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Open AccessCase Report

Uprighting an Impacted Permanent Mandibular First Molar Associated with a Dentigerous Cyst and a Missing Second Mandibular Molar—A Case Report

1
Posidonos 14, Imia square, Voula, 16673 Athens, Greece
2
Clinic of Hospital Dentistry, Dental School, National and Kapodistrian University of Athens, Thivon 2 Goudi, 11527 Athens, Greece
3
Department of Oral Diagnosis and Radiology, Dental School, National and Kapodistrian University of Athens, Thivon 2 Goudi, 11527 Athens, Greece
*
Author to whom correspondence should be addressed.
Dent. J. 2019, 7(3), 63; https://doi.org/10.3390/dj7030063
Received: 3 April 2019 / Revised: 5 May 2019 / Accepted: 21 May 2019 / Published: 27 June 2019
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Abstract

The purpose of this paper is to present a case of an impacted mandibular first molar associated with a dentigerous cyst and a missing mandibular second molar in an 11-year-old girl that was treated with combined surgical and orthodontic procedures. After clinical and radiographic evaluation, marsupialization of the cyst was decided, and a molar attachment was bonded on the buccal side of the impacted molar as a part of a full orthodontic treatment with fixed appliances. After 18 months of orthodontic traction, the molar was moved to a more advantageous position, and new bone apposition was observed on the site of the cystic lesion. Histological examination confirmed a dentigerous cyst. The molar was left to erupt spontaneously for 14 more months. A functional occlusion was finally achieved. An interdisciplinary approach proved to be an effective modality in treating a large dentigerous cyst associated with a deeply impacted first mandibular molar, presenting many advantages, such as new bone apposition and patient comfort. View Full-Text
Keywords: first molar uprighting; impacted molar; dentigerous cyst; unerupted tooth; missing second mandibular molar first molar uprighting; impacted molar; dentigerous cyst; unerupted tooth; missing second mandibular molar
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Tsironi, K.; Inglezos, E.; Vardas, E.; Mitsea, A. Uprighting an Impacted Permanent Mandibular First Molar Associated with a Dentigerous Cyst and a Missing Second Mandibular Molar—A Case Report. Dent. J. 2019, 7, 63.

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