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Home > Smiles & Faces Orthodontics > Ectopic (abnormal) erupting adult 1st molars


	Podcast:		Smiles & Faces Orthodontics
	Episode:		Ectopic (abnormal) erupting adult 1st molars
	Category:		Health
	Duration:		00:28:59
	Publish Date:		2019-09-09 08:43:30
	Description:		We welcome back kids dentist Dr Diane Tay where orthodontist Dr Andrew Chang and her discuss this. Highlights include: 0.50: How can dentists identify an ectopic permanent 1st molar? 3:00: Is the dentition (developing teeth and their eruption) appropriate for the age? Consider the general timing of eruption patterns and symmetry. 4:26: What are the causes of Ectopic adult 1st molars? Most are mesioangular and usually they are upper teeth.Typical clinical presentation is described and almost always leads to space loss. The baby 2nd molar often can become loose and fall out without any pain. 7:20: If left unobserved, space loss can get more severe and lead to impaction of the underlying adult 2nd premolar. 8:00: No consistent pattern seen in causes. Look at OPG x-ray to check for age and symmetry. 10:00: Why dentists play a very important role in early detection of ectopic 1st molars, and how late detection makes orthodontic treatment longer and more complex. 11:30: What considerations to look out for when managing ectopic 1st molars. - Age and Cooperation Occlusion. Is crowding present? - Is it an upper or lower 1st molar -Is the permanent 2nd premolar present. - Patient factors: Severity of impaction of molars. - - Occlusion 16:30- For mild impactions, can place elastic separator. For moderate to severe impactions, consider a metal separator, over a period of 3 months. 21:00- For severe 1st molars, upright these teeth first, using an expander or one with a Haltermann loop. If narrow jaw, combine with expansion. 24:30- Does disking of baby 2nd molars work? 26:00- Why close monitoring is needed, to monior the ectopic 1st molar, and let parent know what can happen if patient fails to attend final observation checks
	Total Play:		0