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PRIMARY TOOTH IMPACTION : A CASE REPORT

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Abstract

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The term impaction is defined as a tooth has failed to erupt into normal position
beyond the time usually expected for such appearance. Most of the cases of unerupted
and impacted teeth reported in the literature are of permanent teeth. Pindborg stated
that failure of a primary tooth to erupt occurs rarely. Impactions of mandibular primary
second molars, however, are as numerous as all other primary impactions combined.
Eearly detection of impaction is necessary during periodic oral examination and also
radiographic examination and proper management is needed, because impaction of
primary tooth may lead to obstruction of successive permanent tooth, space loss, and
cystic change of tooth follicle. In these cases, 5 cases of primary teeth impaction are
presented. Impaction teeth of each cases are maxillary primary incisor, maxillary and
mandibular second primary molar, mandibular first primary molar.
Following results were achieved by these cases:
1. In this cases, the cause of primary tooth impaction are abnormal eruption path,
odontoma and fibrotic gingiva.
2. In this cases, impactions of primary tooth results in eruption problem of successive
permanent tooth and failure of space maintenance.
3. Proper treatment plan should be established after through consideration of impacted
tooth and it¡¯s relation with successive permanent tooth, and periodic examination and
proper treatment about successive permanent tooth and eruptive condition is needed.

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