STABLIZATION OF THE EARLY ERUPTED FIRST PREMOLAR WITH FIXED APPLIANCE |
JI-Won Hwang, Seong-oh Kim, Hyung-Jun Choi, Byung-Jai Choi, Heung-Kyu Son, Jae-Ho Lee |
Department of Pediatric Dentistry, College of Dentistry, Yousei University |
고정식 장치를 이용한 조기 맹출 소구치의 안정화 |
황지원, 김성오, 최형준, 최병재, 손홍규, 이제호 |
연세대학교 치과대학 소아치과학교실 |
Correspondence:
Jae-Ho Lee, Tel: 02-2228-3173, Email: leejh@yuhs.ac |
Received: 5 October 2010 • Accepted: 16 December 2010 |
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Abstract |
Early eruption refers to an accelerated eruption of a tooth beyond the normal eruption period. The clinical findings of an early erupted tooth with little formation of crown and/or root include severe mobility, pain on chewing, hypocalcification of the enamel, and inclination, displacement, and rotation of the tooth. The radiographic findings include underdeveloped root and insufficient bone support. Early eruption of a permanent tooth can cause several complications such as chronic trauma, pain, edema, an increased rate of premolar impaction and tooth displacement and/or rotation. Therefore, when a permanent tooth erupts earlier than its normal eruption period with accompanying symptoms, appropriate treatments should be done as soon as possible. A female patient of age 7 without any systemic disease was referred from a local dental clinic with chief complaint of severe mobilities and pain in both upper first premolars. According to the clinical and radiographic examinations, the permanent teeth erupted earlier with barely formed roots, severe mobilities, edema, and pain. This case is to report the successful accomplishment of root formations and stabilization of teeth after applying intraoral fixed appliances using bands and spurs for 14 months. |
Key Words:
Premature eruption, Tooth eruption, Stabilizing appliance, Succedaneous permanent tooth |
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