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Value of Computed Tomography (CT) in Imaging the Morbidity of Submerged Molars: A Case Report.

Kırzıoḡlu Z, Karayılmaz H, Baykal B - Eur J Dent (2007)

Bottom Line: Submerged primary molars can be difficult to manage due to the developing dentition.Therefore these cases require sophisticated imaging techniques in order to locate the vital structures.In this case report, a 17 year old girl who had a retained and submerged deciduous molar which caused impaction of the second premolar and tipping of the first molar was presented.In addition, value of computed tomography (CT) for locating the vital anatomic structures was discussed.In our case, CT has been supplied effective information about localization of the vital structures and amount of bone volume during the diagnosis and treatment planning period in addition to the routine dental radiographies.

View Article: PubMed Central - PubMed

Affiliation: Professor, Süleyman Demirel University, Faculty of Dentistry, Department of Pedodontics Isparta/Türkiye.

ABSTRACT
Submerged primary molars can be difficult to manage due to the developing dentition. Rarely in some severe cases, may the surgical interventions be required while ensuring the vital structures are protected. Therefore these cases require sophisticated imaging techniques in order to locate the vital structures.In this case report, a 17 year old girl who had a retained and submerged deciduous molar which caused impaction of the second premolar and tipping of the first molar was presented. In addition, value of computed tomography (CT) for locating the vital anatomic structures was discussed.In our case, CT has been supplied effective information about localization of the vital structures and amount of bone volume during the diagnosis and treatment planning period in addition to the routine dental radiographies.

No MeSH data available.


Related in: MedlinePlus

CT images of the patient. The position of right inferior dental canal can be seen clearly as a dark area but left inferior dental canal cannot be seen due to the impacted second premolar. (A; Right Mandibular Canal, B; Left Mandibular Canal, C; Tipped Right First Molar, D; Impacted Right Second
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f4-0010246: CT images of the patient. The position of right inferior dental canal can be seen clearly as a dark area but left inferior dental canal cannot be seen due to the impacted second premolar. (A; Right Mandibular Canal, B; Left Mandibular Canal, C; Tipped Right First Molar, D; Impacted Right Second

Mentions: In order to assess the position of the inferior alveolar canal and the relationship between the canal and second premolar a coronal, CT was taken (Philips Tomoscan, Netherlands). CT scanning of the mandible consisted of 26 slices with a thickness of 3mm and 1mm slice gap. Relationship of inferior alveolar canal and impacted premolar can be observed in Figure 4. Furthermore the amount of bone volume of the involved section and symmetrical section (to compare the bone volume) calculated from the slices on post processing screen of the system. The bone volume was 8.46cm3 on the right side compared to 12.75cm3 on the opposing side which demonstrated that the structural weakness could arise, if molar, premolar and primary second molar were extracted. This could lead to long term problems such as potential pathological fracture of the mandible.


Value of Computed Tomography (CT) in Imaging the Morbidity of Submerged Molars: A Case Report.

Kırzıoḡlu Z, Karayılmaz H, Baykal B - Eur J Dent (2007)

CT images of the patient. The position of right inferior dental canal can be seen clearly as a dark area but left inferior dental canal cannot be seen due to the impacted second premolar. (A; Right Mandibular Canal, B; Left Mandibular Canal, C; Tipped Right First Molar, D; Impacted Right Second
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2609912&req=5

f4-0010246: CT images of the patient. The position of right inferior dental canal can be seen clearly as a dark area but left inferior dental canal cannot be seen due to the impacted second premolar. (A; Right Mandibular Canal, B; Left Mandibular Canal, C; Tipped Right First Molar, D; Impacted Right Second
Mentions: In order to assess the position of the inferior alveolar canal and the relationship between the canal and second premolar a coronal, CT was taken (Philips Tomoscan, Netherlands). CT scanning of the mandible consisted of 26 slices with a thickness of 3mm and 1mm slice gap. Relationship of inferior alveolar canal and impacted premolar can be observed in Figure 4. Furthermore the amount of bone volume of the involved section and symmetrical section (to compare the bone volume) calculated from the slices on post processing screen of the system. The bone volume was 8.46cm3 on the right side compared to 12.75cm3 on the opposing side which demonstrated that the structural weakness could arise, if molar, premolar and primary second molar were extracted. This could lead to long term problems such as potential pathological fracture of the mandible.

Bottom Line: Submerged primary molars can be difficult to manage due to the developing dentition.Therefore these cases require sophisticated imaging techniques in order to locate the vital structures.In this case report, a 17 year old girl who had a retained and submerged deciduous molar which caused impaction of the second premolar and tipping of the first molar was presented.In addition, value of computed tomography (CT) for locating the vital anatomic structures was discussed.In our case, CT has been supplied effective information about localization of the vital structures and amount of bone volume during the diagnosis and treatment planning period in addition to the routine dental radiographies.

View Article: PubMed Central - PubMed

Affiliation: Professor, Süleyman Demirel University, Faculty of Dentistry, Department of Pedodontics Isparta/Türkiye.

ABSTRACT
Submerged primary molars can be difficult to manage due to the developing dentition. Rarely in some severe cases, may the surgical interventions be required while ensuring the vital structures are protected. Therefore these cases require sophisticated imaging techniques in order to locate the vital structures.In this case report, a 17 year old girl who had a retained and submerged deciduous molar which caused impaction of the second premolar and tipping of the first molar was presented. In addition, value of computed tomography (CT) for locating the vital anatomic structures was discussed.In our case, CT has been supplied effective information about localization of the vital structures and amount of bone volume during the diagnosis and treatment planning period in addition to the routine dental radiographies.

No MeSH data available.


Related in: MedlinePlus