International Journal of Research and Reports in Dentistry

Severe Impaction of the Primary Maxillary Second Molar Along with Horizontal Impaction of the Permanent First Premolar - A Rare Case Report

Sonal Gupta

Department of Pediatric and Preventive Dentistry, K.D Dental College and Hospital, Mathura, India.

Simran Isha *

Department of Pediatric and Preventive Dentistry, K.D Dental College and Hospital, Mathura, India.

Neha Lal

Department of Pediatric and Preventive Dentistry, K.D Dental College and Hospital, Mathura, India.

Utkarsh Singh

Department of Pediatric and Preventive Dentistry, K.D Dental College and Hospital, Mathura, India.

*Author to whom correspondence should be addressed.

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Abstract

Aim: The purpose of this case report is to present a case of a totally impacted maxillary second molar and horizontally impacted first premolar.

Background: Impaction of deciduous teeth is an uncommon event. Various factors which lead to the impaction of a deciduous tooth include ankylosis, congenitally missing permanent teeth, defects in periodontal membrane, trauma, defects in eruptive forces or a combination of all these factors.

Report: A 12-year-old male patient reported to the department with a chief complaint of pain in the upper left back teeth region. On clinical examination, first premolar tooth was missing. Panoramic and maxillary occlusal radiographs revealed a horizontally impacted first premolar close to the inferior wall of the maxillary sinus and a vertically impacted second deciduous molar embedded within bone close to the inferior wall of the maxillary sinus between 2^nd premolar and 1^st permanent molar.

Conclusion: The complete impaction of deciduous teeth is a rare condition and very few cases have been reported in the literature. This case reports a totally impacted maxillary second deciduous molar along with a horizontally impacted 1^st premolar tooth and its surgical management.

Keywords: Teeth, maxillary occlusal radiograph, maxillary sinus, ankylosis

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