Title : An unerupted upper central incisor in an 11-year-old patient
Abstract:
There are multiple causes for the failure of tooth eruption. This presentation showcases an eleven-year-old patient who presented with an unerupted upper left central incisor which impacted his self-confidence. Clinical examination revealed that the unerupted tooth is palpable in the buccal sulcus but has failed to erupt. His medical history is complicated by the transposition of the great arteries of the heart and asthma. The patient has had three previous cardiac operations and has further surgery planned. This patient is an irregular dental attender and has had previous extractions under general anesthetic. Clinically, the patient has a Class III malocclusion with reverse overjet, and severe crowding and there is a lack of space in the UL1 region for the unerupted central incisor. A multi-disciplinary approach involving pediatric cardiology, oral surgery, and the orthodontist is required for assessment and treatment planning. This presentation will explore causes for unerupted teeth, differential diagnoses, medical implications for treatment planning and the treatment challenges involved.
Audience takeaway notes:
- Identify causes for failure of tooth eruption
- Identify the different types of odontoma
- Discuss the treatment challenges of working in a multi-disciplinary team
- Appropriate management of cases of this nature
