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Year :2020
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Month :
July
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Volume :
9
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Issue :
3
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Page :
SC03 - SC06
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Management of Impacted Permanent First Molar and Associated Mandibular Body Fracture- A Case Report
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Correspondence Address :
Sudhir Ramlal Pawar, Krishnanunni Nair, Amod Pramod Patankar, Reshmi Sharma, Rakhi Syam Purkayastha,
Dr. Krishnanunni Nair,
Room No 106, Department of Oral Surgery, Bharati Vidyapeeth Dental College and Hospital, Dhankawadi, Pune, Maharashtra, India.
E-mail: unnibds11@gmail.com
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Introduction: Impaction of permanent teeth is a common clinical scenario, but certain permanent teeth like the mandibular first molars are rarely impacted. In cases, where the mandibular first molars are deeply impacted the extraction demands fine technique as well as cautious management to reduce the risk of injury to the adjacent teeth, the surrounding hard tissue, as well as the vicinal neurovascular bundle. Here, a rare case of impacted mandibular right first molar associated with right side mandibular body fracture in a 57-year-old male patient is reported, along with a brief review of the literature. The patient reported an alleged history of domestic fall due to slipping approximately one week back and complained of pain and difficulty in chewing on the right side of lower jaw since then. There was no significant medical history. The fracture was clinically faintly palpable near inferior border of mandible on right side, approximately 2 cm anterior to the angle of the mandible. Radiographic examination confirmed the fracture and revealed its association with an impacted tooth. This case was treated with open reduction and internal fixation of the fracture, followed by transalveolar extraction of the impacted tooth under general anesthesia to achieve a stable and successful result. Regular follow-ups were done for six months.
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