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Transmigrated and Impacted Upper 2nd Premolar Associated with Dentigerous Cyst.
1Dr Arifur Rahman, Professor and Head, Department of Prosthodontics, Dental Unit, Holy Family Red Crescent Medical College & Hospital (HFRCMC&H), Dhaka, Bangladesh.
Mymensingh Medical Journal : MMJ
|February 14, 2019
Summary
A rare case of a transmigrated and impacted left maxillary second premolar was found in a 45-year-old male, associated with a dentigerous cyst. Surgical removal of the cyst and tooth successfully resolved the patient's pain.
Area of Science:
- Dentistry
- Oral and Maxillofacial Surgery
- Radiology
Background:
- A 45-year-old male presented with pain in the right palatal premolar region.
- Clinical examination revealed the absence of the upper left second premolar.
- No other oral pathologies were detected.
Observation:
- Palpation identified a soft area on the right palatal side.
- Intraoral periapical radiography showed an impacted left second maxillary premolar.
- A radiolucent area, indicative of a cyst, encircled the impacted tooth's crown.
Findings:
- The case presented a rare instance of a transmigrated and impacted left second maxillary premolar.
- This condition was associated with a dentigerous cyst.
- Radiographic evidence confirmed the impaction and cystic changes.
Implications:
- Successful surgical management involved enucleation of the dentigerous cyst and extraction of the impacted premolar.
- This case highlights the importance of radiographic examination for diagnosing rare dental anomalies.
- Early diagnosis and treatment are crucial for managing impacted teeth and associated cysts to prevent complications.
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