World Journal of Dentistry

Register      Login

VOLUME 12 , ISSUE 6 ( November-December, 2021 ) > List of Articles

CASE REPORT

A Rare Presentation of Idiopathic Multiple Impacted Teeth and Its Management with Multiunit Abutment and Malo Bridge

Rakshith Hegde, Nivya John, Athma Shetty, Manoj Shetty, Nitish Garlapati, Sushmitha Palaniswamy

Keywords : Full mouth rehabilitation, Implants, Multiple impacted teeth, Multiunit abutments

Citation Information : Hegde R, John N, Shetty A, Shetty M, Garlapati N, Palaniswamy S. A Rare Presentation of Idiopathic Multiple Impacted Teeth and Its Management with Multiunit Abutment and Malo Bridge. World J Dent 2021; 12 (6):492-495.

DOI: 10.5005/jp-journals-10015-1869

License: CC BY-NC 4.0

Published Online: 24-11-2021

Copyright Statement:  Copyright © 2021; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim and objective: This case report aims to bring into limelight the full mouth rehabilitation in the non-syndromic presentation of multiple carious teeth and impacted teeth, using multiunit abutments. Background: Presentation of multiple impacted teeth is very rare among the Indian population unless it is associated with syndromes or eruption disturbances. However, there are very rare instances where such patients do present with non-syndromic associations. Functional and esthetic rehabilitation of the condition becomes very crucial especially in young patients. Implants by far are considered to provide the best definitive option. Materials and methods: The surgical protocol was to extract existing partially erupted teeth and immediately place implants. Multiunit screw-retained abutments were loaded within 6 weeks. A passively seating full-arch prosthesis was designed with anterior Malo bridge. This was done to mask the labially facing unesthetic screw holes of the angulated abutments. Conclusion: In the above-mentioned case, delivery of a functional prosthesis was possible because of the use of multiunit abutments. Furthermore, the Malo bridge masked the labially facing unesthetic screw holes of the angulated abutments, thereby providing good esthetic results. Additionally, there is also the option of prosthesis retrievability, wherein the practitioner can unscrew the prosthesis whenever a surgical removal of the impacted teeth is necessary. Clinical significance: With the use of multiunit abutments, it is possible to deliver fast treatment without compromising on esthetics and functionality.


PDF Share
  1. Bayar GR, Ortakoglu K, Sencimen M. Multiple impacted teeth: report of 3 cases. Eur J Dent 2008;2(1):73–78. DOI: 10.1055/s-0039-1697358.
  2. Sujatha G, Sivapathasundharam B, Sivakumar G, et al. Idiopathic multiple impacted unerupted teeth: case report and discussion. J Oral Maxillofac Pathol 2012;16(1):125–127. DOI: 10.4103/0973-029X.92989.
  3. Carey JC. Syndromes of the head and neck Gorlin RJ, Michael Cohen M, Stefan Levin L, ed., New York: Oxford University Press; 1990. p. 977. Am J Med Genet 1992;42:144-144.
  4. Guruprasad Y, Naik RG. Multiple impacted teeth in a non-syndromic patient. SRM J Res Dent Sci 2012;3(4):279–280. DOI: 10.4103/0976-433X.114972.
  5. Saluja H, Mahindra U, Gaikwad PT, et al. Multiple impacted teeth in maxilla in a young non syndromic patient: a rare occurrence: a case report with review of literature. Pravara Med Rev 2012;4:23–24.
  6. Saluja KS, Singh B, Bhatia TK. An atypical case of non-syndromic multiple impacted supernumerary teeth – a case report. Int J Contemp Med Res 2016;3:1423–1425.
  7. Ghaeminia H, Nienhuijs MEL, Toedtling V, et al. Surgical removal versus retention for the management of asymptomatic disease-free impacted wisdom teeth. Cochrane Database Systema Rev 2020(5):CD003879.
  8. Resnik RR, Misch C. Prophylactic antibiotic regimens in oral implantology: rationale and protocol. Implant Dent 2008;17(2):142–150. DOI: 10.1097/ID.0b013e3181752b09.
  9. Taruna M, Chittaranjan B, Sudheer N, et al. Prosthodontic perspective to all-on-4® concept for dental implants. J Clin Diagn Res 2014;8(10):ZE16–ZE19. DOI: 10.7860/JCDR/2014/9648.5020.
  10. Branemark PI, Svensson B, van Steenberghe D. Ten year survival rates of fixed prostheses on four or six implants ad modum Branemark in full edentulism. Clin Oral Implants Res 1995;6(4):227–231. DOI: 10.1034/j.1600-0501.1995.060405.x.
  11. Ashurko I, Trofimov A, Tarasenko S, et al. Full-mouth screw-retained implant-supported rehabilitation with multiunit abutments using virtual guided surgery and digital prosthetics protocol. Case Rep Dent 2020;2020:3585169. DOI: 10.1155/2020/3585169.
  12. Gulnar A, Altintas SH, Yilmaz O, et al. Rehabilitation of the completely edentulous young patient with the “Malo Bridge”: a case report. Niger J Clin Pract 2020;23(9):1328–1331. DOI: 10.4103/njcp.njcp_170_20.
  13. Kodama T. Implant-supported full-mouth reconstruction Malo implant bridge. J Calif Dent Assoc 2012;40(6):497–508.
  14. Sharma A. A rare non-syndrome case of concomitant multiple supernumerary teeth and partial anodontia. J Clin Pediatr Dent 2001;25(2):167–169. DOI: 10.17796/jcpd.25.2.k4617k5126205k46.
  15. Yildirim D, Yilmaz HH, Aydin U. Multiple impacted permanent and deciduous teeth. Dentomaxillo Radiol 2004;33(2):133–135. DOI: 10.1259/dmfr/12620936.
  16. Sivakumar A, Valiathan A, Gandhi S, et al. Idiopathic failure of eruption of multiple permanent teeth: report of 2 adults with a highlight on molecular biology. Am J Orthod Dentofacial Orthop 2007;132(5):687–692. DOI: 10.1016/j.ajodo.2006.04.034.
  17. Chai WL, Razali M, Ngeow MC. Dimension and structures of biological seal of peri-implant tissues. In Dental implantology and biomaterial, ch. 3, London, UK: IntechOpen; 2016.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.