Early Intervention Orthodontics for an Impacted Maxillary Central Incisor: A Case Report
Journal Title: Saudi Journal of Oral and Dental Research - Year 2018, Vol 3, Issue 5
Abstract
Abstract:Impaction of maxillary central incisors are only seldom encountered in clinical practices. Impaction of permanent anterior teeth results in both aesthetic impairment and functionally compromised occlusion. Careful planning and interdisciplinary approach are required for the successful management of impacted central incisor. The present case report highlights a case where patient reported with a missing left central incisor, at the age of 9 years and 2 months. A palpable crown prominence on labial gingival mucosa in the vestibule was suggestive of the impacted maxillary central incisor. On Cbct examination 21 was located below the nasal floor with long axis of the tooth near parallel to palatal plane. The crown of the impacted 21 faced labially at the level of middle third of the root of 11. The root formation was incomplete.The crown of the impacted teeth was exposed with the help of a diode laser under LA. A lingual button is bonded on the palatal surface of the exposed crown. PAE brackets are bonded to 12, 11 and 22 with slot alignment. E- thread is tied from the monkey loop from the attachment of exposed crown to the 0.018 special Autsralian base archwire. Traction was progressively continued till a PAE bracket could be bonded followed by a piggy back traction by 0.014 Niti. Case was finished with disimpacted 21 in alignment with the arch. Disimpaction and alignment of incisor achieved by a minimally invasive technique was successful and showed good stability. Keywords: Disimpaction, Maxillary central incisor, Early intervention.
Authors and Affiliations
Ankita Lohia, Mahesh K, Sree Suma, Sayali Pradhan, Khyati Narula
Keywords
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