DOI:

10.37988/1811-153X_2022_1_26

A clinical case of surgical removal of dystopia is the germ of a permanent tooth

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Authors

  • K.K. Gasparyan 1, dentist, director
    ORCID: 0000-0002-5690-0011
  • A.S. Mosesova 2, assistant at the Pediatric dentistry, orthodontics and Maxillofacial surgery Department
    ORCID: 0000-0001-7267-5064
  • V.V. Volobuev 2, PhD in Medical Sciences, associate professor of the Pediatric dentistry, orthodontics and maxillofacial surgery Department
    ORCID: 0000-0001-9752-6911
  • A.F. Verapatvelyan 3, PhD in Medical Science, general director, orthodontist
    ORCID: 0000-0002-0919-2323
  • 1 Dr. Gasparyan Dentistry, 350033, Кrasnodar, Russia
  • 2 Kuban State Medical University, 350063, Krasnodar, Russia
  • 3 “Vera Dent” LLC, 350090, Krasnodar, Russia

Abstract

The prevalence of tooth retention in Russia varies from 4 to 29%, while the canines and third molars are most often affected by anomalies. One of the reasons for retention is dystopia of the germ of the tooth. The elimination of pathology is reduced either to the exposure of the tooth and further orthodontic treatment, or to the removal of the germ. The purpose of the study is to evaluate the effectiveness of the technique of eliminating the dystopia of the tooth germ by turning it during surgery.
Materials and methods.
The publication describes two cases of elimination of the dystopia of the germ of the second premolars in children aged 9 and 11. Under local anesthesia, temporary molars were removed, the bottom of the hole was expanded with a milling cutter, the tooth germ was rotated into a vertical position with the help of an elevator, the wound was filled with a hemostatic sponge and sutured.
Results.
The postoperative period passed without complications. After 16—24 months, physiological eruption of premolars was observed. However, in both cases, local hypoplasia of the tooth enamel (spotted form) was diagnosed.
Conclusion.
Our clinical cases demonstrate the possibility of surgical treatment of an anomaly of the tooth position in the rudimentary stage. The method is quite simple and low-traumatic, it avoids many problems: teething with rotation around the axis, retention of teeth, development of follicular cyst, ankylosis of the tooth.

Key words:

retention, dystopia, tooth germ, pre-eruptive surgery, children

For Citation

[1]
Gasparyan K.K., Mosesova A.S., Volobuev V.V., Verapatvelyan A.F. A clinical case of surgical removal of dystopia is the germ of a permanent tooth. Clinical Dentistry (Russia).  2022; 25 (1): 26—31. DOI: 10.37988/1811-153X_2022_1_26

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Received

December 9, 2021

Accepted

March 9, 2022

Published on

March 1, 2022