Journal of the Korean Academy of Pediatric Dentistry 2011;38(4):391-398.
Published online November 30, 2011.
MANAGEMENT OF MULTIPLE INFRAOCCLUDED PRIMARY MOLARS WITHOUT PERMANENT SUCCESSORS: A CASE REPORT
Ji Hyun Park, Je Seon Song, Seong-Oh Kim, eung Kyu Son, Jae-Ho Lee
Department of Pediatric Dentistry, College of Dentistry, Yonsei University 
계승치 결손을 동반한 다발성 저위교합 유착 유구치의 관리
박지현, 송제선, 김성오, 손흥규, 이제호
연세대학교 치과대학 소아치과학교실 및 구강과학연구소
Correspondence:  Jae-Ho Lee,  Tel: 02-2228-3173, Email: leejh@yuhs.ac
Received: 18 July 2011   • Accepted: 1 October 2011
Abstract
The infraocclusion usually occurs in the mixed-dentition stage, and it is commonly accepted that the cause of the infraocclusion is ankylosis. The treatment options for patient with infraocclusion of primary molars are observation, restoration or surgical removal of the affected teeth. If the successors are present, most of the infraoccluded and ankylosed primary molars may occur normally. However, when the permanent successors are absent and the progression of infraocclusion is found, affected teeth may need to be extracted. In the case of infraocclusion which can cause vertical alveolar defect due to ankylosis, extraction before growth spurt should be performed for the future prosthetic treatment. A six-year-old female had the ankylosis and infraocclusion of multiple primary molars and congenital missing of premolars. The affected primary molars were extracted before growth spurt to avoid a significant vertical ridge defect and to promote the vertical development of alveolar bone, and the result was observed for many years. The purpose of this report is to report the management of multiple infraoccluded primary molars without permanent successors in a young patient.
Key Words: Infraocclusion, Ankylosis, Tooth aplasia, Extraction, Alveolar bone growth


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