Retained Primary Teeth: There are several retained deciduous teeth identified, including:
62, 63, 64, 65
71, 73
81, 83
Permanent Tooth Status:
Hypodontia: This is a hyper hypodontia case.
Missing Teeth: 31 and 41 are most likely congenitally missing as they are not visible below the deciduous 71 and 81.
Uncertainty: It is unclear if premolars (such as 34, 35, 44, or 45) are missing based on the current view.
Impaction: The 25 is impacted.
Eruption Patterns:
Deciduous teeth have failed to exfoliate normally.
This “hanging on” of primary teeth has caused a disruption of the normal eruption pattern for the permanent teeth.
Pathology:
There is an inflammatory lesion associated with the roots of the 36.
Analysis and Diagnosis
Diagnosis: Hyper hypodontia.
Complications: The failure to exfoliate deciduous teeth earlier has led to the impaction of permanent teeth and has made the overall treatment more complicated.
Management and Referral
Orthodontic Consultation: The patient needs to see an orthodontist for further management.
Clinical Note: This condition should have been identified and addressed earlier to prevent the current complications.
