Non-syndromic multiple teeth impaction - case report

Abstract

Tooth eruption is а continuous process by which developing teeth move through the soft tissue, oral epithelium, jaw bones and overlying mucosa, to emerge in the oral cavity, contact the teeth of the opposing dental arch, and enable teeth functional position in mastication. Abnormal tissue interactions during tooth development may be potentially revealed as ectopic tooth development, ectopic eruption or tooth impaction. In human dentition, permanent tooth impaction is relatively common. Impaction of the first permanent molar is an uncommon condition and few cases are reported in the literature. It is essential to diagnose and treat the impacted permanent molars as early as possible because treatment at a later stage is usually more complicated due to the tendency of malocclusion to increase with time. We report a case with impaction of the maxillary first permanent molar and impaction of all, maxillary and mandibular permanent second molars. This condition compromise masticatory function. Unilateral mastication also compromises the function of temporomandibular joint. The aim of this case-report was to present orthodontic treatment with Schwartz removable appliance in a patient with maxillary left-side impaction of the second premolar, first molar and second molar. The goal of the first phase was positioning the maxillary first molar into the dental arch with good bone and periodontal support. The surgical intervention, operculectomy, was done and the orthodontic treatment started by traction of the first molar with elastic ligature attached from the bonded bracket to the mobile appliance. One month later the tooth movement was obvious.