Boudi Rachid, Ramdi Hind, Sakout Majid, El Khammal Houda
Department of Pediatric Dentistry, Faculty of Dental Medicine, Mohammed V University in Rabat, Rabat, MAR.
Department of Conservative Dentistry and Endodontics, Faculty of Dentistry, Mohammed V University in Rabat, Rabat, MAR.
Cureus. 2025 Jul 21;17(7):e88399. doi: 10.7759/cureus.88399. eCollection 2025 Jul.
This case report details a unique clinical scenario involving a 10-year-old male patient with a severely compromised left mandibular primary second molar (tooth 75). The tooth presented with an advanced pulp-periodontal lesion and furcation involvement. Radiographic examination revealed the successor, the mandibular second premolar (tooth 35), in an inverted position and exhibiting developmental delay at Nolla Stage 6, indicating a significant delay in development. This clinical situation highlights the interdependence between pathology in primary teeth and the normal development of their permanent successors. The report discusses diagnostic challenges, treatment planning considerations, and the importance of early intervention, with references to contemporary literature.
本病例报告详细描述了一个独特的临床案例，涉及一名10岁男性患者，其左下颌乳第二磨牙（75号牙）严重受损。该牙齿出现了晚期牙髓-牙周病变和根分叉病变。影像学检查显示其恒牙胚，即下颌第二前磨牙（35号牙）处于倒置位置，且处于诺拉分期第6阶段，发育延迟，表明发育明显滞后。这种临床情况突出了乳牙病变与其恒牙胚正常发育之间的相互依存关系。报告讨论了诊断挑战、治疗计划考量以及早期干预的重要性，并参考了当代文献。
