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Interdisciplinary surgical management of multiple retained and impacted teeth in a pediatric patient: a case report
Areli Guadalupe Flores-Carrillo1, Carlos Alberto Zarazúa-González1, Karin Anette Orozco-Varela1
1Department of Integral Dental Clinics, University Center of Health Sciences, University of Guadalajara, Specialty in Pediatric Dentistry (CUCS-UdeG), Sierra Mojada 950, Colonia Independencia Oriente, Guadalajara 44340, Jalisco, Mexico.
Abstract:
Eruption disturbances may generate esthetic, functional, and structural complications in pediatric patients. This report describes a 10-year-old male patient presenting delayed dental eruption, multiple retained and impacted permanent teeth, a supernumerary tooth, and a dentigerous cyst in the mandibular region. Clinical evaluation, panoramic radiography, and cone beam computed tomography revealed severe ectopic positions, risk of root resorption, and mechanical obstructions preventing eruption. A comprehensive single-stage surgical approach was performed under general anesthesia, including extraction of teeth without eruptive potential, cyst enucleation, and surgical exposure of teeth eligible for orthodontic traction. Postoperative evolution was favorable. This case highlights the importance of early diagnosis, three-dimensional planning, and interdisciplinary management to optimize outcomes in complex pediatric tooth retention cases.