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Management of unilaterally impacted multiple posterior teeth: a case report
Pawanjit Singh Walia1, Sushil Kumar2, Anu Singla2
1Department of Orthodontics and Dentofacial Orthopedics, PDM Dental College and Research Institute Sarai Aurangabah, Bahadurgarh, Haryana, India. pawanjitwalia@yahoo.in
Australian Orthodontic Journal
|January 2, 2014
Summary
Orthodontic treatment successfully managed multiple impacted posterior teeth, correcting open bites and restoring function without the need for implants. This case highlights effective orthodontic mechanics for complex impaction scenarios.
Area of Science:
- Dentistry
- Orthodontics
Background:
- Multiple impacted posterior teeth present a rare orthodontic challenge, potentially causing posterior open bites and impaired function.
- This case involves impaction of a maxillary second premolar, mandibular premolars, and mandibular first and second molars.
Observation:
- The study details the orthodontic management of multiple impacted posterior teeth on the right side.
- Treatment involved guiding premolars into occlusion and uprighting molars using specific orthodontic appliances.
Findings:
- Orthodontic traction successfully guided premolars and uprighted molars, achieving an acceptable occlusion and Class I molar relationship.
- The treatment resolved the impaction issue, restored normal function, and maintained healthy periodontium within 24 months.
- Miniscrews for absolute anchorage were not required due to minimal anchorage demands.
Implications:
- Orthodontic treatment can effectively resolve complex cases of multiple impacted posterior teeth.
- This approach avoids the need for prosthetic replacements, offering a conservative and functional outcome.
