Orthotown June 2019 - 16
message board
Interesting UR6
A patient with nearly ideal occlusion shows how even a small change might mean big treatment
dhmjdds
Member Since: 11/16/04
Post: 1 of 15
New patient with essentially an ideal occlusion, except UR6 is almost submerged. 14.5-year-old
male. Just got the older panorex, so I thought I would post both and get everyone's thoughts.
2014 (age 10):
Current (age 14):
No trauma history could be recalled. Look at how long the palatal root seems to be on UR6.
Could that be related? What do you think? ■
2/27/2019
justinudm
Member Since: 09/29/14
Post: 2 of 15
I don't know if the palatal root is causing this. Seems like it's likely ankylosed. I have seen
second molars with inverted J-hook-type roots that would not come down (similar to a fishhook) ...
but these roots look pretty straight to me? The way I see it, there are two ways to go:
1. Stay off UR6 and build up to full-size steel wire on the rest of the teeth, then bond UR6
and try to piggyback it down with NiTi wires. If you see a posterior open bite develop on
the right, it's ankylosed.
2. You take out the UR6 right away, move UR7 into first molar spot and let the UR8 erupt to
become the new second molar. ■
2/27/2019
dhmjdds
Member Since: 11/16/04
Post: 3 of 15
I'm most likely going to recommend Option 2. No ortho for a long time. UR7, although lower
than UR6, hasn't even broken through the gingiva. Probably delayed since the bone development
is screwed up by UR6. ■
2/27/2019
emac
Member Since: 11/21/11
Post: 4 of 15
Weird-I have never seen a 6 act that way. If you have it extracted, please post what the OMFS
says about the tooth. Good thing you had the previous X-ray, or else you would have thought
the 6 was just caught under the bi for some reason. That may have led to a bigger surprise when
you tried to bring it up. I think you are better off getting it out than trying heroics to get it in.
Hopefully the 7/8 will be normal. Good luck! ■
2/27/2019
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