2020 Volume 58 Issue 1 Pages 23-29
High IgE syndrome (HIES) is an immunodeficiency disease characterized by skin abscesses, pneumonia, atopic dermatitis, and high serum levels of IgE. In dentistry, prolonged retention of deciduous teeth is a characteristic finding in patients with HIES. In this paper, we report the case of a pediatric patient with prolonged retention of deciduous teeth caused by HIES. Under the remaining predecessor deciduous teeth, her successor permanent teeth were impacting her jawbone and were close to completing root formation.
In such cases, we generally choose towing to enable the eruption of the successor permanent teeth. However, in this case, we could guide the natural eruption of the successor permanent teeth only by extracting the remaining predecessor deciduous teeth. We considered that the successor permanent teeth would naturally erupt, only upon extracting the remaining predecessor deciduous teeth at an appropriate time.
