[Ectopic tooth eruption of the first permanent molar in the maxilla].
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Ankylosis of primary mandibular molars has been routinely found to be associated with various developmental disturbances in permanent dentition such as aplasia of the succedaneous tooth, ectopic eruption of the premolar, infraoclusion of the ankylosed tooth leading to tipping of the first permanent molar etc. This article describes a rare case where there was ankylosis of a mandibular second primary molar along with congenitally missing first permanent molar which resulted in the transposition of second premolar. Treatment options and prognosis of the case are discussed.
Selection of patients for orthodontic treatment should be based on a thorough analysis of the consequences of malocclusions for the individual. The mere presence of deviations from the concept of the ideal occlusion should have no influence on orthodontic treatment decisions. According to available studies, the influence of malocclusion on periodontal health, speech and chewing is fairly minor. Neither can orthodontic treatment be justified as an effective means of preventing TMD but it may be indicated to reduce existing signs and symptoms of TMD in certain carefully selected cases. Interceptive or preventive orthodontic treatment may be indicated to reduce the negative influence on growth and occlusal development of functional malocclusions (anterior or lateral forced bite) or ectopic tooth eruption. Similarly, early correction of large overjet may be valuable in order to reduce the risk of traumatic injuries. Such treatment is usually motivated during the primary or mixed dentition periods. From the teenage period and onwards, psychosocial or aesthetic reasons for orthodontic treatment are dominating. Decisions to start orthodontic treatment in order to improve aesthetics should usually not be taken before the child has reached sufficient maturity for these decisions, normally after the age of 12 years. Special consideration needs to be given to subjects with craniofacial syndromes or handicap in order to develop effective treatment methods to promote as normal growth and occlusal development as possible.
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The tooth most commonly involved in ectopic eruption is the maxillary first permanent molar. Treatment for this aberration of development is described, including a technique using a bonded button to engage the free end of the wire. Use of the appliance was successful.
Ectopic eruption can be defined as a tooth erupting in an abnormal position or orientation. The maxillary first permanent molar is the most commonly affected tooth. Correction of ectopically erupting permanent molars is critical for the development of a stable occlusion and is an important component of interceptive orthodontic treatment. The clinician can choose from a variety of effective treatment modalities to successfully manage ectopically erupting permanent molars.
This report describes a case of combined dental development abnormalities. A patient with a previous ectopically erupted supernumerary maxillary canine presented a new ectopically erupted supernumerary premaxillary tooth with dens invaginatus (Oehlers' type 2) and an aberrant coronal morphology, including a pit in the distal portion of the palatal surface. This tooth would have been diagnosed earlier if a panoramic radiograph had been taken at the first visit 5 months before. This case represents a good example of combined dental development abnormalities, i.e., a numerical anomaly (the supernumerary tooth), an alteration of dental position (the ectopic eruption), an alteration of dental morphology (the aberrant coronal shape), and the invagination. This case highlights the importance of a thorough examination, including complementary radiography, of patients with a dental anomaly.
In the permanent tooth, physiological root resorption does not occur, but inflammatory resorption occurs due to the orthodontic force, ectopic eruption of neighboring tooth and others. In this study, the morphological and histological investigation of the root resorption of the upper permanent incisors caused by the ectopic eruption of the canine was carried out. The left central incisor and lateral incisor from a 12-year-old female were examined. The roots were resorbed almost completely, and in part the resorption extended into the enamel. The results were as follows: 1. In the resorbed dentine, two types of resorption lacuna were observed. One was in direct contact with resorption tissue and the other was repaired with cementum-like tissue. 2. In the resorption lacuna, no odontoclast was recognized. 3. The pulp tissue was normal and the internal resorption was not seen. 4. On the wall of the root canal connected with root resorption, a large amount of hard tissue was formed, and on the external surface of the root, secondary cementum was formed on the primary cementum. 5. Under the scanning electron microscope, the clear dentine tubules in the resorption lacuna, the shallow, unclear resorption lacuna with deposition of the hard tissue and the various steps between them were observed.
Traumatic events at an early age may lead to developmental dental anomalies and ectopic tooth eruption. A case is reported in which a traumatic injury at two months of age resulted in the development of supernumerary teeth in the upper right premaxillary region. The maxillary canine ectopically erupted or transposed into the space left by the missing central incisor and eliminated the need for a prosthesis in this region.
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A case of supernumerary tooth presenting in the nasal cavity is reported. The literature is reviewed for nasal and other unusual ectopic sites of tooth eruption and other possible diagnoses for calcified intranasal masses are discussed.
Eruption of a tooth into a nonoral environs is rare. Ectopic eruption of the tooth into the nasal cavity and chin has been reported before. This is a report of an ectopic third molar tooth in the roof of the maxillary sinus, which has not, to our knowledge, been reported before.
A 17-year-old male presented with a 3-month history of cough associated with right-sided purulent rhinorrhoea and right facial pain. Nasal endoscopy confirmed the presence of mucopus from the right middle meatus. Plain sinus X-ray assessment showed the presence of an ectopic molar in the right anterosuperior aspect of the maxillary sinus entrapped in soft tissue. Surgical removal of the tooth and the diseased antral tissue was undertaken via a Caldwell-Luc procedure with resolution of symptoms.