Case Presentation
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Multiple Impacted Teeth
Orthodontic Evaluation Summary
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Practice: Music City Orthodontics, Nashville, TN Date: March 13, 2025
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Patient: L.S, Age at Completion: ~15
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Initial Presentation (at age 13):
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L.S and his parents initially presented with concerns that his permanent teeth were not erupting properly ("My teeth are not coming in"). Evaluation confirmed multiple impacted teeth (maxillary canines #6, #11; mandibular premolar #20) due to insufficient space.
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Treatment Provided:
Comprehensive orthodontic treatment using fixed braces was successfully undertaken over 20 months. The treatment involved:​
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Space Management: Required creating sufficient space. This involved careful consideration regarding the extraction of the impacted premolar (#20) or potentially other permanent teeth, based on space analysis. A non extraction approach was agreed upon using coils springs.
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Guided Eruption: Application of orthodontic forces via braces to bring the impacted teeth into proper alignment.
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Treatment Outcome:
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Active treatment concluded successfully.
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All permanent teeth, including the formerly impacted canines (#6, #11) and premolar #20 are now fully erupted and properly aligned.
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An ideal bite (Class I occlusion) with appropriate overjet and overbite has been achieved.
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Dental aesthetics and function have been significantly improved.
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Current Status:
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L.S is now in the retention phase of treatment.
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He is wearing upper and lower clear Essix retainers to maintain the stability of his corrected smile.
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Note: This summary is for informational purposes. A definitive treatment plan requires a comprehensive in-person consultation and review of all diagnostic records with Dr. Ajay Singh at Music City Orthodontics in Nashville, TN.