CBCT as Surgical Guide in Removal of Multiple Impacted Supernumerary Teeth in Maxilla: A Case Report
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 4
Abstract
Multiple Impacted Supernumerary Teeth Especially In Maxilla Poses A Challenge To Maxillofacial Surgeons. Often, There Is Alack Of Sufficient Information Regarding The Accurate Anatomic Localization And Proximity Of Impacted Teeth To Adjacent Normally Erupted Tooth Or Its Roots, Maxillary Sinus, Nasal Floor Or Other Essential Anatomic Structures From Conventional Radiographs Like Orthopantomogram(OPG). These Technical Shortcomings Can Be Overcome By The Use Of 3D Imaging Like Cone Beam Computed Tomography(CBCT). The Cone-Beam Computed Tomography (CBCT), Compared To The Conventional Radiography, Has A Greater Potential To Provide Complementary Information Because Of Its ThreeDimensional (3D) Images, Reducing The Amount Of Bone Loss And Failures In Surgical Procedures. We Report The Case Of A 14 Year Old Female Patient With Multiple Impacted Supernumerary Teeth In Maxilla Treated In Our Department. She Presented WithMalaligned, Ectopically Positioned Maxillary Anterior Teeth. On Examination A Palatal Bulge Was Noted On The Palatal Aspect Of11, 12 And 21. A CBCT Maxilla Was Taken To Aid In Diagnosis, Localization And Surgical Treatment. The Patient Underwent Surgical Removal Of Impacted Teeth. Post Operative Period Was Uneventful With Least Patient Discomfort As A Result Of Minimal Bone Removal, Better Technique And Shorter Operative Duration.
Authors and Affiliations
Dr Manoj S, Dr Deepti S, Dr Vivek V, Dr Ansari Fakhruddin
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