Interceptive management of ectopically erupting central incisor - A case report

Area of Science:

• Pediatric Dentistry
• Oral Pathology
• Developmental Biology

Background:

• Radicular cysts are uncommon in primary dentition, accounting for only 0.5%-3.3% of all radicular cysts.
• Ectopic eruption, a disturbance in tooth eruption, affects 5.6% of children, predominantly permanent central incisors.
• Common causes of eruption disturbances include odontomas, cysts, supernumerary teeth, and crown-root malformations.

Observation:

• This case report details a rare instance of ectopic eruption of a permanent central incisor in a 9-year-old girl.
• The ectopic eruption was linked to a radicular cyst originating from a traumatized primary incisor.
• Clinical features and the diagnostic process for this rare condition were documented.

Findings:

• The study highlights the infrequent occurrence of radicular cysts in primary teeth and their potential to cause ectopic eruption of permanent successors.
• Successful management involved a multidisciplinary approach, emphasizing timely interception.
• The case underscores the importance of recognizing and addressing rare etiological factors in dental eruption disturbances.

Implications:

• This case provides valuable insights into the diagnosis and management of a rare dental anomaly, contributing to the understanding of eruption disturbances.
• It emphasizes the need for vigilant clinical examination and prompt intervention in pediatric dental cases presenting with unusual eruption patterns.
• The findings support the integration of various dental specialties for optimal patient outcomes in complex pediatric dental cases.