Management of an Impacted Dilacerated Permanent Maxillary Central Incisor

Abstract

The impacted maxillary incisor is rare and detrimental for problems related to esthetics and occlusion in permanent dentition stage. The diagnosis of an impacted incisor with dilaceration refers to a dental deformity characterized by an angulation between the crown and the root, causing noneruption of the incisor. The most common cause of dilaceration in a tooth is trauma to its primary predecessor like avulsions, intrusions, or gross displacement of primary incisors. This study presents a case with overretained mobile deciduous teeth that were diagnosed radiographically with an impacted dilacerated maxillary central incisor surrounded by a large radiolucency. History of trauma to the same region was given at the age of 1 year. On examination, multiple missing permanent teeth were noted. The management of the case was carried out by surgical enucleation and histopathologic examination confirmed diagnosis of an infected dentigerous cyst. How to cite this article Agarwal S, Goenka P, Lakshmi V, Chaturvedi Y, Nirwan M. Management of an Impacted Dilacerated Permanent Maxillary Central Incisor. J Mahatma Gandhi Univ Med Sci Tech 2017;2(1):44-46.