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Foreign body in a mandibular permanent molar--a case report.
A R Prabhakar1, N Basappa, O S Raju
1Dept. of Pedodontics & Preventive Dentistry, Bapuji Dental College & Hospital, India.
Summary
A school screening revealed a unique, screw-shaped foreign object in a boy's molar pulp chamber. The object could not be retrieved, leading to planned extraction of the tooth.
Area of Science:
- Pediatric Dentistry
- Dental Traumatology
- Oral and Maxillofacial Surgery
Background:
- School screening programs are crucial for early detection of dental anomalies.
- Foreign objects in the oral cavity can lead to significant dental pathology.
- The pulp chamber of permanent teeth can be affected by unusual intrusions.
Observation:
- A thirteen-year-old male presented with a grossly destroyed left mandibular first permanent molar.
- Radiographic evaluation identified a radio-opaque, screw-shaped foreign object within the pulp chamber.
- The foreign object was lodged deeply, posing a challenge for non-surgical retrieval.
Findings:
- The presence of a screw-shaped foreign body in the pulp chamber is a rare occurrence.
- Attempted retrieval of the foreign object from the pulp chamber proved unsuccessful.
- The extensive destruction necessitated a treatment plan involving extraction of the affected molar.
Implications:
- This case highlights the importance of thorough examination during school dental screenings.
- Understanding the potential for unique foreign body presentations is vital for pedodontists.
- Management strategies for deeply embedded foreign objects in teeth require careful consideration.