Failure of Eruption of First Permanent Molar Teeth: A Diagnostic Challenge

Ankylosis, mechanical and primary failure of eruption of molar teeth are rare and often difficult to distinguish between. All may have significant repercussions on the occlusion and successful management may involve invasive procedures. We present a case where an initial presentation characteristic...

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Bibliographic Details
Published in:Journal of orthodontics 2018-06, Vol.45 (2), p.129-134
Main Authors: Mubeen, Suhaym, Seehra, Jadbinder
Format: Article
Language:English
Subjects:
Dentistry
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Summary:Ankylosis, mechanical and primary failure of eruption of molar teeth are rare and often difficult to distinguish between. All may have significant repercussions on the occlusion and successful management may involve invasive procedures. We present a case where an initial presentation characteristic of mechanical failure of eruption (ankylosis) of a first permanent molar tooth was excluded following a period of monitoring. Subsequent relief of crowding using a removable and then sectional fixed orthodontic appliance allowed spontaneous eruption of the tooth obviating the need for surgical intervention. This case highlights the utilisation of conservative treatment options until a diagnosis was confirmed to minimise the risk of iatrogenic damage and unnecessary treatment.
ISSN:1465-3125
1465-3133
DOI:10.1080/14653125.2018.1462902