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Multiple bilateral impactions in an adolescent girl
Giliana Clauser Zuccati1, Tiziana Doldo
1Department of Orthodontics, University of Siena, Siena, Italy. gilzuccati@libero.it
Summary
This case study details successful surgical and orthodontic treatment for a 14-year-old with 12 impacted permanent teeth. Early detection and intervention led to good esthetic and periodontal outcomes for this rare eruption disturbance.
Area of Science:
- Dentistry
- Orthodontics
- Oral Surgery
Background:
- Multiple impacted teeth, particularly permanent canines and premolars, represent a rare dental anomaly.
- Complete root formation with closed apices in impacted teeth necessitates specific management strategies.
Observation:
- A 14-year-old patient presented with non-erupted permanent canines and premolars.
- No underlying genetic or endocrine disorders, nor primary failure of eruption syndrome, were identified.
Findings:
- Surgical and orthodontic treatment, utilizing traction on five strategic teeth, successfully facilitated the eruption of all 12 impacted teeth.
- The treatment achieved favorable esthetic and periodontal results, confirmed by patient satisfaction and clinical probing two years post-treatment.
Implications:
- Early detection and comprehensive surgical-orthodontic management are crucial for addressing multiple impacted teeth.
- This approach can yield significant improvements in patient satisfaction and long-term oral health outcomes.
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