case_images: PMC3220171_01
case_images: Patient aged 6 years
case_images: CCD-2-3-g001.jpg
case_images: PMC3220171_01_CCD-2-3-g001.jpg
case_images: F1
case_images: Asix and half-year-old boy [Figure 1] was brought to the Department of Pediatric Dentistry for initial examination.
case_images: Clinical examination
case_images: CCD-2-3-g002.jpg
case_images: PMC3220171_01_CCD-2-3-g002.jpg
case_images: F2
case_images: Oral examination revealed a full primary dentition with evidence of eruption of the distobuccal cusp tips of the mandibular first permanent molars [Figure 2].
case_images: Radiographic examination
case_images: CCD-2-3-g003.jpg
case_images: PMC3220171_01_CCD-2-3-g003.jpg
case_images: F3
case_images: Periapical radiograph showed ectopic eruption of mandibular left first permanent molar with associated resorption of the primary second molars [Figure 3].
case_images: Surgical exposure of tooth
case_images: CCD-2-3-g004.jpg
case_images: PMC3220171_01_CCD-2-3-g004.jpg
case_images: F4
case_images: Overlying mucosa was flapped and removed with a scalpel [Figure 4] using local infiltration of xylocaine 2%with 1,80,000 parts epinephrine.
case_images: Placement of occlusal button
case_images: CCD-2-3-g005.jpg
case_images: PMC3220171_01_CCD-2-3-g005.jpg
case_images: F5
case_images: After hemostasis, an occlusal button was placed on the exposed occlusal portion of permanent first molar [Figure 5].
case_images: Appliance design
case_images: CCD-2-3-g006.jpg
case_images: PMC3220171_01_CCD-2-3-g006.jpg
case_images: F6
case_images: Treatment outcome clinically
case_images: CCD-2-3-g007.jpg
case_images: PMC3220171_01_CCD-2-3-g007.jpg
case_images: F7
case_images: After 3 weeks, considerable movement was appreciated clinicall [Figure 7].The appliance was left in place for another 3 weeks to minimize the chances of relapse.
case_images: Treatment outcome after follow-up
case_images: CCD-2-3-g008.jpg
case_images: PMC3220171_01_CCD-2-3-g008.jpg
case_images: F8
case_images: In 4 months, the permanent first molar developed in a proper position [Figure 8].