3rd International Congress of Contemporary Pediatric Dentistry (ICCPD 2023), Sivas, Turkey, 15 - 17 September 2023, pp.47
This case report presents a systematic investigation of the underlying causes and correct choice of treatment for delayed tooth eruption (DTE). A 10-year-old girl was admitted to our clinic with a complaint of teeth of the upper jaw not erupting. At the initial evaluation, it was determined that the deciduous tooth was exfoliated, and the maxillary central incisors had not erupted, but all permanent first molars had completely erupted. Radiographic examination was performed to evaluate tooth agenesis, root length, and position of the teeth. It was observed that the tooth was present in a physiological position, and the root length was more than two- thirds. Thus, chronological DTE was confirmed. A flow chart confirmed the underlying condition of DTE. First, the eruption pattern was evaluated, and no unusual situation or general DTE were found. Second, the physical development of the child, medical history, and genetic disorders were investigated, and conditions associated with DTE were not present. Third, local physical obstructions were evaluated radiographically, and no obstructions associated with DTE were evident. Clinically sufficient arch length and the palpable bulge of the tooth were observed, but significant fibrotic mucosa appeared on the buccal gingiva of the unerupted 11– 21. It was determined that the condition associated with the DTE of maxillary central incisors was dense mucoperiosteum. Spontaneous eruption was decided with the support of local massage. The massage treatment protocol was performed twice a day, morning and night. Spontaneous eruption was observed after three months of treatment. Variations in the normal eruption of teeth are a common finding, but delayed tooth eruption might be a harbinger of a systemic condition or an indication of altered physiology of the craniofacial complex. We propose a systematic diagnostic process to enable clinicians to perform accurate treatment of DTE.