Management of Unilateral Multiple Impacted Molars- An Interdisciplinary Approach of a Rare Clinical Case
Impaction of first, second and third molars at once comprise a rare clinical scenario with diverse therapeutic approaches and possess a great challenge for the dentist. Early detection of the eruption disturbances helps to manage and produce optimal outcomes. Here, the authors reported a case of 1...
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| Autores principales: | , , , , |
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| Formato: | article |
| Lenguaje: | EN |
| Publicado: |
JCDR Research and Publications Private Limited
2021
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| Materias: | |
| Acceso en línea: | https://doaj.org/article/11e8aaf23c274ecbbf43d82b185f2b64 |
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| Sumario: | Impaction of first, second and third molars at once comprise a rare clinical scenario with diverse therapeutic approaches and
possess a great challenge for the dentist. Early detection of the eruption disturbances helps to manage and produce optimal
outcomes. Here, the authors reported a case of 17-year-old male patient who reported with the chief complaint of pain in his lower
left back tooth region with difficulty in mouth opening and chewing that revealed impacted mandibular left first, second and third
molar on radiographic investigation. A proper decision making is required to satisfy the patient and also get an effective result.
As the patient had severe pain in the left side of the jaw near the angle of the mandible, surgical removal of the impacted molars
was planned and performed using extra oral submandibular approach. Following the removal of the teeth, implants were placed in
the extracted site supported by bone graft material and fixed orthodontic appliance therapy was carried out to correct the supraerupted upper molars on the left side and arch expansion screw with upper Hawley’s appliance was given to expand the maxillary
arch to aid in appropriate occlusion. Restoration of the implant was done after one year of orthodontic treatment using ceramic
crowns. The combined surgical, orthodontic and periodontal interdisciplinary approach helped the patient to gain proper occlusion
and satisfactory masticatory function. |
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