Article Data

  • Views 2776
  • Dowloads 165

Case Reports

Open Access

Endodontic management of an impacted premolar

  • Virginia Karapanou1,*,

1Department of Endodontics, Tufts University School of Dental Medicine, One Kneeland Street. Boston, MA 02111

DOI: 10.17796/jcpd.29.4.2h1234j426p8qh21 Vol.29,Issue 4,October 2005 pp.293-298

Published: 01 October 2005

*Corresponding Author(s): Virginia Karapanou E-mail: Virginia.karapanou@tufts.edu

Abstract

This report demonstrates a simple endodontic solution to an interdisciplinary case of a patient with multiple gene deficiencies. An adolescent patient presented with an impacted premolar that could not be extracted due to high-risk conditions. A suspicious degree of radiolucency around the crown was clinically diagnosed as dentigerous cyst. The treatment dilemma and implementation are discussed. This case report offers a different treatment option for impacted teeth when significant differential diagnosis of a pericoronal lesion dictates treatment.


Cite and Share

Virginia Karapanou. Endodontic management of an impacted premolar. Journal of Clinical Pediatric Dentistry. 2005. 29(4);293-298.

References

1. Kramer RM,Williams AD. The incidence of impacted teeth. Oral Surg Oral Med Oral Pathol 29: 237-41, 1970.

2. Kokich VG, Mathews DP. Surgical and orthodontic management of impacted teeth. Dent Clin North Am 37: 181-204, 1993.

3. Lytle JJ. Indications and contraindications for removal of the impacted tooth. Dent Clin North Am 23: 333-46, 1979.

4. Frank AL, Glick DH, Patterson SS, Weine FS. Long-term evalu-ation of surgically placed amalgam fillings. J Endodont 16: 528-33, 1990.

5. Curran AE, Damm DD, Drummond JF. Pathologically signifi-cant pericoronal lesions in adults: Histopathologic evaluation. J Oral Maxil Surg 60: 613-17, 2002.

6. Pearsall N, Bhattacharya G, Wisecarver J, Adams J, Cosgrove D, Kimberling WJ. Usherin expression is highly conserved in mousse and human tissues. Hear Res 174: 55-63, 2002.

7. Otterstedde CR, Spandau U, Blankenagel A, Kimberling WJ, Reisser C. A new clinical classification for Usher’s syndrome based on a new subtype of Usher’s syndrome type I. Laryngoscope 111: 84-6, 2001.

8. Marietta J, Walters KS, Burgess R, Ni L, Fukushima K, Moore KC, Hejtmancik JF, Smith RJ. Usher’s syndrome type IC: clinical studies and fine-mapping the disease locus. Ann Otol Rhinol Laryngol 106: 123-8, 1997.

9. Samuelson S, Zahn J. Usher’s Syndrome. Opthalmic Paediatr Genet 11: 71-6, 1990.

10. Slavkin HC. Molecular biology experimental strategies for cran-iofacial-oral-dental dysmorphology. Connect Tissue Res 32: 233-9, 1995.

11. Simmer JP, Hu JC. Dental enamel formation and its impact on clinical dentistry. J Dent Educ 65: 896-905, 2001.

12. Aldred MJ, Crawford PJ. Molecular biology of hereditary enam-el defects. Ciba Found Symp 205: 200-5, 1997.

13. Deutsch D, Palmon A, Dafni L, Mao Z, Leytin V, Young M, Fisher LW. Tuftelin-aspects of protein and gene structure. Eur J Oral Sci 106: 315-23, 1998.

14. Farah CS, Savage NW. Pericoronal radiolucencies and the signif-icance of early detection. Aust Dent J 47: 262-5, 2002.

15. Daley TD, Wysocki GP. The small dentigerous cyst: A diagnostic dilemma. Oral Surg Oral Med Oral Pathol 79: 77-81, 1995.

16. Al-Talabani NG, SmithCJ. Experimental dentigerous cysts and enamel hypoplasia: their possible significance in explaining the pathogenesis of human dentigerous cysts. J Oral Pathol Med 9: 82- 91, 1980.

17. Frank CA. Treatment options for impacted teeth. JADA 131: 623- 32, 2000.

18. Miyawaki S, Hyumoto M, Tsubouchi J, Kirita T, Sugimura M. Eruption speed and rate of angulation change of a cyst-associat-ed mandibular second premolar after marsupialization of a dentigerous cyst. Am J Orthod Dentofacial Orthop 116: 578-84, 1999.

19. Clark CA. A method of ascertaining the position of unerupted teeth by means of film radiographs. Proceedings of the Royal Society of Medicine (Odontological section) 3: 87-90, 1909.

20. Hitchin AD. The impacted maxillary canine. Dental Practitioner. 2: 100-3, 1951.

21. Lecomber AR, Yoneyama Y, Lovelock Dj, Hosoi T, Adams AM. Comparison of patient dose from imaging protocols for dental implant using conventional radiography and computed tomogra-phy. Dentomaxillofac Radiol 30: 255-9, 2001.

22. Fournier A, Turcotte J, Bernard C. Orthodontic consideration in the treatment of maxillary impacted canines. Am J Orthod 81: 236- 9, 1982.

23. Vanarsdall RL, Corn H. Soft-tissue management of labially posi-tioned unerupted teeth. Am J Orthod 72: 53-64, 1977.

24. Frank AL, Glick DH, Patterson SS, Weine FS. Long-term evalu-ation of surgically placed amalgam fillings. J Endodont 16: 528-33, 1990.

25. Hauman CHJ, Love RM. Biocompatibility of dental materials used in contemporary endodontic therapy: a review. Part 2. Root-canal-filling materials. Inter Endo J 36: 147-160, 2003.

26. Torabinejad M, Smith PW, Kettering J, Pitt Ford TR. Comparative investigation of marginal adaptation of Mineral Trioxide Aggregate and other commonly used root-end filling materials. J Endo 21: 295-99, 1995.


Submission Turnaround Time

Top