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Endodontic management of an impacted premolar
1Department of Endodontics, Tufts University School of Dental Medicine, Boston, MA 02111, USA. Virginia.karapanou@tufts.edu
The Journal of Clinical Pediatric Dentistry
|September 16, 2005
Summary
This case report details a simple endodontic treatment for an impacted tooth in an adolescent with multiple gene deficiencies and a dentigerous cyst. It presents an alternative approach for impacted teeth with pericoronal lesions in high-risk patients.
Area of Science:
- Endodontics
- Oral Surgery
- Genetics
Background:
- Interdisciplinary management of complex dental cases is crucial.
- Impacted teeth in patients with underlying health conditions present unique challenges.
- Dentigerous cysts require careful diagnosis and treatment planning.
Observation:
- An adolescent patient with multiple gene deficiencies presented with an impacted premolar.
- A radiolucent lesion around the impacted tooth was diagnosed as a dentigerous cyst.
- Extraction was deemed high-risk due to the patient's genetic conditions.
Findings:
- A conservative endodontic approach was successfully implemented for the impacted premolar.
- This endodontic solution addressed the impacted tooth and pericoronal lesion.
- The treatment avoided high-risk surgical extraction.
Implications:
- This case highlights endodontics as a viable alternative for managing impacted teeth in medically compromised patients.
- It offers a novel treatment option for impacted teeth with associated pericoronal lesions.
- Successful interdisciplinary care can be achieved even in complex genetic syndromes.