A female patient who is 10 years old.. Her 21 is nstill not erupted . On examination found a small tooth which is about to erupt. All her premolars erupted. Still 7s are on erupting stage. Please suggest what is the diagnosis and treatment plan..
Iopa is not possible , opg did not give a clear picture . I find two major answers here - mesiodens and odontome. Dear colleagues - mesiodens will be seen Inbetween two incisors , plus it morphological size won't be that of what I see in opg. Concluding the size ., it should be a odontome or two structures present Bucco- palatally over lapping ., a saggital study with cbct Wil reveal a blueprint (do one if ur Center has- now to decide on treatment u hav no choice ) if odontome - surgical removal followed by chin bone graft I'd defect warrants or simple closure later bridge or implant. If two structures are present - remove the possible Buccal altered teeth and start orthodontics accordingly later to bring 21 into occlusion .
Wait & watch.
Odontoma Mesiodens Extraction Space maintainers Iopa 21 Opg Ortho treatment
kindly take a rvg iopar of the region. it seems a mesiodens may require extraction of supernumerary teeth and exposure of central many encourage eruption, or else orthodontic intervention may be needed to facilitate eruption
An IOPA of the upper anterior region plus a true occlusal film would help in diagnosing what the radiopacity is and would also help in locating it. If it is a mesiodens then extraction followed by a Maryland bridge or Hollywood bridge can be done until jaw growth is complete and then an FPD or implant can follow.
Looking at the anatomy from the opg, seems it might be a compound odontoma >> mesiodens.. in any case we need a proper iopa to see if it can survive even if orthodontically extruded.. if not, extraction followed by prosthesis would be the best option..
it's not very clear in old iopa would be better. there may be mesiodens or severe dilaceration central incisor root. please post iopa to get better picture
May b mesiodens opg is nt tht clear Better to do a rvg or iopa As per now d trt is retraction of 21 by ortho
It can be a odontome also common in upper anterior region
Hello mam, In OPG it's Not clear mam and it may be an Odontome mam and it would be better to take an IOPA of area and proceed with treatment mam
Cases that would interest you
- Login to View the image
An 8 year òld male child was brought with complaints of non erruption of upper central incisor. Ño other complaint. Discuss..
Dr. Mohan Kundal6 Likes19 Answers - Login to View the image
swelling in lower jaw...what are the possibilities??
Dr. Vinay Gupta4 Likes19 Answers - Login to View the image
40 year male rt supraclavicular swelling lymph node enlargement ..fnac was done ..hive ur comments for cytological smear
Dr. Arvindra Rahul3 Likes21 Answers - Login to View the image
hello doctors please help me in daignosis and treatment of affected 46 .pt had pain in her teeth and wants to extract .in this iopa two substance are root apex of 46 in which one is a tooth erupting below distal root but what is the other one at mesial root apex, is it a osteoma or other thing , please send ur expert advice. can we extract the single affected 46.
Dr. Mukesh Jat0 Like17 Answers - Login to View the image
Pt complaint of pain in the right lower back tooth region since a month ... Presented with normal mouth opening. Infer the IOPA & Chart out treatment modalities !!
Dr. Sriram Choudary8 Likes62 Answers
2 Likes