The journey of dental development is a fascinating aspect of human growth. Typically, children begin to grow their primary teeth, commonly known as baby teeth, around six months of age. These 20 primary teeth play a crucial role in oral development and are expected to shed naturally as permanent teeth take their place. However, there are instances where this natural process encounters a unique scenario—retained primary teeth in adults.
What are Retained Primary Teeth?
By the age of 21, most individuals have experienced the eruption of 32 permanent teeth, replacing their primary teeth. Nevertheless, some people may retain their primary teeth into adulthood. This condition is known as "retained primary teeth." AKA Adults with Baby Teeth. One such case, documented as Tooth #45, exemplifies a complex scenario involving a primary tooth buried completely in bone, impacted with Tooth #46.
Case Study: Retained Tooth #45 and Treatment Plan: The patient presented with multiple dental concerns, including buried and impacted Tooth #45, retained Tooth #85 with significant root resorption, a peg-shaped Tooth #22, and issues related to median diastema and supra-eruption of Teeth #18 and #28. A Cone-Beam Computed Tomography (CBCT) was conducted to assess the complexities of the situation.
Specific Dental Concerns:
Orthodontic Treatment (Ortho Tx): The patient expressed a desire for orthodontic treatment to address issues such as median diastema, crowding, and an edge-to-edge bite associated with Tooth #22.
Ortho Tx Consideration: To close the median diastema, relieve crowding, and correct the edge-to-edge bite associated with Tooth #22. Aesthetic Correction: Crown or veneer application to correct the peg-shaped Tooth #22.
Orthodontic Solution: Consideration for CR Veneer to close the median diastema and crown or veneer application to correct the peg-shaped Tooth #22.
Procedures: The dental team, with meticulous precision, executed the planned procedures. For Tooth #45, an incision was made, and buccal and lingual flaps were raised. Bone guttering and tooth sectioning were performed, resulting in successful removal. The space was carefully cleaned, irrigated, and bone grafting with EthOss artificial bone grafting material was carried out.
Outcome: Postoperative CBCT verified the success of the procedures, with no tooth remnants noted. Importantly, the inferior dental nerve (IDN) and the maxillary sinus remained intact, showcasing the precision and expertise involved in the surgery. The patient left reassured and with a transformed oral condition.
Conclusion: The case of retained primary teeth in adults is a captivating aspect of dentistry, requiring a tailored and meticulous approach. This case study demonstrates how advanced techniques, such as CBCT, coupled with precise surgical procedures, can address complex scenarios, providing patients with both functional and aesthetic improvements.
Understanding retained primary teeth and their treatment is pivotal in ensuring optimal oral health and well-being, emphasizing the importance of comprehensive dental care throughout an individual's life.