Interceptive correction of a deranged occlusion

Abstract

Infra-occluded deciduous molars can pose a great challenge to clinicians. The management and treatment of a severely infra-occluded tooth often requires a multidisciplinary team (MDT) approach. This case report demonstrates the effective management of a 7-year-old girl who presented with a severely infra-occluded maxillary deciduous second molar. It highlights the importance of early diagnosis and appropriate intervention to help prevent further disruption to a patient's occlusal development. Following removal of the submerging deciduous molar, an upper sectional (2x4) fixed appliance was used to recreate sufficient space for the developing premolars and correct the occlusal discrepancies caused as a result of the infra-occlusion. CPD/Clinical Relevance: A novel approach to managing an infra-occluded deciduous molar and correcting the associated space loss due to its submergence is described and the benefits of early MDT intervention are highlighted.