Surgical management of a pediatric patient with multiple impacted teeth: case report

Abstract

Introduction:Impacted teeth are defined as those that do not erupt within the expected time frame and remain trapped in the jaws. Their causes are multifactorial, ranging from local factors such as bone density, lack of space, and prolonged retention of deciduous teeth, to systemic factors including nutritional deficiencies, endocrine disorders, syndromes, and infections. Genetics is also considered a predisposing factor. The presence of multiple impacted teeth may lead to complications such as root resorption, cysts, odontogenic tumors, and malocclusions, which require an interdisciplinary approach to achieve functional, aesthetic, and stable outcomes in the patient’s oral health. Case Report:A 10-year-old male patient presented for consultation due to the absence of permanent teeth. Clinical and radiographic examination revealed the retention of multiple permanent teeth, presence of supernumerary teeth, malpositions, root dilacerations, and radiolucent lesions in the mandible. A CT scan was performed and an interdisciplinary treatment plan was coordinated. Under general anesthesia, several teeth were extracted due to unfavorable positioning, pathological tissue was removed, and a dentigerous cyst was diagnosed. Orthodontic buttons with ligatures were placed on certain teeth for traction, and the patient was referred to endodontics and orthodontics to continue the comprehensive rehabilitation process.Conclusion:Managing complex cases in pediatric dentistry requires coordination between specialties to achieve satisfactory outcomes. Early detection and comprehensive treatment of impacted teeth are essential for improving the pediatric patient’s oral health and overall quality of life, considering both function and aesthetics over the long term.