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TREATMENT OF BILATERAL ECTOPIC ERUPTION OF THE FIRST PERMANENT MOLARS

  • Journal of the Korean academy of pediatric dentistry
  • Abbr : J Korean Acad Pediatr Dent
  • 2013, 40(1), pp.48-52
  • Publisher : The Korean Academy Of Pediatric Dentistry
  • Research Area : Medicine and Pharmacy > Dentistry

오미희 1 이수언 2 Chul Choi Sung ORD ID 3 KIM, KWANG CHUL 3 최영철 3 박재홍 3

1경희대학교 치과대학 소아치과학교실
2경희대학교 치의학전문대학원 소아치과학교실
3경희대학교

Accredited

ABSTRACT

Ectopic eruption of the first permanent molar is an abnormal positioning of this tooth, causing a premature resorption of the distal surface of the second primary molar. It occurs in approximately 3~4% of the population and the maxillary arch is usually affected. While 66% of ectopically erupting permanent molars are corrected spontaneously without treatment (i.e. a reversible type), active treatment is necessary for irreversible ectopic eruption cases. The treatment modalities have been divided into two categories: interproximal wedging and distal tipping. Interproximal wedging is indicated for minimal impaction and when the impaction is severe, distal tipping techniques are required. Although much has been written about treatment modalities on unilateral ectopic eruption of the first permanent molar, few reports mention bilateral ectopic eruption cases. In this report, two cases of bilateral ectopic eruption of the first permanent molars in young patients are presented. We describe the use of a modified bilateral Halterman appliance for correction of these cases and the clinical results were satisfactory.

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