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Case Reports
. 2016 Jul-Sep;16(3):303-6.
doi: 10.4103/0972-4052.161572.

Management of a rare case of idiopathic multiple unerupted impacted permanent teeth in an adult female patient

Karunakar Shetty  1 , Mahesh Kumar  1 , Susan Amanna  1 , Srirangarajan Sridharan  2 , Satyanarayan Reddy  3
Affiliations
Case Reports

Management of a rare case of idiopathic multiple unerupted impacted permanent teeth in an adult female patient

Karunakar Shetty et al. J Indian Prosthodont Soc. 2016 Jul-Sep.

Abstract

This clinical case report describes the multi-disciplinary approach in the management of an unusual presentation of idiopathic multiple unerupted impacted permanent teeth in a 20-year-old female patient. The case was unique in that, not only were there multiple missing permanent teeth, but also over retained deciduous teeth and attrited existing permanent teeth with loss of vertical dimension of occlusion. Since the patient was young, it was decided to retain all the erupted permanent teeth and extract the infected deciduous teeth with the objective of fabricating overlay complete dentures. This is a simple, reversible and an economical treatment modality, which satisfies both the esthetic and functional demands where the extraction of teeth is not generally indicated and, in addition, provides a stable occlusion.

Keywords: Impacted teeth; over retained deciduous teeth; overlay complete dentures; unerupted teeth.

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Conflict of interest statement

None.

Figures

Figure 1
Figure 1
(a) Preoperative view,(b) Preoperative orthopantomogram, (c) Preoperative profile
Figure 2
Figure 2
Soft splint to increase the vertical height
Figure 3
Figure 3
Endodontic treatment followed by crown lengthening (maxillary and mandibular first permanent molars)
Figure 4
Figure 4
Metal copings on the maxillary and mandibular first permanent molars
Figure 5
Figure 5
Definitive impressions made with polyvinyl siloxane elastomeric impression material
Figure 6
Figure 6
Finished and polished complete overdentures
Figure 7
Figure 7
Insertion of complete overdentures
Figure 8
Figure 8
(a) Postinsertion follow-up (at 1-year), (b) Postinsertion follow-up (at 2 years)
See this image and copyright information in PMC

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