Abstract
This article reports on a case presenting to a university dental hospital. We encourage readers to assess and develop their own management plan. Potential options and the treatment carried out are discussed.
References
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Diagnostic Dilemmas: Case Presentation
From Volume 14, Issue 4, October 2021 | Pages 223-227
Article
This article reports on a case presenting to a university dental hospital. We encourage readers to assess and develop their own management plan, but we discuss potential options and the treatment carried out.
The patient was referred by a specialist orthodontist regarding concerns relating to developmentally absent maxillary lateral incisors and an impacted lower left second premolar (LL5). The patient disliked the spaces between her upper teeth and was aware of a ‘stuck’ tooth. She was medically fit and well, and there was no relevant dental history.
The patient was 12 years old and she presented with a Class I malocclusion on a skeletal I pattern with average vertical proportions. The malocclusion was complicated by hypodontia of UR2 and UL2, carious retained LLE and delayed development and horizontal lingually impacted LL5 (Figure 1).
An orthopantomogram (OPG) confirmed absence of the maxillary lateral incisors (Figure 2). The LL5 appeared diminutive with reduced root formation. The crown was lying horizontally, and pointing distally. There appeared to be no evidence of root resorption on the LLE; however, there was a radiolucency associated with its relation to LL6, suggesting possible mesial root resorption. A CBCT was taken to facilitate orthodontic and surgical treatment planning. Axial and sagittal views of the CBCT are shown in Figure 3. The CBCT report is summarized as follows:
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