Agenesia de segundos premolares superiores e inferiores en un paciente pediátrico: Informe de caso. / Upper and lower second premolar agenesis in a pediatric patient: Case report.
DOI:
https://doi.org/10.19136/mhr.a3n1.2088Abstract
Resumen: La agenesia es una alteración común en el desarrollo del hombre con una prevalencia de 3.5 a 8.8 %; excluyendo a los terceros molares, se presenta generalmente en pacientes femeninos y su etiología es multifactorial. Informe de caso: paciente femenino ASA I de 10 años de edad con ausencia de segundos premolares permanentes en ambos maxilares. Se realizó la rehabilitación integral y de acuerdo a la valoración por parte del área de Ortodoncia se efectuará el desgaste selectivo de los segundos molares temporales para conseguir la migración del primer molar permanente y con ello conservar la integridad del arco dental. Conclusión: Un diagnóstico preciso y oportuno puede ser realizado por medio de la radiografía panorámica; las opciones de tratamiento dependerán de la edad y tipo de oclusión con la finalidad de conservar la integridad de los arcos, brindar un desarrollo oclusal óptimo y una mejor calidad de vida.
Palabras clave: Agenesia, premolares, diagnóstico, tratamiento.
Abstract: Agenesis is a common alteration in the development of men with a prevalence of 3.5 to 8.8%; excluding third molars, usually occurs in female patients and the etiology is multifactorial. Case report: female patient ASA I of 10 years of age with absence of permanent second premolars in both maxillaries. Integral rehabilitation was performed and according to the assessment by the orthodontic area was carried out the selective grinding of the deciduous second molar to achieve the migration of the first permanent molar for preserve the integrity of the dental arch. Conclusion: A reliable and timely diagnosis can be made by means of panoramic radiography; the treatment options will depend on the age and type of occlusion whit the aim of preserve the integrity of the arches, provide an optimal occlusal development and a better quality of life.
Key words: Agenesis, premolars, diagnosis, treatment.
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