Combination of multiple dental anomalies in healthy adult: a rare case report

Abstract

Abstract Purpose We report a rare case of multiple retained primary teeth combine with impacted permanent teeth in healthy adult female. The diagnosis was confirmed by general oral examination and a cone-beam computed tomography (CBCT). The clinical significance of CBCT in the diagnosis and treatment of impacted teeth was also discussed. Methods Multiple retention of deciduous teeth and impacted permanent teeth were diagnosed by oral general examination combine with CBCT. In conjunction with the literature on impacted teeth, we discussed the diagnosis and the concept of treatment of this rare case. Results A rare case of primary teeth 53, 55, 63, 65, 74, 85 were retained; permanent teeth 13, 15, 17, 23, 25, 27, 34, 35, 45, 47 were impacted; permanent teeth 42 was congenital deletion; permanent teeth 24 and 44 were severely rotated, which were diagnosed by oral general examination combine with CBCT. Conclusion Multiple permanent teeth were impacted is a rare dental anomaly and often found in association with syndromes such as cleidocranial dysplasia or Gardner’s syndrome. However, we report an adult female with multiple impacted teeth who didn’t possess any systemic conditions or syndromes involving both jaws. Based on the oral general examination, auxiliary CBCT examination and literature on impacted teeth, this paper discusses the differential diagnosis and management of this case.