Failure of eruption of first permanent molar teeth: a diagnostic challenge

TY - JOUR

T1 - Failure of eruption of first permanent molar teeth

T2 - a diagnostic challenge

AU - Mubeen, Suhaym

AU - Seehra, Jadbinder

PY - 2018/6

Y1 - 2018/6

N2 - Ankylosis, mechanical and primary failure of eruption of molar teeth are rare and often difficult to distinguish between. All may have significant repercussions on the occlusion and successful management may involve invasive procedures. We present a case where an initial presentation characteristic of mechanical failure of eruption (ankylosis) of a first permanent molar tooth was excluded following a period of monitoring. Subsequent relief of crowding using a removable and then sectional fixed orthodontic appliance allowed spontaneous eruption of the tooth obviating the need for surgical intervention. This case highlights the utilisation of conservative treatment options until a diagnosis was confirmed to minimise the risk of iatrogenic damage and unnecessary treatment.

AB - Ankylosis, mechanical and primary failure of eruption of molar teeth are rare and often difficult to distinguish between. All may have significant repercussions on the occlusion and successful management may involve invasive procedures. We present a case where an initial presentation characteristic of mechanical failure of eruption (ankylosis) of a first permanent molar tooth was excluded following a period of monitoring. Subsequent relief of crowding using a removable and then sectional fixed orthodontic appliance allowed spontaneous eruption of the tooth obviating the need for surgical intervention. This case highlights the utilisation of conservative treatment options until a diagnosis was confirmed to minimise the risk of iatrogenic damage and unnecessary treatment.

U2 - 10.1080/14653125.2018.1462902

DO - 10.1080/14653125.2018.1462902

M3 - Article

C2 - 29659339

SN - 1465-3125

VL - 45

SP - 129

EP - 134

JO - Journal of Orthodontics

JF - Journal of Orthodontics

IS - 2

ER -