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Orthodontics

284 - Management of First Permanent Molar Ectopic Eruption with Halterman Appliance

Saturday, May 24, 2025
11:45 AM - 12:00 PM MDT
Has Audio
Abstract:

Introduction:
Ectopic eruption of the first permanent molar is a developmental anomaly that may result in root resorption of adjacent primary teeth and arch space discrepancies. Early diagnosis and treatment are crucial to preventing long-term complications and ensuring proper alignment of the dental arch.



Case Report:
A 10-year-old female presented with ectopic eruption of tooth #14, causing resorption of the distal root of tooth #J. Periapical radiographs confirmed the diagnosis. The treatment plan included the extraction of tooth #J and placing a Halterman appliance to distalize tooth #14. Follow-up visits every 4 weeks ensured proper appliance adjustments. After seven months, the position of tooth #14 was corrected, creating adequate space for tooth #13 to erupt.



Conclusion:
This case highlights the efficacy of the Halterman appliance in managing ectopic first permanent molar eruption. It underscores the importance of individualized treatment planning and regular follow-up to ensure optimal outcomes in pediatric orthodontics.

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