Impacted tooth extraction with gyroversion: Clinical case report

Authors

Keywords:

TOOTH, UNERUPTED, TOOTH EXTRACTION, TOOTHACHE.

Abstract

Introduction: Dental inclusion is common on upper and lower-third molars and upper canines due to some factors such as lack of space or obstructions in the eruption path. Symptoms and signs of affection can include pain, occlusion problems, and communication with the maxillary sinuses. Consequences of untreated included teeth cases might end up on an impact on bone structure, recurrent infections, tumors, and chronic pain.

Objective: To detail, through a clinical case, the surgical procedure of an included tooth.

Clinical case: A seventeen (17) year-old male patient attended to consult for orthodontic treatment, on the clinical inspection it was revealed the presence of tooth #65 and the absence of tooth #25; because of that it was required complementary examinations such as panoramic X-rays and computed tomography to have the most accurate diagnosis and a proper treatment plan. After the image examination, it was shown tooth #25 unerupted with rotation inside the maxillary bone structure.

Results: After an accurate clinical evaluation of the case using image to confirm, a surgical extraction of included tooth #25 was performed with success.

Conclusions: An on-time detection and treatment of included tooth involves a precise surgical view and following protocols to avoid future complications. The appropriate surgical technique includes infiltrative anesthesia, full Newman incision, osteotomy, and odontosection, with special attention on avoiding communication with the maxillary sinus. Image examination results are essential for a good diagnosis and proper treatment, and it is crucial for the professional to be familiar with dental eruption chronology.

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Published

2024-12-28

How to Cite

1.
Pallo- Sarabia MS, Mullo-Allayca JJ, Paredes- Lara SO, Palacios-Soria JN. Impacted tooth extraction with gyroversion: Clinical case report. Rev Ciencias Médicas [Internet]. 2024 Dec. 28 [cited 2025 Aug. 21];28(2):e6609. Available from: https://revcmpinar.sld.cu/index.php/publicaciones/article/view/6609

Issue

Vol. 28 No. 2 (2024): Suplemento 2

Section

CASE REPORTS

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