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Eruption Guidance of Horizontally Impacted Permanent First Molar with Primary Retention of Primary Second Molars: Case Reports

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À±°¡¶÷ ( Yoon Ga-Ram ) - Chosun University School of Dentistry Department of Pediatric Dentistry
À̳­¿µ ( Lee Nan-Young ) - Chosun University School of Dentistry Department of Pediatric Dentistry
ÀÌ»óÈ£ ( Lee Sang-Ho ) - Chosun University School of Dentistry Department of Pediatric Dentistry
Áö¸í°ü ( Jih Myeong-Kwan ) - Chosun University School of Dentistry Department of Pediatric Dentistry

Abstract


Tooth eruption involves a complex developmental process of tooth migration from the dental follicular origin to the final occlusion position in the oral cavity via the alveolar process. Disturbance of tooth eruption can occur at any point in a series of eruption stages; however, horizontal impaction of the mandibular first molar and primary retention of the primary mandibular second molar are rarely observed simultaneously. This study describes the treatment for two cases of horizontally impacted first molar with primary retention of primary molar. The primary retention of the primary mandibular second molar was extracted, and orthodontic traction was applied to the horizontally impacted primary mandibular first molar. Subsequently, displacement of the premolar tooth bud was improved and space regaining for eruption was achieved, guiding to normal eruption of the first molar.

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Horizontal impaction; Primary retention; Eruption guidance; Permanent first molar; Primary second molar

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