PMC3220171_01
Patient aged 6 years
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F1
Asix and half-year-old boy [Figure 1] was brought to the Department of Pediatric Dentistry for initial examination.
Clinical examination
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F2
Oral examination revealed a full primary dentition with evidence of eruption of the distobuccal cusp tips of the mandibular first permanent molars [Figure 2].
Radiographic examination
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F3
Periapical radiograph showed ectopic eruption of mandibular left first permanent molar with associated resorption of the primary second molars [Figure 3].
Surgical exposure of tooth
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F4
Overlying mucosa was flapped and removed with a scalpel [Figure 4] using local infiltration of xylocaine 2%with 1,80,000 parts epinephrine.
Placement of occlusal button
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F5
After hemostasis, an occlusal button was placed on the exposed occlusal portion of permanent first molar [Figure 5].
Appliance design
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F6
Treatment outcome clinically
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F7
After 3 weeks, considerable movement was appreciated clinicall [Figure 7].The appliance was left in place for another 3 weeks to minimize the chances of relapse.
Treatment outcome after follow-up
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F8
In 4 months, the permanent first molar developed in a proper position [Figure 8].