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At least 145 records · Page 8Linked to original sources
PubMed2006

Root resorption associated with an impacted mesiodens: a surgical and endodontic approach to treatment.

This article describes a case of root resorption of a maxillary non-vital immature incisor associated with an impacted and angulated mesiodens. The impacted tooth was surgically removed and the compromised incisor was subsequently endodontically treated. Over a period of 27 months the tooth was medicated with repeated applications of calcium hydroxide. Radiographically after 18 months, an incomplete hard tissue barrier was observed with full apical closure at the conclusion of 27 months of treatment. Once the patient was comfortable after surgical removal of the mesiodens, the tooth was asymptomatic and remained so for the duration of the treatment and after definitive restorative work had been completed.

Child↗
PubMed1984

A well-defined coronal radiolucent area involving an impacted third molar.

The dentigerous cyst is the most common developmental odontogenic cyst and appears as an asymptomatic, well-defined radiolucent area surrounding the crown of an impacted tooth. Because of potential serious complications, lesions that are consistent radiographically with a dentigerous cyst should be totally removed and examined microscopically to establish a definitive diagnosis.

Adult↗
PubMed1996

Repair of a defect following the removal of a maxillary adenomatoid odontogenic tumor using guided tissue regeneration. A case report.

Adenomatoid odontogenic tumors (AOT) make up 3% of odontogenic tumors. This tumor, most commonly found in the maxillary arch, mimics a follicular cyst associated with an impacted tooth. This is a case report of an AOT found in a 14-year-old female undergoing active orthodontic therapy. The surgical removal of the lesion resulted in the exposure of a large bony cavity surrounding the maxillary left canine. Placement of freeze-dried bone and coverage with an expanded polytetrafluoroethylene membrane resulted in rapid and complete healing of the lesion and restoration of osseous support.

Adolescent↗
PubMed1991

Pathological study of the hyperplastic dental follicle.

Eleven specimens of hyperplastic dental follicles were studied clinicopathologically, with reference to the patient's sex and age at the time of diagnosis, site of the lesions, and histopathology. The patients comprised 6 males and 5 females with an average age of 15.7 years (range 10 to 23 years). Two cases involved multiple lesions, and 9 a single lesion. The lesions were related to impaction of the canine, second premolar, second molar or third molar. Radiographically, the lesions showed various degrees of radiolucency around the crown of the impacted tooth. Most of the cases were diagnosed clinically as dentigerous cyst. The histopathological features of the lesions were similar to those of normal dental follicular tissue around the developing tooth. No tumorous features such as odontogenic fibroma, odontogenic myxoma or myxofibroma were evident in the lesions.

Adolescent↗
PubMed2002

Postoperative complaints following impacted mandibular third molar surgery in Ile-Ife, Nigeria.

An investigation into the pattern of complaints lodged by patients after impacted mandibular third molar surgery was done in a Nigerian teaching hospital over a period of 3 years. One hundred and twenty seven records were retrieved. Pericoronitis (71.2%), pulpitis (17.6%) and periodontitis (11.2%) were the reasons for surgery. No third molar surgery was done for prophylactic or orthodontic reasons. Sixty-one complaints were lodged by 49 (38.6%) patients on day 1, and 37 complaints by 35 patients on day 7. These complaints were verified by the findings of the examining clinician. Pain, swelling and trismus were the commonest complaints. A significant association (P = 0.042) was found between patients' complaints on the first postoperative day and the drug combination given. Similarly, there was a significant relationship (P = 0.0055) between the type of analgesics prescribed and the presence of postoperative pain. No significant relationship was however found between the complaints and patients' age, indication for extraction, impaction type and method of impacted tooth removal. Although the findings of this retrospective study are limited in their comparability, they suggest the need for an appraisal of pain management in patients undergoing mandibular third molar surgery in our hospital. Consequently, there should be a reduction in complaint rate thereby making selective review appointment on the first postoperative day feasible.

Acetaminophen↗
PubMed1992

A procedure for attachment of gold chain for traction of impacted teeth.

There is a need to improve the strength of the attachment of the gold chain to impacted teeth. Dislodgement of the gold chain requires a second surgery for reattachment. Failures have been observed to occur at two interfaces. The authors have devised a method of attaching the gold chain to the mesh pad securely, by ligating them together. This article describes the method and discusses other factors which enhance the retention of the gold chain to the impacted tooth.

Cuspid↗
PubMed2003

Characteristics of calcifying odontogenic cyst in Taiwanese.

BACKGROUND AND PURPOSE: Calcifying odontogenic cyst (COC) is a rare type of odontogenic cyst. This retrospective study analyzed the clinical, radiographic, and histopathologic features of COC in Taiwanese. METHODS: Ten cases of COC in 2 male and 8 female patients with a mean age of 29 years (range, 11 to 48 years) treated from January 1985 to December 2002 were included. Microscopic slides, clinical histories, and radiographic features of these 10 COC cases were reviewed and analyzed. RESULTS: COCs occurred in the maxilla in 3 cases and in the mandible in 7 cases. COCs were associated with impacted teeth in 6 cases and with odontomas in 3 cases. All COCs appeared as either unilocular (9 cases) or multilocular (1 case) radiolucencies. In 7 cases, spotty radiopaque materials were scattered throughout the radiolucency. Histologically, all of the lesions were at least partially lined by epithelium with cuboidal to columnar basal cells and stellate reticulum-like suprabasal cells. Variable numbers of ghost cells, some of which were calcified, were observed in the lining epithelium or in the fibrous connective tissue wall of all 10 cases. Juxta-epithelial dentinoid was also found in all cases. However, proliferation of ameloblastoma-like tumor nests was observed in only 1 case. Based on the above histologic findings, 6 COC lesions were classified as simple unicystic type, 3 as unicystic odontoma-producing type, and 1 as unicystic ameloblastomatous proliferating type. CONCLUSIONS: COC occurs frequently in the second and third decades and is commonly associated with an impacted tooth or an odontoma. It usually appears as a mixed radiolucent and radiopaque lesion radiographically. Simple unicystic type is the most common type of COC. No recurrences were found after conservative surgical removal in this series.

Adolescent↗
PubMed2003

Odontoma: a clinicopathologic study of 81 cases.

BACKGROUND AND PURPOSE: Odontoma is the most common odontogenic tumor. It includes 2 types, the compound and complex odontomas. There has not been a series study of the clinical and histologic features of odontomas from Taiwan. This study evaluated the clinicopathologic features of odontoma in Taiwanese. METHODS: Cases of odontoma treated from 1998 to 2002 identified from medical records were included. The microscopic features, radiographic features, and clinical history of the patients were reviewed and analyzed. RESULTS: A total of 81 odontomas in 81 patients (36 males and 45 females) were included. There were 62 compound and 19 complex odontomas. The mean age of the patients was 18 years with the majority of odontomas occurring in the first (32%) and second decade (38%) of life. Odontomas had a marked predilection for the maxilla (70%) and for the anterior region of the jaw (83%), particularly for the anterior maxilla (62%). Sixty four (79%) of the 81 odontomas were associated with 80 impacted teeth, including 71 permanent teeth, 2 deciduous teeth, and 7 supernumerary teeth. Of the 71 impacted permanent teeth, the maxillary central incisor (27%) was most commonly affected, followed by the maxillary canine (26%) and mandibular canine (24%). Histologic examination revealed enamel matrix in 90%, dentin in 100%, cementum in 88%, pulp tissue in 96%, fibrous capsule in 93%, ghost cells in 83%, reduced enamel epithelium in 86%, and nests of odontogenic epithelium in 58% of odontomas. Dentigerous cyst was associated with 9% of odontomas. CONCLUSIONS: In this series, odontomas occurred most often in the first and second decade of life. Although complex odontomas are usually found in the posterior jaw, in this Taiwanese series they were most commonly found in the anterior maxilla. Odontoma is frequently associated with an impacted tooth and occasionally with a dentigerous cyst. No recurrence of odontomas was found after surgical excision with follow-up of 1 to 15 years.

Adolescent↗
PubMed2003

Adenomatoid odontogenic tumor: a report of an unusual maxillary lesion.

Adenomatoid odontogenic tumor is an odontogenic tumor that appears in the anterior portion of the jaws and more frequently, in the anterior maxilla usually in association with the crowns of inclused teeth. A case report of adenomatoid odontogenic tumor with an associated impacted right maxillary first premolar is presented. Under general anesthesia the lesion and the impacted tooth were removed. There was no recurrence at the 1 -year follow-up.

Adult↗
PubMed2004

Infection-related inferior alveolar and mental nerve paresthesia: case reports.

Nerve injury can be related to mechanical, chemical, and thermal factors. Infection-related paresthesia is usually related to mechanical pressure and ischemia associated with the inflammatory process. Another cause of paresthesia could be the toxic metabolic products of bacteria or inflammatory products released following tissue damage. This article presents cases of inferior alveolar and mental nerve paresthesia caused by an infected impacted tooth, an infected cyst, and periapical infection. The possible pathophysiologic mechanism of nerve injury, therapy, and prognosis for recovery are also discussed.

Adult↗
PubMed1989

[Calcifying odontogenic cyst. Report of a case].

It is presented a case of odontogenic calcifying cyst associated to an odontoma and to an impacted tooth treated by descompression. After 4 (four) years control there was no sign of recidive and the tooth was brought back to its original axis of eruption.

Adolescent↗
PubMed1979

[Pre-orthodontic surgical treatment of retained or ectopic teeth in juvenile dentitions].

For orthodontic and gnathologic reasons, impacted teeth in adolescents should not be extracted but rather placed in their appropriate positions. This article deals with the surgical aspects of a combined surgical and orthodontic methods for incorporating these teeth into the dental arch. The procedure for lifting the gingival tissue to expose the impacted tooth and the application of a plastic attachment via "direct bonding" were described.

Adolescent↗
PubMed1994

Localisation of the unerupted maxillary canine: additional observations.

Occlusal radiographs are recommended for the tube shift method used to localise the unerupted maxillary canine. Several case histories are presented to explore how diagnostic occlusal films may be obtained. The initial maxillary incisor inclination determines the vertical angulation of the tube, while the mesio-distal position of the canine crown determines the horizontal angulation of the tube to the mid-sagittal plane. Increased distances aid localisation: both the distance between the impacted tooth and its reference tooth, and the distance between the positions of the tube at exposure are significant. If an orthopantomogram and an occlusal film are to be taken as initial radiographs, the orthopantomogram should be read first to determine the position of the tube for the occlusal film. Radiographs taken previously may provide information on centring the tube for the occlusal film. The horizontal tube shift between two occlusal films is a more sensitive means of localising canines than is the vertical tube shift available between an orthopantomogram and an occlusal film.

Cuspid↗
PubMed1995

Odontogenic tumors that mimic a dentigerous cyst.

Hyperplastic follicular tissue and a dentigerous cyst are the two most common entities associated with the crown of an impacted tooth. However, other diagnostic possibilities, including odontogenic tumors should also be considered in the differential diagnosis of a pericoronal radiolucency. This article presents three cases of radiolucent lesions that were histologically diagnosed as an odontogenic tumor, and stresses the importance of histological evaluation of all pericoronal radiolucencies.

Adult↗
PubMed1997

Third molar surgery in general dental practice.

A survey to determine the treatment procedures adopted by general dental practitioners for the removal of impacted third molar teeth was undertaken. Questionnaires were mailed to a sample of 100 practising dentists. Of the 67 per cent that responded, 41.8 per cent (28) indicated that they would attempt the procedure while the remaining 51.2 per cent (39) would not do so. Neither the length of professional experience nor whether they practised in metropolitan or country areas had a bearing on whether the impacted tooth would be removed or not. In general, South African general dental practitioners routinely removed overlying bone by means of a bur, sutured the mucosal incision wound, prescribed antibiotics, analgesics and a mouthwash, and recalled their patients for a post-operative review. Steroids were not prescribed.

Adolescent↗
PubMed2006

A retrospective evaluation of the eruption of impacted permanent incisors after extraction of supernumerary teeth.

AIMS: Delayed eruption of teeth may be caused by the presence of one or more supernumerary teeth. The purpose of this study was to evaluate findings, predisposing factors and differentiate different techniques used that affect the outcome following removal of supernumerary teeth. A comprehensive literature review was also undertaken. METHODS: A longitudinal retrospective study was carried out at the Royal Liverpool Children's Hospital. A total of 120 patients were identified from the general anesthesia records that had supernumeraries extracted. Only 43 cases had delayed eruption of teeth caused by supernumeraries. The pre and post extraction record data collected were the gender, radiographic assessment, position of the supernumerary, age at time of referral and extraction of the supernumerary, age at time of eruption of the impacted tooth and the orthodontic and surgical management. RESULTS: The mean age of referral was 9.1 years with a male to female ratio of 4.4:1. There was a greater predilection for supernumeraries to be on the left side and be positioned palatally. Tuberculate type supernumeraries were the most frequent followed by the conical type. Spontaneous eruption of the impacted tooth occurred in 49% of cases. Eruption of the impacted tooth within eighteen months following removal of the supernumerary was observed in 91% of cases. The chronological age and space availability were the two factors that were critical in determining if eruption was spontaneous following removal of the supernumerary. CONCLUSIONS: The findings of this study reiterates the fact that given early referral, sufficient space and time, the majority of teeth prevented from erupting by a supernumerary tooth would erupt spontaneously following removal of the supernumerary alone. Randomized multi-centre prospective studies are suggested.

Adolescent↗