263 - Interceptive Treatment of Upper Premolar Eruption Disturbances: A Case Report

Abstract: The failure of permanent teeth to erupt into their functional position can lead to significant dental and developmental complications. In pediatric patients, untreated eruption disturbances often result in malocclusion, midline shifts, and the resorption of adjacent healthy tooth roots.

This case report explores the management of a 9-year-old female presenting with severe impaction of the upper left premolars. The first premolar is horizontally impacted, creating a physical barrier that has subsequently led to the impaction of the second premolar. In this case, the clinical intervention began with the extraction of the deciduous molars to remove physical obstructions and create a favorable eruption path. Subsequent orthodontic treatment was utilized to manage the available space and guide the malpositioned premolars into their functional sites. This evidence-based strategy emphasizes early interceptive measures to minimize surgical complexity and achieve an optimal esthetic and functional outcome.

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