History of Present Illness
This is a healthy 14-year-old female who presented at Dr. Camran Zafarnia’s dental office for non-eruption of a maxillary right molar. She was referred to Dr. Gregory Ogata, an orthodontist, for evaluation of this condition. At the time of her evaluation with Dr. Ogata, a panorex radiograph was performed. The radiograph revealed the delayed eruption of tooth #3 (Fig 1). The patient was referred to Dr. Crinzi for evaluation and treatment. The clinical examination revealed erupted first and second molars in the maxillary left and bilateral mandibular quadrants; these were missing from the maxillary right quadrant. There was no evidence of bony expansion or soft tissue swelling. The patient denied any symptoms associated with this area.
|Figure 1. Panoramic view at first presentation demonstrating missing right posterior second and third molars with an impacted first molar. The latter is associated with a well-demarcated, radiolucency with radiopacity and three tooth-like structures. Notice the normal eruption and development of teeth in the other three quadrants.|