Opis skutecznego leczenia przypadku częściowej reinkluzji pierwszego zęba trzonowego górnego stałego w dziesięcioletniej obserwacji

Abstract

Infraocclusion is a slow and usually painless process where the tooth submerges into the gum and alveolar bone of the maxilla or mandible. The process is extremely rare in permanent dentition. The aetiology of the process is not fully understood. Several theories have been proposed to explain the phenomenon of infraocclusion. Treatment of mild to moderate infraocclusion includes observation and restoration of occlusal height with a composite or ceramic onlay. If the process is more advanced, surgical and orthodontic intervention is indicated, with luxation and orthodontic extrusion. The aim of this paper is to present the long-term treatment outcome in a patient with a partially infraoccluded maxillary right first molar over a 10-year follow-up period. The patient, 12-year-old female with infraoccluded permanent molar tooth. Treatment: restore crown height with a composite onlay to bring it into the occlusal line.Findings at 1-month and 6-month follow-up included proper occlusal contacts and no signs of further submergence. The patient subsequently came in for a follow-up at 2 years, 5 years and 10 years post-treatment, when proper occlusal contacts were observed, too. In the light of the present case report, it is recommended to follow a conservative approach to the treatment of infraocclusion, to the extent possible.