Presentation Category
Other
Introduction/Context/Diagnosis
This patient presented to the orthodontic clinic with a chief complaint of multiple unerupted teeth in the upper left quadrant and one unerupted tooth in the lower left quadrant. Primary failure of eruption was the suspected diagnoses. The patient was told the teeth would need to be extracted by a previous oral surgeon and came in looking for other options. Due to the nature of primary failure of eruption, orthodontic force applied to the teeth would lead to the teeth being ankylosed. It was proposed to use corticotomy surgery in conjunction with orthodontic treatment to facilitate tooth movement and retrieve the unerupted teeth as well as close the bite on the left side. After surgery where corticotomies were performed as well as extraction of the third molar and second premolar in the upper left quadrant, orthodontic forces were applied utilizing a lower TAD as indirect anchorage to prevent side effects in the lower arch. We were able to successfully retrieve the upper left canine, achieve movement of the upper left premolar, and some slight extrusion of the first molar as well as moving the lower left second molar into position. Unfortunately, the upper left second molar was unsuccessful and needed to be extracted. Due to the lack of extrusion, we were able to achieve with the upper left first molar, we are planning an onlay crown in order to restore the occlusion and function as well as a future implant in the upper left second premolar region. I would like to thank Dr. Oh for her supervision and guidance throughout the case as well as Dr. Lam for his surgical expertise and implementation of the surgical plan and Dr. Al-Wakeel for helping us with the post-orthodontic prosthodontic and restorative plans. I would also like to thank my patient Jessica and her parents for being compliant and for the sacrifices they have made to make all of this possible.
Location
Arthur A Dugoni School of Dentistry, 155 5th St, San Francisco, CA 94103, USA
Format
Presentation
Primary Failure of Eruption: Failure is Not an Option
Arthur A Dugoni School of Dentistry, 155 5th St, San Francisco, CA 94103, USA
This patient presented to the orthodontic clinic with a chief complaint of multiple unerupted teeth in the upper left quadrant and one unerupted tooth in the lower left quadrant. Primary failure of eruption was the suspected diagnoses. The patient was told the teeth would need to be extracted by a previous oral surgeon and came in looking for other options. Due to the nature of primary failure of eruption, orthodontic force applied to the teeth would lead to the teeth being ankylosed. It was proposed to use corticotomy surgery in conjunction with orthodontic treatment to facilitate tooth movement and retrieve the unerupted teeth as well as close the bite on the left side. After surgery where corticotomies were performed as well as extraction of the third molar and second premolar in the upper left quadrant, orthodontic forces were applied utilizing a lower TAD as indirect anchorage to prevent side effects in the lower arch. We were able to successfully retrieve the upper left canine, achieve movement of the upper left premolar, and some slight extrusion of the first molar as well as moving the lower left second molar into position. Unfortunately, the upper left second molar was unsuccessful and needed to be extracted. Due to the lack of extrusion, we were able to achieve with the upper left first molar, we are planning an onlay crown in order to restore the occlusion and function as well as a future implant in the upper left second premolar region. I would like to thank Dr. Oh for her supervision and guidance throughout the case as well as Dr. Lam for his surgical expertise and implementation of the surgical plan and Dr. Al-Wakeel for helping us with the post-orthodontic prosthodontic and restorative plans. I would also like to thank my patient Jessica and her parents for being compliant and for the sacrifices they have made to make all of this possible.
Comments/Acknowledgements
Presentation Category: Residents: Orthodontics