scholarly journals Management of Crossbite in Anterior Region Due to Over-retained Deciduous Teeth in an Adolescent – a Case Report

Author(s):  
Niharika Gahlod ◽  
Arun Sajjanar ◽  
Surykant Singh ◽  
Milind Wasnik ◽  
Sneha Khekade

The deciduous teeth which are retained beyond the age of exfoliation are termed as over-retained deciduous teeth. There are numerous reasons for such teeth which include congenital absence or impaction or translation or transmigration of successor teeth or maybe because of existence of some kind of pathology, such as cysts, tumours, and odontoma under the primary tooth that results in the impaction of successor teeth. It may also be due to partial or total microdontia of permanent dentition. This leads to malalignment in permanent dentition which indirectly hampers the normal growth of the jaws. This case report shows several after-effects of over retained teeth along with the concerned multiple treatment options.

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Vana Vukić ◽  
Ana Smajo ◽  
Mandica Vidović ◽  
Rudolf Vukojević ◽  
Miroslav Harjaček ◽  
...  

Abstract Background The last two decades brought new treatment options and high quality guidelines into the paediatric rheumatologic practice. Nevertheless, a number of patients still present a diagnostic and therapeutic challenge due to combination of vague symptoms and unresponsiveness to available treatment modalities. Case presentation We report a case of sixteen years old girl suffering from polyarticular type of juvenile idiopathic arthritis refractory to multiple treatment options. She first presented at the age of 4 with swelling and contractures of both knees. Her symptoms were initially unresponsive to nonsteroidal anti-inflammatory drugs and progressed despite treatment with intraarticular and systemic glucocorticoids and methotrexate. Throughout the years, she received several biologics together with continuous administration of nonsteroidal anti-inflammatory drugs and disease modifying anti-rheumatic drugs as well as intraarticular and systemic glucocorticoids in disease flares. However, none of this options  provided a permanent remission, so various other modalities, as well as other possible diagnoses were constantly being considered. Eventually she became dependent on a daily dose of systemic glucocorticoids. In 2018, the treatment with Janus kinase inhibitor tofacitinib was initiated, which led to gradual amelioration of musculoskeletal symptoms, improvement of inflammatory markers and overall well-being, as well as to the weaning of systemic glucocorticoids. As the swelling of the wrists subsided for the first time in many years, Madelung’s deformity was noticed, first clinically, and later radiographically as well. Genetic analysis revealed short-stature homeobox gene deficiency and confirmed the diagnosis of Leri Weill syndrome. Conclusions This case report emphasizes the need for reporting refractory, complicated cases from everyday clinical practice in order to build-up the overall knowledge and share experience which is complementary to available guidelines. Individual reports of difficult to treat cases, especially when additional diagnoses are involved, can be helpful for physicians treating patients with common rheumatological diseases such as juvenile idiopathic arthritis.


2020 ◽  
Vol 3 (2) ◽  
pp. 131-136
Author(s):  
S Karki ◽  
D Thapa ◽  
N Pandey

Oral implants are regarded as one of the most successful and reliable treatment options for replacing missing tooth/teeth. Various studies have reported that it can be used to meet the functional as well as esthetic demands of missing teeth. The most common indication of oral implants is the replacement of single or multiple teeth to support the denture. While replacing teeth in the esthetic zone, then consideration should be towards creating the right emergence profile. So, replacing a tooth with the implant-supported prosthesis in the anterior region is more challenging as compared to the posterior. With clinical examination, radiographic investigation, and treatment planning good results can be achieved. This case report highlights the placement of a single-tooth dental implant in the anterior region where the emergence profile was created with gingival moulding similar to that of adjacent gingiva using provisionalization.


Author(s):  
Niharika Gahlod ◽  
Arun Sajjanar ◽  
Suryakant Kumar ◽  
Milind Wasnik ◽  
Sneha Khekade

Early Childhood Caries (ECC) can be defined as the presence of one or more carious lesions, may or may not be cavitated, and missing teeth due to caries in children up to five years of age. It is multifactorial involving the presence of bacterial plaque, poor oral hygiene, frequency and time of consumption of beverages containing sugar. It has several deleterious effects like it can damage speech, swallowing, feeding, development, esthetics and self-esteem of the child. Therefore, complete oral rehabilitation in such patients is utmost important for their normal growth and development. The current case report involves the oral rehabilitation using different treatment options.


2012 ◽  
Vol 9 (2) ◽  
pp. 22-24
Author(s):  
Gazi Shamim Hassan ◽  
Md Golam Rubby ◽  
Mohammad Rakibul Islam Babu ◽  
Nihar Sultana ◽  
Md Nazmul Hasan

Permanent canines are the foundation of an esthetic smile and functional occlusion. Any deviation from the normal sequence of development leads to the impaction of teeth. Among multiple  treatment options, alignment of impacted canines into the arch is the  best treatment approach. This report describes the surgical and orthodontic management of a buccally impacted permanent maxillary canine with mesial diastema DOI: http://dx.doi.org/10.3329/cdcj.v9i2.12318 City Dental College J. Volume-9, Number-2, July-2012  


2013 ◽  
Vol 5 (2) ◽  
pp. 1-2
Author(s):  
Vinutha Hiremath ◽  
B.L. Ashwini

ABSTRACT Replacement of single anterior tooth is a complex, challenging procedure that can be accomplished with implant-supported restorations as well as conventional porcelain-fused-to-metal and resin-bonded fixed partial dentures. Different esthetic treatment options must be explored iri treating such patients. Drifting of teeth into the edentulous area may reduce the available pontic space; whereas a diastema existing before an extraction may result in excessive mesiodistal dimension to the pontic space. Although rarely used, loop connectorsare sometimes required to address this problem of excessive mesio-distalpontic space. Loop connectors offer a simple solution for a situation involving an anterior edentulous space albeit with the maintenance of the diastema. This article presents a case with excessive space in the anterior region treated witha loop connector to achieve ideal esthetic results in the maxillary anterior segment.


2015 ◽  
Vol 9 (3) ◽  
pp. 153-154
Author(s):  
A Lyssikatos

ABSTRACT A compound odontoma is the most common form of odontogenic odontomas and is typically found in the maxillary anterior region. This paper describes a case diagnosed in a 41 year old healthy male patient. Two treatment options were presented to the patient including a referral to an oral and maxillofacial surgeon for an evaluation or periodic monitoring of the odontoma.


2021 ◽  
Vol 10 (13) ◽  
pp. e50101320987
Author(s):  
Eduardo Quintão Manhanini Souza ◽  
Vinícius Franzão Ganzaroli ◽  
Igor Rodrigues de Almeida ◽  
Jéssica de Oliveira Alvarenga Freire ◽  
Luy de Abreu Costa ◽  
...  

Odontomas are classified as a malformation where epithelial and mesenchymal cells have the ability to produce dental tissues such as enamel and dentin. Of unknown etiology, they are often associated with failure of eruption of permanent teeth and / or late impaction or exfoliation of deciduous teeth. Surgical removal is the therapeutic option of choice for the treatment of this condition, since its presence can cause some intercurrences as root resorptions of the neighboring teeth. The objective of this case report is to describe a surgical approach for the removal of a composite odontoma in the anterior region of the mandible, where after a 5-year postoperative follow-up, it was possible to observe in radiographic and tomographic analyses, small images of radiopaque characteristic compatible with recurrence tumor, hypercalcification or remnant of the lesion.


2018 ◽  
Vol 21 (2) ◽  
pp. 253
Author(s):  
Cleverson Patussi ◽  
Larissa Balbo Zavarez ◽  
Guilherme Klein Parise ◽  
Juliana Lucena Schussel ◽  
Laurindo Moacir Sassi

<p>Tooth impaction results from a mechanical blocking that prevents the tooth from erupt. This situation is frequently associated to permanent tooth as wisdom teeth and canines. Impaction of a primary tooth can be associated to systemic or local etiologic factors. Treatment options could include dental extraction, removal of lesion associated without removing the primary tooth and others. The aim of this article is to present a rare case report of an impacted primary tooth in a 42 year-old man, with no complain of swelling. Extra oral examination revealed no alteration of normality. The panoramic radiograph showed a primary tooth impacted in the left body of the mandible.  Most of the time the cause for non-eruption of primary tooth is the presence of a mechanical obstacle, not anatomical, in its trajectory. The surgical intervention is a possibility, but it can stay unaltered with no problems related to the impacted tooth. Many times the professional experience and the activity together in various areas of knowledge are the most important and wise conduct to be taken in health care.</p><p><strong>Keywords</strong></p><p>Mandible; Impacted tooth; Oral surgery.</p><p>Key-words: mandible; impacted tooth; oral surgery</p>


2011 ◽  
Vol 2 (3) ◽  
pp. 259-262 ◽  
Author(s):  
Mahadevi B Hosur ◽  
RS Puranik ◽  
Shrinivas S Vanaki

ABSTRACT Oligodontia, a form of hypodontia commonly seen in permanent than in deciduous dentition. It is defined as the congenital absence of six or more teeth, excluding third molars. It is relatively a rare condition that can occur either as an isolated finding or as part of a syndrome. A case of nonsyndromic oligodontia in a 12-year-old boy with congenital absence of all permanent teeth except the premolars (excluding third molars) and over-retained deciduous dentition with conical shaped anteriors is reported. The prevalence, possible etiological factors and treatment options of the condition is reviewed.


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