445 - Primary Failure of Eruption: A Diagnostic Dilemma and Case Report

Delayed tooth eruption can arise from various systemic, environmental, and genetic factors. This condition may lead to complications, including malocclusion, compromised esthetics, and reduced self-esteem. Identifying the underlying cause is essential for appropriate management and intervention.

This case discusses a 15-year-old female patient who presented to the Pediatric Dental Center at Children’s Hospital Colorado with a chief complaint of retained primary teeth. The patient's medical history was non-contributory with no reported medications or known allergies. Clinical examination revealed retained #A-#C, #H-#J, #K-# M, #R-#T. Permanent first molars and incisors had erupted with a noted delay in the eruption of #2 and #15. Radiographic findings revealed presence of all succedaneous teeth with two-thirds or greater root formation and minimal resorption of the primary teeth. This case report emphasizes the importance of interdisciplinary management to identify the etiology of delayed tooth eruption and determine the appropriate interventions and follow-up care.


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