failure to erupt

23 Rating(s).


Posted on By manu tandon In Orthodontics

Patient is 8 yrs old, had received a traumatic blow 1 year back, the left central incisor is still not visible in the oral cavity, seems to be partially impacted, the right central is on its way.
There appears to be occlusion of the pulp cavity with dilaceration of the un erupted central incisor
Please advice. will forced eruption be of any help?

opg

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1 Comments

A CBCT would be helpful to confirm there are no entities(supernumerary or odontoma) blocking the eruption. The history of trauma and the radiopacity of the pulp space (chamber/canal) are of concern and may indicate the tooth will not continue to develop the apical third of the root . The CBCT will also determine if the pulpal tissue is actually calcified. The tooth can be exposed, mobilized to overcome a possible ankylosis (which is what I suspect is the cause of the delayed eruption)and the a bracket with chain bonded to facilitate the eruption of the tooth. Even if the root does not continue to develop the shortened root would be adequate to support the central incisor in function.


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