Idiopathic multiple impacted unerupted teeth: Case report and discussion

Sujatha, GP; Sivapathasundharam, B; Sivakumar, G; Nalinkumar, S; M, Ramasamy; Prasad, T Srinivasa

doi:10.4103/0973-029x.92989

Cited by 19 publications

(22 citation statements)

References 9 publications

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“…Impaction of the incisors is relatively rare compared to the other teeth and when present the cause is often a retained decidous tooth or the presence of another abnormality like an odontoma [8-10]. Multiple impactions are in most instances seen in association with some syndromes such as cleidocranial dysostosis, Gardner’s syndrome, Gorlin-Sedano syndrome and Yunis-Varon syndrome [11-15]. A case of impactions of primary teeth which is generally rare was reported, however, this was associated with tooth agenesis in a monozygous twin [16].…”

Section: Introductionmentioning

confidence: 99%

Pattern of occurrence and treatment of impacted teeth at the Muhimbili National Hospital, Dar es Salaam, Tanzania

2013

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BackgroundImpacted teeth predispose to periodontal disease and dental caries of adjacent teeth resulting in pain, discomfort and loss of function. This study analyzed the pattern of occurrence of impacted teeth, associated symptoms, treatment and complications of treatment in patients who presented at the Muhimbili National Hospital, Tanzania.MethodThis was a crossectional descriptive study which utilized notes and x rays of patients who were treated for impacted teeth at the Oral and Maxillofacial firm in Muhimbili National Hospital over five years, from January 2005 to August 2010. These records were retrieved and examined for the major complaint of the patient at presentation to hospital, demography, impacted tooth, type of impaction (for third molars), treatment offered and complications after treatment. Similar information was collected from all patients with impacted teeth attended in the same centre from 1st September 2010 to 31st August 2011.ResultsA total of 896 patients (496 males and 400 females) treated for complaints related to impacted teeth were recorded. The male to female ratio was 1.2:1, age range of 16 to 85 years and a mean age of 28.9 years (SD = 9.5).Slightly more than 84% of the patients presented with mandibular third molar impactions. Most (44.7%) of these patients had an impacted lower right third molar followed by those presenting with a lower left third molar impaction (39.7%). In 1.3% of the patients all the four third molars were impacted. Sixty nine (7.7%) patients had impacted upper 3rd molars while 2% had impacted upper canines. Of the mandibular 3rd molar impactions 738 (76%) were mesio-angular type, 87 (8.9%) horizontal type and 69 (7.1%) disto-angular.Patients presented with a variety of complaints. About 85% of the patients presented to hospital due to varying degrees of pain. In 4.9% the detection of the impacted tooth/teeth was coincidental after presenting to hospital for other reasons not related to the impaction.Majority of the patients with impacted mandibular third molars had carious lesions on the impacted teeth, neighbouring tooth or both. Four hundred and five (45.2%) patients had a carious lesion on one of the impacted teeth while 201(22.4%) patients had a carious lesion on the adjacent second molar. In 122 (13.6%) patients both the impacted third molar and the adjacent second molar were carious. In twelve patients who presented with a main complaint of fracture of the angle of the mandible there was an associated impacted 3rd molar. Eight hundred and fifteen (91%) patients with impacted teeth were treated by surgical removal. Among these only 15 (1.8%) had complications that ranged from excessive swellings, trismus and severe pain post operatively. One patient was reported to have fracture of the angle of the mandible sustained during surgical removal of an impacted 48.ConclusionsThe majority of patients with impacted teeth were young with an almost equal sex distribution. The most commonly impacted teeth were mandibular third molars followed by the maxillary third...

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Section: Introductionmentioning

confidence: 99%

Pattern of occurrence and treatment of impacted teeth at the Muhimbili National Hospital, Dar es Salaam, Tanzania

2013

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“…[34567] The clinical and radiographic examinations of our case revealed relatively normal jaws and oral soft tissues.…”

Section: Discussionmentioning

confidence: 93%

“…The clinical spectrum of tooth eruption disorders includes both syndromic and non-syndromic problems ranging from delayed eruption to a complete failure of eruption. [3456]…”

Section: Discussionmentioning

confidence: 99%

A 25-year-old man with 50 teeth: Astonishing but true!!

Bhatia¹,

Jain²,

Bhatia³

et al. 2013

J Nat Sc Biol Med

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Retained primary teeth is a well-known process but multiple retained primary, permanent, and supernumerary teeth that too in an asymptomatic, non-syndromic patient is a rare possibility that has rarely been reported in literature. This case report discusses the clinical and radiographic details along with treatment options in a 21-year-old patient having a total number of 50 teeth, i.e., 16 retained primary teeth, 32 permanent teeth, and 2 supernumerary teeth without being associated with any known syndrome complex or metabolic disorder.

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“…Metabolic disorders like vitamin D deficiency rickets are also associated with impacted teeth. 6 An accurate diagnosis may be obtained after thorough clinical and radiographic examinations.…”

Section: 5005/jp-journals-10022-1044mentioning

confidence: 99%

“…Multiple impacted teeth are usually present in syndromes are cleidocranial dysostosis, Gardners syndrome, Gorlin-Sedano syndrome and YunisVaron syndrome. 6 In the case of hormonal disorders hypothyroidism, hypoparathyroidism, and pseudohypoparathyroidism are to be considered. Metabolic disorders like vitamin D deficiency rickets are also associated with impacted teeth.…”

Section: 5005/jp-journals-10022-1044mentioning

confidence: 99%

Guiding Unerupted Teeth using Lasers: Review and Case Series

Suganthan¹,

Silas²

2013

International Journal of Laser Dentistry

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When the teeth do not erupt at the expected time, it is crucial for the clinician to determine the etiology and formulate an appropriate treatment plan. This case series describes the use of diode lasers in guiding the eruption of unerupted central incisor into occlusion during the mixed dentition stage. Traditional methods of removing fibrotic gingiva overlying unerupted teeth using scalpels or electrosurgery may produce postoperative discomfort and prolonged healing. Lasers provide a simple and safe alternative for children while at the same time reducing the chances of infection, swelling, discomfort, and scaring, besides fear and anxiety, common symptoms related to this specific group in surgical procedures.

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Idiopathic multiple impacted unerupted teeth: Case report and discussion

Cited by 19 publications

References 9 publications

Pattern of occurrence and treatment of impacted teeth at the Muhimbili National Hospital, Dar es Salaam, Tanzania

Pattern of occurrence and treatment of impacted teeth at the Muhimbili National Hospital, Dar es Salaam, Tanzania

A 25-year-old man with 50 teeth: Astonishing but true!!

Guiding Unerupted Teeth using Lasers: Review and Case Series

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