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摘要
Abnormal multiply unerupted permanent molars have long received the attention of anatomists and maxillofacial surgeons besides the other developmental teeth anomalies. This paper presents a clinical case of a 23-year-old male patient who was admitted to the department of maxillofacial surgery in faculty of dentistry in Gulhane Medical School with a six month history of pain at the rest position and during chewing and also tender on his right corpus of mandible. The impaction which resulted in eruption failure and anatomical dislocation of the normally developed three mandibular molar teeth was found. It was defined facial asymmetry on his right side in extra-oral examination. Diagnosis of multiple abnormal unerupted mandibular molar teeth was confirmed by panoramic and 3D CT images. The unerupted inverted tooth was the third molar which is positioned to basis of the mandible on the right side. In the other side, the first molar was placed on basis of mandible and located distoangulary. The second molar was located on middle of the left corpus mandible vertically. And also, the third molar was erupted mesioangulary. The arch-length was evaluated by the oral surgeon. Mesio-distal distance between the teeth was to be sufficient. Causes of impacted permanent teeth might have been influenced by local factors such as prolonged deciduous tooth retention, malposed tooth germs, but not causing arch-length deficiency and supernumerary teeth. Abnormalities such as those reported in the present case are significant during maxillofacial surgery. Los molares permanentes anormales no erupcionados m迆ltiples, adem芍s de otras anomal赤as del desarrollo de los dientes, desde hace tiempo han recibido atenci車n de anatomistas y cirujanos maxilofaciales. Este art赤culo presenta un caso cl赤nico de un paciente masculino de 23 a os de edad, que fue admitido en el Departamento de Cirug赤a Maxilofacial de la Facultad de Odontolog赤a de la Escuela de Medicina Gulhane, con una historia de seis meses de dolor, en la posici車n de descanso y durante la masticaci車n, as赤 como dolor en su cuerpo mandibular derecho. Fue encontrada la impactaci車n que resulta de la falla en la erupci車n y la dislocaci車n de la anatom赤a normal del desarrollo en tres molares mandibulares. En el examen extraoral fue definida asimetr赤a facial del lado derecho. El diagn車stico de molares mandibulares anormales no erupcionados m迆ltiples fue confirmado por radiograf赤a panor芍mica e im芍genes de tomograf赤a 3D. El diente invertido no erupcionado fue el tercer molar que se encontr車 en la base de la mand赤bula en el lado derecho.
