Analysis of Impacted Mandibular Second Premolar Finding Trough Panoramic Radiograph: A Case Report

Authors

  • Muhammad A. Arsyad Universitas Muslim Indonesia
  • Muhammad R. E. Muchlis Universitas Muslim Indonesia

DOI:

https://doi.org/10.35790/eg.v13i1.58487

Abstract

Abstract: An impacted tooth is a tooth that cannot erupt to its normal functional position after the development of the root. The mandibular second premolar is the third most impacted that can potentially cause problems in the tooth and surrounding structures. Panoramic radiography can detect and evaluate the impacted tooth, surrounding tissues, and possible pathologies including cysts and tumors. This study aimed to discuss the findings of impacted mandibular second premolar on panoramic radiograph. We reported a 13-year-old male patient who came to RSIGMP-UMI complaining of protruding upper front teeth and occasional food impaction in the right lower anterior molar area. Panoramic radiograph showed a vertical angulation of tooth 45, with the crown directed towards the occlusal line between teeth 46 and 44, and the apex directed towards the mandibular ramus border approaching the mandibular canal, with an inclination 0° and type I. Panoramic radiographs are essential in dentistry, particularly in orthodontic treatment. In this case, the radiograph revealed an impacted mandibular second premolar. Extraction of this tooth is often necessary for optimal treatment outcomes. However, in this case, the patient's parents were still hesitant to proceed with tooth extraction.

Keywords: impacted teeth; second premolar teeth; panoramic radiography

Author Biographies

Muhammad A. Arsyad, Universitas Muslim Indonesia

Faculty of Dentistry, Universitas Muslim Indonesia, Makassar, Indonesia

Muhammad R. E. Muchlis, Universitas Muslim Indonesia

Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Universitas Muslim Indonesia, Makassar, Indonesia

References

Fatimatuzzahro N, Supriyadi S, Vanadia A. Tingkat kesesuaian pembacaan struktur normal maksila pada radiografi panoramik: studi observasional. Jurnal Kedokteran Gigi Universitas Padjadjaran. 2023;35(2):153. Doi: https://doi.org/10.24198/jkg.v35i2.47848

Himammi AN, Hartomo BT. Kegunaan radiografi panoramik pada masa mixed dentition. Jurnal Radiologi Dentomaksilofasial Indonesia. 2021;5(1):39-42. Doi: https://doi.org/10.32793/jrdi.v5i1.663

⁠Adrianto AWD, Hartomo BT, Satrio ⁠R, Hesantera AP, Rahmawati HD. Pemanfaatan radiografi panoramik untuk estimasi usia identifikasi forensik: Telaah Pustaka. Journal of Dental and Biosciences (JDB). 2024;1(1):36. Available from: https://doi.org/ 10.20884/1.j.dent bios.2024.1.01.11259

Ercal P. Prevalence of impacted teeth and related pathologies: a retrospective radiographic study. Essent Dent 2023;2(3):109. Available from: https://doi.org/ 10.5152/EssentDent.2023.23027

⁠Datana S, Ray S, Chaudhry D, Kumar P. Forced eruption of impacted and dilacerated premolar. Journal of Indian Orthodontic Society. 2017;51(1):43. Available from: 10.4103/0301-5742.199255

Theodoropoulou E, Karakostas P, Davidopoulou S. Surgical exposure of impacted mandibular second premolar. IJCMCR. 2021;14(5):1. Available from: https://doi.org/10.46998/IJCMCR. 2021.14.000347

Martin BA. Case report: Management of an impacted second premolar. Journal of the Irish Dental Association. 2019;65(2):95. Available from: https://doi.org/10.58541/001c.72046

⁠ Himammi AN, Hartomo BT. Kegunaan radiografi panoramik pada masa mixed dentition. Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI). 2021;5(1):42. Doi: https://doi.org/10.32793/jrdi.v5i1.663

⁠Kalinowska IR. Panoramic radiography in dentistry. Clinical Dentistry Reviewed. 2021;5(26):1. Available from: https://doi.org/10.1007/s41894-021-00111-4

Whaites E, Drage N. Essentials of Dental Radigraphy and Radiology. China: Elsevier; 2013. p. 184.

⁠Bonanthaya K, Panneerselvam E, Manuel S, Kumar VV, Rai A, editors. Oral and Maxillofacial Surgery for the Clinician. India: Springer; 2021. p. 299.

⁠Malik NA. Textbook of Oral and Maxillofacial Surgery (5th ed). India: Jaypee; 2021. p 307.

Parlina C, Krisnawati. Penatalaksanaan impaksi gigi premolar kedua bawah kiri tanpa exposure bedah pada perawatan ortodonti cekat. Jurnal Kedokteran Gigi Universitas Padjadjaran. 2022;33(3):79. Doi: https://doi.org/10.24198/jkg.v33i3.35091

Wahyudi I, Gazali M, Prasetyawati E. Penatalaksanaan impaksi gigi premolar kedua mandibula. Makassar Dental Journal. 2023;12(2):267-9. Doi: https://doi.org/10.35856/mdj.v12i2.779

Senel SN, Isler SC, Erdem TL. Unusual impaction of a mandibular second premolar: case report. Eurasian Dental Research. 2023;1(2):43. Available from: https://dergipark.org.tr/en/pub/edr/issue/78892/1252755

⁠Pogrel MA, Kahnberg KE. Andersson L. Essentials of Oral and Maxillofacial Surgery. USA: Wiley Blackwell; 2014. p. 97.

Brucoli O, Rivetti E, Boffan P. Surgical management of impacted mandibular premolar. Journal of Dentomaxillofacial Science. 2021;6(3):205. Available from: https://doi.org/10.15562/jdmfs.v6i1.1182

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Published

2024-10-30

How to Cite

Arsyad, M. A., & Muchlis, M. R. E. (2024). Analysis of Impacted Mandibular Second Premolar Finding Trough Panoramic Radiograph: A Case Report. E-GiGi, 13(1), 247–252. https://doi.org/10.35790/eg.v13i1.58487

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