Management of Unilateral Multiple Impacted Molars- An Interdisciplinary Approach of a Rare Clinical Case
Correspondence Address :
Dr. S Gopalakrishnan,
Thaimoogambigai Dental College and Hospital, Chennai, Tamil Nadu, India.
E-mail: gopalakrishnan_perio@ymail.com
Impaction of first, second and third molars at once comprise a rare clinical scenario with diverse therapeutic approaches and possess a great challenge for the dentist. Early detection of the eruption disturbances helps to manage and produce optimal outcomes. Here, the authors reported a case of 17-year-old male patient who reported with the chief complaint of pain in his lower left back tooth region with difficulty in mouth opening and chewing that revealed impacted mandibular left first, second and third molar on radiographic investigation. A proper decision making is required to satisfy the patient and also get an effective result. As the patient had severe pain in the left side of the jaw near the angle of the mandible, surgical removal of the impacted molars was planned and performed using extra oral submandibular approach. Following the removal of the teeth, implants were placed in the extracted site supported by bone graft material and fixed orthodontic appliance therapy was carried out to correct the supraerupted upper molars on the left side and arch expansion screw with upper Hawley’s appliance was given to expand the maxillary arch to aid in appropriate occlusion. Restoration of the implant was done after one year of orthodontic treatment using ceramic crowns. The combined surgical, orthodontic and periodontal interdisciplinary approach helped the patient to gain proper occlusion and satisfactory masticatory function.
Dental implants, Multidisciplinary approach, Occlusion correction, Surgical extraction, Transalveolar management, Unerupted teeth
10.7860/JCDR/2021/49901.15372
Date of Submission: Apr 14, 2021
Date of Peer Review: Jul 05, 2021
Date of Acceptance: Jul 30, 2021
Date of Publishing: Sep 01, 2021
AUTHOR DECLARATION:
• Financial or Other Competing Interests: None
• Was informed consent obtained from the subjects involved in the study? Yes
• For any images presented appropriate consent has been obtained from the subjects. Yes
PLAGIARISM CHECKING METHODS:
• Plagiarism X-checker: Apr 15, 2021
• Manual Googling: Jul 21, 2021
• iThenticate Software: Aug 19, 2021 (15%)
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