title: Early treatment of an ectopic premolar to prevent molar-premolar transposition.
abstract: Orthodontic treatment is planned on an individual, case-by-case basis after thoroughly considering the patient's overall facial and dental characteristics, the expected duration of treatment, costs, patient preferences, and the orthodontist's experience. This article reports the treatment of a patient with a maxillary premolar-molar transposition in the permanent dentition that was successfully managed with orthodontic treatment. A girl, aged 10 years 2 months, came for treatment with an ectopic maxillary left premolar. Radiographic analysis indicated a developing complete transposition of the maxillary left premolar. The patient was treated with extraction of the deciduous molar and surgical exposure and ligation of the premolar. Eruption was properly guided, and the correct order of the 2 teeth was restored in the arch. This challenging treatment approach is described in detail, including the mechanics used to align the ectopic premolar. Early treatment can, in many cases, prevent a molar-premolar transposition.
authors.affiliation: Department of Orthodontics, Second University of Naples, Naples, Italy.
authors.forename: Rosangela
authors.initials: R
authors.lastname: Cannavale
authors.forename: Giovanni
authors.initials: G
authors.lastname: Matarese
authors.forename: Gaetano
authors.initials: G
authors.lastname: Isola
authors.forename: Vincenzo
authors.initials: V
authors.lastname: Grassia
authors.forename: Letizia
authors.initials: L
authors.lastname: Perillo
mesh_terms: D001641:Bicuspid / Q000473:pathology*; D002648:Child; D005115:Extraoral Traction Appliances; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008437:Maxilla; D008963:Molar / Q000473:pathology* / Q000601:surgery; D052280:Orthodontic Anchorage Procedures / Q000295:instrumentation; D050793:Orthodontic Extrusion / Q000295:instrumentation / Q000379:methods; D009972:Orthodontics, Interceptive / Q000295:instrumentation / Q000379:methods*; D010347:Patient Care Planning; D014079:Tooth Eruption, Ectopic / Q000628:therapy*; D014081:Tooth Extraction; D014094:Tooth, Deciduous / Q000601:surgery; D016896:Treatment Outcome