl, combined with recurrent infections which weaken the bladder wall. The commonest symptoms in women differ from those in men: they are hesitancy, poor stream, straining to void, and incomplete emptying. He also stresses the value of urodynamic assessment where frequent catheterisation and adjustment of fluid intake do not keep a patient dry.


Dental Update ◽  
2021 ◽  
Vol 48 (4) ◽  
pp. 308-314
Author(s):  
Jann Siew Chin ◽  
Matthew BM Thomas

Primary failure of eruption is a condition that has variable presentation and can be difficult to diagnose. This article provides an overview of the condition and discusses the management of an unusual case of primary failure of eruption of permanent teeth in a 37-year-old adult. CPD/Clinical Relevance: Where surgical and orthodontic options are unpredictable, restorative management alone may achieve successful functional and aesthetic outcomes for cases involving primary failure of eruption of permanent teeth.


2019 ◽  
Vol 12 (4) ◽  
pp. 134-139
Author(s):  
Naeem Adam ◽  
Andrew Flett ◽  
Cara Sandler

This paper describes primary failure of eruption and presents some of the theories about the aetiology of this clinical condition. It also covers single ankylosed teeth as well as cases that present with multiple unerupted teeth. The various approaches to the clinical management of this not uncommon problem are discussed, along with the pros and cons of some of these techniques. One difficult clinical challenge is documented, where a 14-year-old patient presented with 19 unerupted permanent teeth and, with the help of rare-earth magnets and upper and lower fixed appliances, within a two-year period a good result was achieved. CPD/Clinical Relevance: Clinicians encounter teeth that have failed to erupt on a regular basis. Appropriate diagnosis and treatment planning of these cases, and subsequent effective clinical management, is imperative to ensure the most favourable outcome for our patients.


Author(s):  
Arturo Garrocho-Rangel ◽  
Aránzazu Sánchez-Reynoso ◽  
Miguel Ángel Rosales-Berber ◽  
Socorro Ruiz-Rodríguez ◽  
Amaury de Jesús Pozos-Guillén

Fracture of an endodontic file inside a primary root canal is a rare but critical complication during the pulpectomy treatment, because the mechanical obstruction impedes the optimal cleaning and obturation of the pulp canal, compromising seriously the clinical outcome. This accidental event is mainly associated with over-use and excessive torque of intracanal files. Most clinicians opt to proceed with the extraction of the affected tooth followed by a space maintainer placement. Other practitioners attempt the non-surgical retrieval of the separated fragment through available proven techniques in permanent teeth; however, these methods may involve significant damage to the tooth and surround tissues. On the other hand, preservation of the metallic fragment might affect the treatment prognosis and interfere with the physiological root resorption.


2018 ◽  
Vol 24 ◽  
pp. 199
Author(s):  
Mumtaheena Miah ◽  
Puspalatha Sajja ◽  
Catherine Anastasopoulou ◽  
Nissa Blocher ◽  
Janna Prater

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