Multidisciplinary treatment of an impacted tooth in the chin: case report

Abstract

Dental inclusion of the mandibular canine element is uncommon, and treatment of these cases may include preservation, extraction, removal of impaction, or use of orthodontic appliances. In this context, this study aims to report the treatment of a dental element included in the chin region present in a 14-year-old patient. During a consultation for orthodontic purposes, the presence of an impacted tooth in the mental region was diagnosed through a panoramic x-ray. The patient was then referred for treatment with the Oral and Maxillofacial Surgery team at the School of Dentistry of the Federal University of Goias. A cone beam computed tomography was performed, and a dental element (tooth 33) included in the mental region was identified. Due to the patient presenting a high degree of fear and anxiety and being under medical monitoring for cardiac arrhythmia, the treatment chosen was tooth extraction performed under sedation with nitrous oxide, followed by postoperative photobiomodulation therapy to reduce edema and discomfort. During postoperative follow-up, the patient reported positive points regarding conscious sedation and did not report pain or discomfort, in addition to not presenting paresthesia or exacerbated edema in the region. Therefore, multidisciplinary planning and treatment for complex surgical cases benefitted the patient.