Primary retention of permanent lower first molar: case report and twelve-year follow-up

Ana Paula Farnezi Bassi; Karen Rawen Tonini; Daniela Ponzoni

doi:10.33448/rsd-v10i4.13699

Autores

Ana Paula Farnezi Bassi Araçatuba School of Dentistry https://orcid.org/0000-0002-0031-4953
Karen Rawen Tonini Araçatuba School of Dentistry https://orcid.org/0000-0001-7061-3986
Daniela Ponzoni Araçatuba School of Dentistry https://orcid.org/0000-0001-5928-0914

DOI:

https://doi.org/10.33448/rsd-v10i4.13699

Palavras-chave:

Erupção dentaria; Dente impactado; Retenção primária.

Resumo

Impacção de primeiros e segundos molars permanentes é uma condição incomum, com índice de prevalência de 0,01% a 0.08% e poucos casos são descritos na literatura. Muitos fatores etiológicos são relatados para falha na erupção destes dentes. Contudo, os mecanismos responsáveis por esta ocorrência ainda são desconhecidos. Este artigo descreve o tratamento de um paciente de 12 anos de idade portador de um molar inferior permanente impactado com acompanhamento de doze anos. A presença do dente impactado foi diagnosticada a partir de um aumento volumétrico extra-oral assintomático na base da mandíbula do paciente. O primeiro molar impactado foi removido cirurgicamente por acesso intra-bucal sob anestesia local. O paciente não teve condições de acompanhamento ortodôntico. Em acompanhamento de 12 anos, observou-se que a remoção do dente impactado foi a melhor opção para o caso. Este artigo também oferece uma discussão para ampliar a compreensão das causas e opções de tratamento nos casos de impacção de molare spermanentes.

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Retenção primária de primeiro molar inferior permanente: relato de caso e acompanhamento de 12 anos

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