Volume 6, Issue 1, June 2020, Page: 1-6
Unusual Impaction - Rosettes of Multiple Unerupted Molars: Review Article
Nikolay Yanev, Maxillofacial Unit – UMAH N. I. Pirogov, Sofia, Bulgaria
Bistra Blagova, Maxillofacial Surgery Devision, Specialized Hospital for Active Treatment in Dental and Maxillofacial Surgery Medicron, Sofia, Bulgaria
Laura Andreeva, Orthodontic Department, Dental Medicine Faculty, Medical University of Sofia, Sofia, Bulgaria
Received: Nov. 24, 2019;       Accepted: Dec. 9, 2019;       Published: Jul. 6, 2020
DOI: 10.11648/j.ijdm.20200601.11      View  240      Downloads  57
Abstract
Background: There is a wide spectrum of syndromes that include dental, oral and craniofacial disorders. Early diagnosis is often crucial for their effective treatment. However, not all syndromes can be clinically identified on time, especially in cases of absence of known family history. Moreover, the treatment of these patients is often complicated because of insufficient medical knowledge and because of the dento-alveolar and craniofacial developmental variations. Objective: The cases of a single impacted tooth are common. But the ones of multiple unerupted permanent molars are a rare phenomenon. They could be either isolated or associated with local or general pathologic factors. When identified, they present a challenging problem for the dentist, or the oral and maxillofacial surgeon. The aim of the article is to review the possible etiology and management modalities in cases of multiple unerupted molars. Results: The Pubmed and Medline database was searched. The information found was presented mainly by case reports. Unfortunately, because of the rarity of this clinical finding and the great clinical diversity, it is difficult to propose clinical procedure protocols. So, we assume, that the real incidence of that condition might be higher than the one mentioned in the literature. Discussion: It seems that due to the rare occurrence of severe complaints, many patients with multiple unerupted molars do not regularly present to their dentists, until other conditions take place. Clinical phenotyping together with reviewed data and evidence-based conclusions will ultimately pave the way for preventive strategies and therapeutic options in the future. This will improve the prognosis for better functional and aesthetic outcome for these patients and lead to a better quality of life. Conclusion: Care of individuals with syndromes affecting craniofacial and dento-alveolar structures is mostly treated by an interdisciplinary team who becomes more frequently involved in the refined diagnostic and etiological processes of these patients. The dentist and the surgical specialist must have a thorough knowledge about the various forms and possible etiology of tooth non-eruption. It can be a sign of various medical conditions. Therefore, detailed and specific investigations are further required, preceding a patient-tailored treatment plan.
Keywords
Impacted Teeth, “Kissing” Molars, “Rosettes” of Molars, Unusual Impaction
To cite this article
Nikolay Yanev, Bistra Blagova, Laura Andreeva, Unusual Impaction - Rosettes of Multiple Unerupted Molars: Review Article, International Journal of Dental Medicine. Special Issue: Dento-alveolar Disorders. Vol. 6, No. 1, 2020, pp. 1-6. doi: 10.11648/j.ijdm.20200601.11
Copyright
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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