scholarly journals Review in the Treatment Decision of Modalities for Impacted Second Molar

2021 ◽  
Author(s):  
Ann Chianchitlert ◽  
Diane Selvido ◽  
Irin Sirisoontorn ◽  
Bishwa Prakash Bhattarai ◽  
Dinesh Rokaya ◽  
...  

Impacted permanent tooth can occur on any tooth in the dental arch. The incidence of retention and impaction of the second molar lies between 0 and 2.3%. It is infrequently found in normal dental patients because most of the second molar impactions are asymptomatic. However, it is a common occurrence in orthodontic practice. The impacted second molar may provoke many pathologic disorders to the adjacent and opposite teeth, eventually malocclusions. There are many treatment modalities in facilitating the eruption of the second molar impaction. Early diagnosis and early treatment are crucial for the successful treatment of mandibular second molar impaction. This article presents an overview of various treatment modalities for an impacted second molar.

1997 ◽  
Vol 22 (2) ◽  
pp. 178-182 ◽  
Author(s):  
J. FIELD ◽  
R. M. ATKINS

One hundred patients who had sustained a Colles’ fracture were observed for features of algodystrophy at 1, 5, 9 and 12 weeks following injury. The diagnosis of algodystrophy was possible as soon as 1 week after fracture. Early diagnosis has important clinical implications: the aetiological factors may become apparent and different treatment modalities be identified; furthermore, early treatment can be started, limiting the morbidity of the condition. It is proposed that patients with features of algodystrophy require physiotherapy after a Colles’ fracture. Those without features may not.


2018 ◽  
Vol 36 (77) ◽  
Author(s):  
Vanessa David-Pérez ◽  
Laura Milena Ospina-Tabares ◽  
Matdel Orfindey Carmona-Salcedo ◽  
Brayan Joseth Muriel-Urrego ◽  
Gabriel Emilio Espinal-Botero ◽  
...  

RESUMEN. Antecedentes: La impactación de segundos molares mandibulares permanentes (2MM) se presenta con variaciones considerables según el grupo poblacional. Además de los problemas asociados a esta alteración, podrían requerir tratamientos múltiples y complejos. Por lo tanto, el diagnóstico temprano de una alteración en el proceso de erupción del 2MM es imperativo para reducir el riesgo de impactación, la dificultad de tratamiento y la aparición de problemas asociados en las poblaciones. Propósito: Describir las características de impactación del 2MM en pacientes de 8 a 15 años en una muestra de Medellín, Colombia. Métodos: En este estudio descriptivo retrospectivo se evaluaron 1756 radiografías panorámicas de las cuales 95 presentaron impactación de 2MM. Estas se analizaron según sexo, localización en la mandíbula y tipo de inclinación, y se realizaron 13 mediciones lineales y angulares para identificar parámetros dentoesqueléticos característicos del lado de la impactación. Para el análisis de los datos se utilizó estadística descriptiva y la prueba t (p<0,05). Resultados: La prevalencia de impactación fue del 5,4 %. La impactación bilateral con inclinación mesial fue la más frecuente. El lado izquierdo predominó en impactaciones unilaterales. El único parámetro dentoesquelético característico de impactación fue el ángulo de inclinación del 2MM con respecto al plano oclusal, con mayor severidad en el lado izquierdo. Conclusiones: Un ángulo igual o mayor a 112,94° podría indicar riesgo de impactación contra el primer molar mandibular permanente. Por lo tanto, este parámetro debería ser incluido en el análisis radiográfico para el diagnóstico temprano de impactación del 2MM. ABSTRACT. Background: Permanent mandibular second molar (MM2) impaction has considerable variations depending on the population. In addition to the problems associated to this condition, it could require multiple and complex treatments. Therefore, early diagnosis of any MM2 eruption alteration is mandatory. This approach could reduce the risk of impaction, the difficulty of treatment, and the occurrence of associated problems in the population. Purpose: To describe the characteristics of MM2 impaction in an 8-to-15-year-old sample of patients from Medellin, Colombia. Methods: 1756 panoramic radiographs were evaluated in this descriptive retrospective study. 95 had impacted MM2s. These radiographs were analyzed according to sex, localization in the mandible, and type of inclination. 13 lineal and angular measurements were taken to identify characteristic dentoskeletal parameters of the impaction side. Descriptive statistics and t test were used (p< 0.05) for data analysis. Results: The prevalence of impaction was 5.41 %. Mesial bilateral impaction was more frequent. The left side was predominant in unilateral impactions. The only dentoskeletal characteristic of impaction was the MM2 inclination angle with respect to the occlusal plane, with higher severity on the left side. Conclusion: A > 112.94° angle could indicate impaction risk against the permanent mandibular first molar. Therefore, this parameter should be included in the radiographic analysis for MM2 impaction early diagnosis.


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.


2021 ◽  
Vol 27 (2) ◽  
pp. 28
Author(s):  
Tarnjit Kaur Sangha ◽  
Sukhneet Kaur Sangha ◽  
Brandon Hanna ◽  
Tabassum Tayab ◽  
Soumya Padala

Early diagnosis of impacted mandibular second molar (MM2) is critical since treatment at a later stage can be complicated. It often requires a multidisciplinary approach. Surgical uprighting of impacted MM2 appears to be a safe, effective, and a reliable alternative to conventional orthodontic mechanics with minimal risk of morbidity or pulpo-periodontal problems. Timely diagnosis is critical and factors affecting treatment outcomes must be assessed for a successful outcome. Although surgical uprighting or repositioning is the most commonly prescribed option for MM2 management, there isn't a review of literature that discusses the etiology, assessment, and surgical management of impacted MM2 with an emphasis on surgical uprighting technique and comparing various factors that affect the outcome.


2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Morawala Abdul ◽  
Kapila Pragati ◽  
Chunawala Yusuf

Odontomas are odontogenic benign tumors composed of dental tissue. Majority of these lesions are asymptomatic and are often detected on routine radiographs. They can be thought of as “tooth hamartomas" with the lesion consisting of various tooth components. They are divided histologically into complex odontomas and compound odontomas. This paper describes the case of a compound odontoma in a 13-year-old girl diagnosed due to the retention of the primary right mandibular second molar. A surgical excision was performed without disturbing the unerupted premolar. The results achieved indicate that early diagnosis of odontomas enables adoption of less complex treatment, a better prognosis, and displacement or devitalisation of adjacent tooth.


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):  
Deepashri H Kambalimath

Congenital missing permanent second molar is an extremely rare condition. Non syndromic mandibular second molar agenesis associated with other anomalies has occasionally been reported in literature, but isolated sporadic cases are rarely observed. Number of interactions between genetic and environmental factors during the process of tooth development might be the causative etiology for agenesis. This report presents an isolated case of hypodontia with absence of bilateral mandibular second molar agenesis in a healthy 18 year old female patient is presented and literature review on prevalence of most missing teeth with incidence of missing second molar in various regions of the world and in various regions of Indian continent is presented. No such case has been reported in Indian literature so far.


2007 ◽  
Vol 77 (5) ◽  
pp. 773-778 ◽  
Author(s):  
Lars Bondemark ◽  
Jola Tsiopa

Abstract Objective: To elucidate the prevalence of ectopic eruption, impaction, and primary and secondary retention as well as agenesis of the permanent second molar (M2) among adolescents. Materials and Methods: After a sample size calculation, dental records, including radiographs, of 1543 patients (722 girls and 821 boys), from three clinics in the city of Malmoe, Sweden, were retrospectively analyzed. Series of annual records and radiographs were examined for all patients from 10 to 16 years of age and were carried out during 2004–2006. The prevalence of ectopic eruption, impaction, and primary and secondary retention as well as agenesis of M2s was registered in a standardized manner and according to preset definitions. In addition, the times of emergence of the M2s were recorded. Results: The prevalence of ectopic eruption of M2 was 1.5%, the prevalence of primary retention was 0.6%, and the prevalence of impaction was 0.2%. This means that the overall prevalence of eruption disturbances was 2.3%. In addition, the prevalence of agenesis was 0.8%. The prevalence of ectopic eruption was significantly higher in the mandible. Those patients with eruption disturbances and agenesis of M2 showed significantly delayed eruption of their other M2s compared to the individuals without any eruption disturbances. Conclusions: The prevalence of eruption disturbances was higher than reported earlier, and, even if the disturbances do not occur frequently, it is important to develop an early diagnosis in order to start the treatment at the optimal time.


2014 ◽  
Vol 47 (12) ◽  
pp. 1185-1191 ◽  
Author(s):  
J. Bai ◽  
A.-P. Ji ◽  
M.-W. Huang

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