scholarly journals Eruption Treatment of Impacted Teeth Following Surgical Obstruction Removal

2022 ◽  
Vol 12 (1) ◽  
pp. 449
Author(s):  
Shmuel Einy ◽  
Gal Michaeli-Geller ◽  
Dror Aizenbud
Keyword(s):  
Surgical Procedure ◽  
Treatment Approach ◽  
Treatment Modalities ◽  
Radiographic Examination ◽  
Surgical Removal ◽  
Supernumerary Teeth ◽  
Impacted Tooth ◽  
Impacted Teeth ◽  
The Third

Supernumerary teeth and odontomas are obstacles for spontaneous tooth eruption and may result in impaction. The aim of the study is to present a conservative treatment approach for impacted teeth following surgical obstruction removal by reviewing three treatment modalities: surgery only, which involves the surgical removal of the obstruction and the spontaneous eruption; surgery with immediate traction, which includes surgery combined with immediate active orthodontic brace cementation and traction; and surgery with delayed traction, which combines a surgical procedure of obstacle removal and orthodontic brace cementation with follow-up for the spontaneous eruption. The first two modalities require orthodontic traction either by an additional surgical procedure for orthodontic brace cementation, or combined with the surgical obstacle removal. With the third approach, clinical follow-up is performed via connected ligature wire elongation applied during the surgical procedure for the spontaneous emergence of the impacted tooth. Active orthodontic traction is only employed if the tooth fails to erupt. The visual follow-up via wire elongation serves as a reference during the emergence of the impacted teeth and reduces the need for radiographic examination. The surgical-orthodontic approach saves both further surgery and orthodontics (spontaneous eruption) or further surgery (in failure to erupt).

An incidental radiographic finding of an inverted mesiodens — A case report with a comprehensive review

2020 ◽  
Vol 11 (SPL4) ◽  
pp. 2768-2776
Author(s):  
Rakhi Issrani ◽  
Hessah Alfrhan ◽  
Arunpriya Srinivasan ◽  
Namdeo Prabhu
Keyword(s):  
Developmental Disorders ◽  
Treatment Options ◽  
Radiographic Finding ◽  
Radiographic Examination ◽  
Surgical Removal ◽  
Supernumerary Teeth ◽  
Asymptomatic Patients ◽  
Nasal Floor ◽  
Exact Position

Supernumerary teeth (ST) are uncommon developmental disorders that can be seen in either of the dental arches. Mesiodens is the most common type of ST. The experience of observing one such case is reported along with a literature review. This article describes a clinical case of a 46-year-old female patient with an impacted inverted mesiodens that was diagnosed accidentally during the routine radiographic examination. The mesiodens was very close to the nasal floor. Advanced radiographic investigations (CBCT) was advised for locating the exact position of mesiodens.  The patient was counselled regarding the potential complications of ST and was advised for the surgical removal of the mesiodens, but the patient denied the treatment as ST was not causing any immediate problem. Therefore, the patient is under the continuous follow-up to avoid any complications with the mesiodens.  The present case focuses on the importance of careful clinical and radiographic assessment in the diagnosis of ST, especially when they are asymptomatic. Patients should be educated regarding the same with proper explanations of all the treatment options.

scholarly journals Unconventional Implant Placement IV. Implant Placement through Impacted Teeth to Avoid Invasive Surgery. Long-term Results of 3 Cases

2015 ◽  
Vol 9 (1) ◽  
pp. 15-20 ◽  
Author(s):  
Davarpanah Mithridade ◽  
Szmukler-Moncler Serge ◽  
Davarpanah Keyvan ◽  
Capelle-Ouadah Nedjoua ◽  
Demurashvili Georgy ◽  
...  
Keyword(s):  
Invasive Surgery ◽  
Long Term Results ◽  
Implant Stability ◽  
Impacted Tooth ◽  
Impacted Teeth ◽  
Implant Placement ◽  
Long Term Follow Up ◽  
Term Data

This paper presents the long-term data of patients that have been treated with an unconventional implant placement protocol to avoid an invasive surgery when edentulism was caused by an impacted tooth. In 2009, the follow-up of this unconven-tional protocol was 2 to 3.5 years; this article documents now the long-term 5- to 8-year follow-up of 3 patients and 5 im-plants. Over this period of time, implant stability was maintained without complications. This unconventional protocol opens intriguing possibilities; however, more patients with long-term follow-up are warranted before endorsing it in routine appli-cation. Nonetheless, it might suggest that there is still room to revisit one of the leading concepts in dental implantology.

Compound odontoma associated with dentigerous cyst in the anterior mandible – case report

RSBO ◽  
2016 ◽  
Vol 12 (1) ◽  
pp. 98
Author(s):  
Radamés Bezerra Melo ◽  
Yuri Edward de Souza Damasceno ◽  
Celio Armando Couto da Cunha Junior ◽  
Igor Vasconcelos Pontes
Keyword(s):  
Case Report ◽  
Dentigerous Cyst ◽  
Maxillofacial Surgery ◽  
Young Patients ◽  
Radiographic Examination ◽  
Oral And Maxillofacial Surgery ◽  
Surgical Removal ◽  
Impacted Tooth ◽  
Follicular Cyst ◽  
Compound Odontoma

Introduction: The dentigerous cyst, also called a follicular cyst is an odontogenic cyst that develops in association with crown of an impacted tooth, predominantly in mandibular third molars of young patients. The Odontoma is a ectomesenquimal tumor of unknown origin that are more considered developmental malformations (harmatomas) than benign neoplasms. Occasionally, the dentigerous cyst is associated with odontoma. Objective: The article aims to report a case of surgical treatment of dentigerous cyst associated with compound odontoma and unerupted tooth in anterior region of the mandible. Case report: A male patient, 17 years of age, without systemic changes, was sent to the Center for Dental Specialties of Horizonte, Ceará, Brazil, specialty of Oral and Maxillofacial Surgery, for diagnosis and treatment of oral lesions visualized after periapical radiographic examination to determine failed eruption of element 42. Observing the periapical radiograph it was possible to visualize radiopaque lesion suggestive of a compound odontoma and a cystic capsule in association with the element 42. A panoramic radiographwas requested and it was planned a surgical removal of odontoma with curettage of bone cavity and removing the cystic capsule and element 42. There were no significant postoperative complications, the suture removal was performed 7 days after surgery where it was possible to observe a good healing, no swelling and no paresthesia. Conclusion: The treatment of choice is surgical excision of the lesions with the tooth associated to the cyst, it should be performed with proper planning, avoiding injury to vital structures and should not be delayed in order to avoid possible occlusion sequelae.

Optic Nerve Glioma in Two Sisters with Family History of Neurofibromatosis Type 1

2018 ◽  
Vol 79 (03) ◽  
pp. 268-272
Author(s):  
Sevdalin Nachev ◽  
Lyudmila Todorova ◽  
Marin Marinov ◽  
Jivko Surchev
Keyword(s):  
Optic Nerve ◽  
Pediatric Patients ◽  
Neurofibromatosis Type ◽  
Treatment Modalities ◽  
Surgical Removal ◽  
Optic Nerve Glioma ◽  
History Of ◽  
Contralateral Eye

AbstractOptic nerve glioma (ONG) is associated in 10% of patients with neurofibromatosis (NF) type 1. To date no consensus has been reached regarding the therapeutic approach and prevention of visual impairment in these patients. Reports in the literature vary from a conservative approach (observation) to the use of single treatment modalities or multimodality protocols of surgical removal, radiotherapy, and/or chemotherapy. We present our experience with two siblings with ONG whose mother carries cutaneous stigmata of NF type 1. The younger sister was diagnosed 3 years after the treatment of the older sibling following recommended imaging for screening. Postoperative follow-up for 11 and 15 years, respectively, demonstrated lack of tumor regrowth and preserved vision in the contralateral eye. We discuss the treatment strategy in pediatric patients with orbital ONG associated with NF type 1.

scholarly journals Non-surgical removal of dens invaginatus in maxillary lateral incisor using CBCT: Two-year follow-up case report

Open Medicine ◽  
2019 ◽  
Vol 14 (1) ◽  
pp. 767-771
Author(s):  
Babita Pradhan ◽  
Yuan Gao ◽  
Libang He ◽  
Jiyao Li
Keyword(s):  
Three Dimensional ◽  
Sinus Tract ◽  
Radiographic Examination ◽  
Surgical Removal ◽  
Computed Tomographic ◽  
Gutta Percha ◽  
Dimensional Reconstruction ◽  
Maxillary Lateral Incisor ◽  
Dens Invaginatus

AbstractA 14-year female presented with an atypical looking tooth #7 with a sinus tract on tooth #8. A gutta-percha point inserted into the sinus tract confirmed the affected tooth #7. A radiographic examination of tooth showed a lateral radiolucency with respect to tooth #7. Cone-beam computed tomographic imaging was done for the three-dimensional reconstruction analysis. Dens invaginatus (Oehler’s type III) with pulp necrosis and chronic apical periodontitis was the definitive diagnosis. Use of the dental operating microscope and ultrasonics helped in the removal of the invaginated structure. At the two year follow-up, no clinical and radiographic evidence of infection was observed.

scholarly journals Multiple Impacted Teeth: Report of 3 Cases

2008 ◽  
Vol 02 (01) ◽  
pp. 73-78 ◽  
Author(s):  
Gürkan Raşit Bayar ◽  
Kerim Ortakoḡlu ◽  
Metin Sencimen
Keyword(s):  
Young Male ◽  
Rare Condition ◽  
Radiographic Examination ◽  
Cleidocranial Dysplasia ◽  
Supernumerary Teeth ◽  
Impacted Teeth ◽  
Young Males ◽  
Edentulous Mandible ◽  
Unerupted Teeth ◽  
Histopathological Studies

ABSTRACTWhile impaction of tooth is widespread, multiple impacted teeth by itself is a rare condition and often found in association with syndromes such as cleidocranial dysplasia or Gardner’s syndrome. A light of radiographic examination, we describe three Turkish young males with multiple impacted teeth who didn’t possess any systemic conditions or syndromes involving both jaws. The first patient, a 21-year-old young male, had 16 unerupted teeth and 5 unerupted supernumerary teeth. The second patient with totally edentulous mandible, a 20-year-old young male, had 31 unerupted teeth. The third patient, a 21-year-old young male, had 22 unerupted teeth and 4 unerupted supernumerary teeth. Based on the clinical presentation, radiographic examination and histopathological studies, this paper discusses the differential diagnosis and management of such cases. (Eur J Dent 2008;2:73-78)

scholarly journals Clinical and morphological assessment of low frequency ultrasound use in delayed eruption of teeth

2015 ◽  
Vol 96 (4) ◽  
pp. 510-514 ◽  
Author(s):  
Z V Gasymova
Keyword(s):  
Orthodontic Treatment ◽  
Low Frequency ◽  
Gingival Tissue ◽  
Radiographic Examination ◽  
Impacted Tooth ◽  
Impacted Teeth ◽  
Intact Nucleus ◽  
Low Frequency Ultrasound ◽  
Delayed Eruption ◽  
Frequency Ultrasound

Aim. Development of a new method stimulating eruption of impacted teeth, reducing side effects and the term of orthodontic treatment. Methods. Considering the high numbers of patients who sought medical aid with delayed eruption of teeth, rational method of low-frequency ultrasound was used for stimulating eruption of impacted teeth. The stimulation process was performed by «SIAZ-EGS Med-Stomo» device, with the oscillation frequency of 26.5 kHz, intensity of 1 W/cm, amplitude of 40-60 μm, a wavelength 0,012 m, developed in Azerbaijan. Clinical and morphological methods, including examination of gingival tissue biopsies from the area where low-frequency ultrasound was applied, were used. After clinical and radiographic examination and identifying the impacted tooth with a favorable location on dental panoramic radiography, if there was a space in the tooth row, the area of the tooth projection at the gum was directly affected by low-frequency ultrasound daily or every other day for 5-10 seconds. An average of 1-5 procedures up to the tooth eruption was performed. Results. Microscopy of epithelial cover and stroma proved the absence of inflammation, thickening of outermost layer on the gum surface. Cells of the intermediate layer revealed the intact nucleus, loosening with linear swelling and cell dissociation. Cellular and tissue changes in gingival tissue seen after the treatment with low-frequency ultrasound may indicate the boosting of the impacted teeth eruption due to the syndrome of molecular contusion, improving the microcirculation and loosening the gum tissues. Conclusion. The results of comprehensive orthodontic treatment using low-frequency ultrasound ito stimulate the eruption of impacted teeth may be recommended for practical use.

scholarly journals Placing Dental Implants through Impacted Teeth to Support a Fixed Partial Denture in a Geriatric Patient as an Alternative to Invasive Extraction Surgeries

2020 ◽  
Vol 14 (04) ◽  
pp. 697-701
Author(s):  
Jorge Cortés-Bretón Brinkmann ◽  
Marina Lobato-Peña ◽  
Fabián Pérez-González ◽  
Pedro Molinero-Mourelle ◽  
Luis Sánchez-Labrador ◽  
...  
Keyword(s):  
Dental Implants ◽  
Geriatric Patient ◽  
Therapeutic Option ◽  
Rare Condition ◽  
Impacted Tooth ◽  
Partial Denture ◽  
Impacted Teeth ◽  
The Third ◽  
Fixed Partial Denture ◽  
Craniofacial Syndromes

AbstractMultiple dental impactions not associated with craniofacial syndromes are a rare condition and present the dentist with a therapeutic challenge when it comes to performing surgical/restorative treatments in adult patients. This case report describes a geriatric patient with multiple impacted teeth restored by means of two different protocols. In the second quadrant, an impacted tooth was extracted followed by regeneration and placement of an implant. In the third quadrant, implants were placed though impacted teeth for restoration with a fixed partial prosthesis. Placing dental implants through impacted teeth may offer a possible therapeutic option for implant-supported restorations in middle-aged or elderly patients, for whom surgery and orthodontic traction are not possible, and/or patients who refuse to undergo more invasive extraction surgery.

Ameloblastic Fibro-Odontoma: A Clinicopathologic Study of 12 Cases

2011 ◽  
Vol 35 (4) ◽  
pp. 397-404 ◽  
Author(s):  
NR Boxberger ◽  
RB Brannon ◽  
CB Fowler
Keyword(s):  
Recurrence Rate ◽  
Treatment Modalities ◽  
Surgical Removal ◽  
Clinicopathologic Features ◽  
Impacted Tooth ◽  
Female Ratio ◽  
Clinicopathologic Study ◽  
Incomplete Removal ◽  
Rate Study ◽  
Reported Data

The opinions and assertions expressed herein are those of the authors and are not to be construed as official or as reflecting the views of the Department of the Air Force or the Department of Defense. Objective: The ameloblastic fibro-odontoma (AFO) is an uncommon odontogenic tumor occurring in childhood with limited reported data on recurrence. The purpose of this AFO study was to review its clinicopathologic features, investigate treatment modalities and establish a recurrence rate. Study Design: The clinicopathologic features of 12 new cases of AFO were analyzed and compared with those of 208 cases from the literature, with special emphasis on the clinical behavior, treatment, and recurrence rate. Results:The average age was 9.4 (±6.7) years with a male-to-female ratio of 1.6:1. The mandible was the site of occurrence in 59.5%. The tumor most often presented radiographically as a unilocular mixed density lesion associated with the crown of an impacted tooth. Displacement of teeth, delayed eruption and bony expansion were commonplace. There were 5 recurrences among 68 cases with adequate follow-up for a recurrence rate of 7.4%. All recurrences were attributed to incomplete removal at the time of the initial surgery.Conclusions: The AFO is a childhood tumor most often affecting the posterior jaws and frequently causing bony expansion with profound affects on the dentition. Conservative surgical removal with extraction of the associated teeth is recommended. The established recurrence rate is less than 10%.

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