Treatment of Impacted First Permanent Molar: A Case Report and 7-Year Follow-Up

Selçuk Savaş; Asli Baysal; Ebru Küçükyılmaz İzgi

doi:10.65022/clindentres.1661289

Treatment of Impacted First Permanent Molar: A Case Report and 7-Year Follow-Up

Abstract

Impaction of the first permanent molars is relatively rare and mostly asymptomatic but a significant clinical challenge in dental practice. The aim of this case report was to present the process of timely treatment of a patient with an impacted first permanent molar using removable appliances. A 6½-year-old female patient was referred for an ankylosed and impacted deciduous second molar (#85) in the right mandibular region and the unerupted permanent molar (#46) in the same area. Intraoral and radiographic examination confirmed #46 was tipped mesially and impacted, and tooth #85 had not erupted. The treatment plan involved extracting the ankylosed and impacted tooth #85, followed by uprightening the mesially tipped tooth #46 to allow its eruption. After the crown of the impacted tooth #46 was surgically exposed, a removable appliance with a spring mechanism was applied to correct its position. Later, treatment continued with a removable appliance that included a distalization screw to continue the movement of tooth #46. After treatment period, the right lower first permanent molar had successfully erupted into its position, the adjacent second premolar had fully erupted, and the contact and occlusion between the teeth were achieved. This case report emphasizes the importance of early diagnosis of eruption problems and highlights the benefits of using removable appliances in the treatment of mesially tipped/impacted mandibular first permanent molars.

Keywords

References

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Details

Primary Language

English

Subjects

Paedodontics, Orthodontics and Dentofacial Orthopaedics

Journal Section

Case Report

Authors

Selçuk Savaş ^*
0000-0003-2705-2401
Türkiye

Asli Baysal
0000-0002-0178-7808
Türkiye

Ebru Küçükyılmaz İzgi
0000-0002-6086-7410
Türkiye

Publication Date

December 12, 2025

Submission Date

March 19, 2025

Acceptance Date

May 8, 2025

Published in Issue

Year 2025 Volume: 49 Number: 3

DOI

https://doi.org/10.65022/clindentres.1661289

IZ

https://izlik.org/JA34ZG92WL

Cite

RIS / Bibtex

APA

Savaş, S., Baysal, A., & Küçükyılmaz İzgi, E. (2025). Treatment of Impacted First Permanent Molar: A Case Report and 7-Year Follow-Up. Clinical Dentistry and Research, 49(3), 184-189. https://doi.org/10.65022/clindentres.1661289

AMA

1.Savaş S, Baysal A, Küçükyılmaz İzgi E. Treatment of Impacted First Permanent Molar: A Case Report and 7-Year Follow-Up. Clin Dent Res. 2025;49(3):184-189. doi:10.65022/clindentres.1661289

Chicago

Savaş, Selçuk, Asli Baysal, and Ebru Küçükyılmaz İzgi. 2025. “Treatment of Impacted First Permanent Molar: A Case Report and 7-Year Follow-Up”. Clinical Dentistry and Research 49 (3): 184-89. https://doi.org/10.65022/clindentres.1661289.

EndNote

Savaş S, Baysal A, Küçükyılmaz İzgi E (December 1, 2025) Treatment of Impacted First Permanent Molar: A Case Report and 7-Year Follow-Up. Clinical Dentistry and Research 49 3 184–189.

IEEE

[1]S. Savaş, A. Baysal, and E. Küçükyılmaz İzgi, “Treatment of Impacted First Permanent Molar: A Case Report and 7-Year Follow-Up”, Clin Dent Res, vol. 49, no. 3, pp. 184–189, Dec. 2025, doi: 10.65022/clindentres.1661289.

ISNAD

Savaş, Selçuk - Baysal, Asli - Küçükyılmaz İzgi, Ebru. “Treatment of Impacted First Permanent Molar: A Case Report and 7-Year Follow-Up”. Clinical Dentistry and Research 49/3 (December 1, 2025): 184-189. https://doi.org/10.65022/clindentres.1661289.

JAMA

1.Savaş S, Baysal A, Küçükyılmaz İzgi E. Treatment of Impacted First Permanent Molar: A Case Report and 7-Year Follow-Up. Clin Dent Res. 2025;49:184–189.

MLA

Savaş, Selçuk, et al. “Treatment of Impacted First Permanent Molar: A Case Report and 7-Year Follow-Up”. Clinical Dentistry and Research, vol. 49, no. 3, Dec. 2025, pp. 184-9, doi:10.65022/clindentres.1661289.

Vancouver

1.Selçuk Savaş, Asli Baysal, Ebru Küçükyılmaz İzgi. Treatment of Impacted First Permanent Molar: A Case Report and 7-Year Follow-Up. Clin Dent Res. 2025 Dec. 1;49(3):184-9. doi:10.65022/clindentres.1661289