title: Treatment of a patient with multiple impacted teeth.
abstract: An impacted or missing permanent tooth can add significant complications to an otherwise straightforward case. When multiple impacted teeth are present, the case complexity increases further. Developing a treatment sequence, determining appropriate anchorage, and planning and executing sound biomechanics can be a challenge. The following case report illustrates a patient reportedly diagnosed with mild scleroderma as an adolescent. He presented for orthodontic treatment as an adult with multiple retained primary teeth and multiple impacted teeth. Diagnosis, treatment planning, and various methods of managing guided eruption of impacted teeth will be discussed. Following orthodontic treatment that required extraction of multiple primary and permanent teeth as well as exposure and ligation of multiple permanent teeth by an oral surgeon, the patient finished with a significantly improved functional and esthetic result.
authors.affiliation: Department of Orthodontics and Pediatric Dentistry, University of Michigan School of Dentistry, Ann Arbor, MI 48109-1078, USA. rsconley@umich.edu
authors.forename: Richard Scott
authors.initials: RS
authors.lastname: Conley
authors.forename: Scott B
authors.initials: SB
authors.lastname: Boyd
authors.forename: Harry L
authors.initials: HL
authors.lastname: Legan
authors.forename: Christopher C
authors.initials: CC
authors.lastname: Jernigan
authors.forename: Craig
authors.initials: C
authors.lastname: Starling
authors.forename: Christopher
authors.initials: C
authors.lastname: Potts
mesh_terms: D000328:Adult; D002508:Cephalometry; D006801:Humans; D008297:Male; D050793:Orthodontic Extrusion / Q000379:methods*; D014081:Tooth Extraction; D014094:Tooth, Deciduous / Q000601:surgery; D014095:Tooth, Impacted / Q000601:surgery / Q000628:therapy*