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Unilateral Impaction of a Maxillary First Molar Treated in the Transitional Dentition

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The purpose of this report was to present the case of a nine-year-old patient with unilateral impaction of the permanent maxillary right first molar treated early using a simple and effective fixed appliance. The proposed intervention involved the construction of a fixed palatal arch with a soldered wire extending distally to the impacted permanent first molar. A button was bonded to the occlusal surface of the molar, which was to be used as a leverage point for engaging chain elastics to produce distal movement to disimpact and allow complete eruption of the molar. Following three months of treatment, the permanent molar was in a physiologic position. This report demonstrates that, when this problem is identified early, pediatric dentists have the opportunity to minimize the complexity of future orthodontic treatment and limit the extent of malocclusion in the permanent dentition.
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Document Type: Case Report

Affiliations: 1: Section of Orthodontics, School of Dentistry, Federal University of Bahia, Salvador, Bahia, Brazil. [email protected] 2: Section of Pediatric Dentistry, School of Dentistry, Federal University of Bahia, Salvador, Bahia, Brazil

Publication date: November 1, 2014

More about this publication?
  • Pediatric Dentistry is the official publication of the American Academy of Pediatric Dentistry, the American Board of Pediatric Dentistry and the College of Diplomates of the American Board of Pediatric Dentistry. It is published bi-monthly and is internationally recognized as the leading journal in the area of pediatric dentistry. The journal promotes the practice, education and research specifically related to the specialty of pediatric dentistry. This peer-reviewed journal features scientific articles, case reports and abstracts of current pediatric dental research.
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