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Unusual Impaction - Rosettes of Multiple Unerupted Molars: Review Article

Received: 24 November 2019     Accepted: 9 December 2019     Published: 6 July 2020
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Abstract

Background: There is a wide spectrum of syndromes that include dental, oral and craniofacial disorders. Early diagnosis is often crucial for their effective treatment. However, not all syndromes can be clinically identified on time, especially in cases of absence of known family history. Moreover, the treatment of these patients is often complicated because of insufficient medical knowledge and because of the dento-alveolar and craniofacial developmental variations. Objective: The cases of a single impacted tooth are common. But the ones of multiple unerupted permanent molars are a rare phenomenon. They could be either isolated or associated with local or general pathologic factors. When identified, they present a challenging problem for the dentist, or the oral and maxillofacial surgeon. The aim of the article is to review the possible etiology and management modalities in cases of multiple unerupted molars. Results: The Pubmed and Medline database was searched. The information found was presented mainly by case reports. Unfortunately, because of the rarity of this clinical finding and the great clinical diversity, it is difficult to propose clinical procedure protocols. So, we assume, that the real incidence of that condition might be higher than the one mentioned in the literature. Discussion: It seems that due to the rare occurrence of severe complaints, many patients with multiple unerupted molars do not regularly present to their dentists, until other conditions take place. Clinical phenotyping together with reviewed data and evidence-based conclusions will ultimately pave the way for preventive strategies and therapeutic options in the future. This will improve the prognosis for better functional and aesthetic outcome for these patients and lead to a better quality of life. Conclusion: Care of individuals with syndromes affecting craniofacial and dento-alveolar structures is mostly treated by an interdisciplinary team who becomes more frequently involved in the refined diagnostic and etiological processes of these patients. The dentist and the surgical specialist must have a thorough knowledge about the various forms and possible etiology of tooth non-eruption. It can be a sign of various medical conditions. Therefore, detailed and specific investigations are further required, preceding a patient-tailored treatment plan.

Published in International Journal of Dental Medicine (Volume 6, Issue 1)

This article belongs to the Special Issue Dento-alveolar Disorders

DOI 10.11648/j.ijdm.20200601.11
Page(s) 1-6
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Impacted Teeth, “Kissing” Molars, “Rosettes” of Molars, Unusual Impaction

References
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Cite This Article
  • APA Style

    Nikolay Yanev, Bistra Blagova, Laura Andreeva. (2020). Unusual Impaction - Rosettes of Multiple Unerupted Molars: Review Article. International Journal of Dental Medicine, 6(1), 1-6. https://doi.org/10.11648/j.ijdm.20200601.11

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    ACS Style

    Nikolay Yanev; Bistra Blagova; Laura Andreeva. Unusual Impaction - Rosettes of Multiple Unerupted Molars: Review Article. Int. J. Dent. Med. 2020, 6(1), 1-6. doi: 10.11648/j.ijdm.20200601.11

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    AMA Style

    Nikolay Yanev, Bistra Blagova, Laura Andreeva. Unusual Impaction - Rosettes of Multiple Unerupted Molars: Review Article. Int J Dent Med. 2020;6(1):1-6. doi: 10.11648/j.ijdm.20200601.11

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  • @article{10.11648/j.ijdm.20200601.11,
      author = {Nikolay Yanev and Bistra Blagova and Laura Andreeva},
      title = {Unusual Impaction - Rosettes of Multiple Unerupted Molars: Review Article},
      journal = {International Journal of Dental Medicine},
      volume = {6},
      number = {1},
      pages = {1-6},
      doi = {10.11648/j.ijdm.20200601.11},
      url = {https://doi.org/10.11648/j.ijdm.20200601.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijdm.20200601.11},
      abstract = {Background: There is a wide spectrum of syndromes that include dental, oral and craniofacial disorders. Early diagnosis is often crucial for their effective treatment. However, not all syndromes can be clinically identified on time, especially in cases of absence of known family history. Moreover, the treatment of these patients is often complicated because of insufficient medical knowledge and because of the dento-alveolar and craniofacial developmental variations. Objective: The cases of a single impacted tooth are common. But the ones of multiple unerupted permanent molars are a rare phenomenon. They could be either isolated or associated with local or general pathologic factors. When identified, they present a challenging problem for the dentist, or the oral and maxillofacial surgeon. The aim of the article is to review the possible etiology and management modalities in cases of multiple unerupted molars. Results: The Pubmed and Medline database was searched. The information found was presented mainly by case reports. Unfortunately, because of the rarity of this clinical finding and the great clinical diversity, it is difficult to propose clinical procedure protocols. So, we assume, that the real incidence of that condition might be higher than the one mentioned in the literature. Discussion: It seems that due to the rare occurrence of severe complaints, many patients with multiple unerupted molars do not regularly present to their dentists, until other conditions take place. Clinical phenotyping together with reviewed data and evidence-based conclusions will ultimately pave the way for preventive strategies and therapeutic options in the future. This will improve the prognosis for better functional and aesthetic outcome for these patients and lead to a better quality of life. Conclusion: Care of individuals with syndromes affecting craniofacial and dento-alveolar structures is mostly treated by an interdisciplinary team who becomes more frequently involved in the refined diagnostic and etiological processes of these patients. The dentist and the surgical specialist must have a thorough knowledge about the various forms and possible etiology of tooth non-eruption. It can be a sign of various medical conditions. Therefore, detailed and specific investigations are further required, preceding a patient-tailored treatment plan.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - Unusual Impaction - Rosettes of Multiple Unerupted Molars: Review Article
    AU  - Nikolay Yanev
    AU  - Bistra Blagova
    AU  - Laura Andreeva
    Y1  - 2020/07/06
    PY  - 2020
    N1  - https://doi.org/10.11648/j.ijdm.20200601.11
    DO  - 10.11648/j.ijdm.20200601.11
    T2  - International Journal of Dental Medicine
    JF  - International Journal of Dental Medicine
    JO  - International Journal of Dental Medicine
    SP  - 1
    EP  - 6
    PB  - Science Publishing Group
    SN  - 2472-1387
    UR  - https://doi.org/10.11648/j.ijdm.20200601.11
    AB  - Background: There is a wide spectrum of syndromes that include dental, oral and craniofacial disorders. Early diagnosis is often crucial for their effective treatment. However, not all syndromes can be clinically identified on time, especially in cases of absence of known family history. Moreover, the treatment of these patients is often complicated because of insufficient medical knowledge and because of the dento-alveolar and craniofacial developmental variations. Objective: The cases of a single impacted tooth are common. But the ones of multiple unerupted permanent molars are a rare phenomenon. They could be either isolated or associated with local or general pathologic factors. When identified, they present a challenging problem for the dentist, or the oral and maxillofacial surgeon. The aim of the article is to review the possible etiology and management modalities in cases of multiple unerupted molars. Results: The Pubmed and Medline database was searched. The information found was presented mainly by case reports. Unfortunately, because of the rarity of this clinical finding and the great clinical diversity, it is difficult to propose clinical procedure protocols. So, we assume, that the real incidence of that condition might be higher than the one mentioned in the literature. Discussion: It seems that due to the rare occurrence of severe complaints, many patients with multiple unerupted molars do not regularly present to their dentists, until other conditions take place. Clinical phenotyping together with reviewed data and evidence-based conclusions will ultimately pave the way for preventive strategies and therapeutic options in the future. This will improve the prognosis for better functional and aesthetic outcome for these patients and lead to a better quality of life. Conclusion: Care of individuals with syndromes affecting craniofacial and dento-alveolar structures is mostly treated by an interdisciplinary team who becomes more frequently involved in the refined diagnostic and etiological processes of these patients. The dentist and the surgical specialist must have a thorough knowledge about the various forms and possible etiology of tooth non-eruption. It can be a sign of various medical conditions. Therefore, detailed and specific investigations are further required, preceding a patient-tailored treatment plan.
    VL  - 6
    IS  - 1
    ER  - 

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Author Information
  • Maxillofacial Unit – UMAH N. I. Pirogov, Sofia, Bulgaria

  • Maxillofacial Surgery Devision, Specialized Hospital for Active Treatment in Dental and Maxillofacial Surgery Medicron, Sofia, Bulgaria

  • Orthodontic Department, Dental Medicine Faculty, Medical University of Sofia, Sofia, Bulgaria

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