Orthodontic management of impacted central incisor: A clinical challenge

Khera, Amit Kumar; Rohilla, Ajit; Tandon, Pramod; Singh, Gyan Prakash

doi:10.1177/0974909820170109

Cited by 3 publications

(3 citation statements)

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“…5 Careful planning and interdisciplinary approach are required in the management of impacted central incisor. 6 Here, we present a report of two cases where in first case supernumerary teeth is the cause of impaction and is managed by their surgical removal whereas in second case the cause of impaction may be the trauma and is managed by surgical exposure and orthodontic traction. There was neither positive family history of hereditary patterns of hyperdontia nor any systemic disorders in her family.…”

Section: Introductionmentioning

confidence: 99%

“…Improper surgical technique for flap design may lead to crown lengthening and loss of attachment which is functionally and esthetically unacceptable which advocate the need of periodontal surgery. 6 The literature shows various options for a clinical solution to impacted upper incisors, which range from conservative procedures to surgical procedures followed or otherwise by orthodontic traction. On the other hand, it should be emphasized that before any radical intervention such as surgical exposure, it would be prudent to create sufficient space, stimulating the natural eruption of the incisors 9 which was done in the second case here as there was limited space for the impacted maxillary incisors to erupt.…”

Section: Introductionmentioning

confidence: 99%

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Suffocated Maxillary Central Incisors (Surgical and Orthodontic Management): A Report of Two Cases

et al. 2021

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Clinically, supernumerary teeth are able to cause different local disorders and the most common one is impaction of maxillary incisors. Impacted maxillary incisors substantially affect esthetics, function, and self‑esteem of patients. Impaction of maxillary permanent incisor is a rare clinical entity in dental practice. Although impaction of a permanent tooth is rarely diagnosed during the mixed dentition period, an impacted central incisor is usually diagnosed accurately when there is delay in the eruption of tooth. Multiple treatment options are available for impacted incisors. Surgical-orthodontic treatment is one of the alternative option for the correction. Early diagnosis and management of supernumer¬ary teeth is important to prevent the need for more complex surgical and orthodontic treatment. Here, we present a report of two cases of impacted maxillary incisors and its management

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Suffocated Maxillary Central Incisors (Surgical and Orthodontic Management): A Report of Two Cases

et al. 2021

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“… 3 It is the third most commonly impacted tooth with variable incidence ranging from 0.06 to 0.2%. 4 Eruption of the maxillary incisor is considered to be delayed if the eruption of the contralateral incisor occurred 6 months earlier, the lower incisors have erupted >1 year earlier or there is a deviation from the normal sequence of eruption. 2…”

Section: Introductionmentioning

confidence: 99%

Unraveling Impacted Maxillary Incisors: The Why, When, and How

Jain¹,

Raza²,

Sharma³

et al. 2021

International Journal of Clinical Pediatric Dentistry

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A bstract Failure of eruption of maxillary incisors requires careful diagnosis and treatment planning. The cause of impaction may vary from physical obstruction in the path of eruption, tooth material arch length discrepancy to malformation of the tooth. General principles of management of the condition include removal of physical obstruction, creation of space, and surgical exposure with or without traction. The treatment of an unerupted tooth depends upon its age, position, etiology, and amount of space in the dental arch. This case series elaborates on three different cases of incisor impaction with different etiologies and varying ranges of complexity. Three-dimensional radiography was utilized in all cases to accurately visualize the impacted tooth and its relation to adjacent structures. All the cases required different approaches and were completed in varying time durations. Meticulous treatment planning resulted in well-aligned satisfactory functional and esthetic results. How to cite this article: Jain S, Raza M, Sharma P, et al. Unraveling Impacted Maxillary Incisors: The Why, When, and How. Int J Clin Pediatr Dent 2021;14(1):149–157.

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An Impacted, Inverted and Rotated Maxillary Central Incisors and Its Surgical Management: A Case Report.

Dewang¹,

Humne²

2021

PIJR

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A female patient aged 13 years was referred to the Department of Oral and Maxillofacial Surgery, CSMSS Dental College, Aurangabad, Maharashtra, India with a complaint of a missing tooth in the upper anterior region of the jaw. The patient was apparently healthy with no relevant family, medical and dental history. This case is peculiar due to the fact that the impacted maxillary central incisors are not frequently reported in our routine dental practice. Here, a case of impacted maxillary left permanent central incisors, with only a few reported cases in the literature, is presented. On radio diagnosis, it was observed that the tooth was sprawling in an inverted position in the anterior region of the maxilla with mild dilaceration. Moreover, the tooth was located beneath the remnants of the root stumps of the deciduous maxillary central incisors and lateral incisors. The treatment for this case was planned with mutual efforts of the orthodontists, the oral surgeon, and the patient with his parents. The most appropriate treatment of choice for this case was the Surgical extraction of the impacted maxillary central incisor along with the root stumps of deciduous teeth that were performed under local anaesthesia without any hindrance to the nasal floor

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Orthodontic management of impacted central incisor: A clinical challenge

Cited by 3 publications

References 0 publications

Suffocated Maxillary Central Incisors (Surgical and Orthodontic Management): A Report of Two Cases

Suffocated Maxillary Central Incisors (Surgical and Orthodontic Management): A Report of Two Cases

Unraveling Impacted Maxillary Incisors: The Why, When, and How

An Impacted, Inverted and Rotated Maxillary Central Incisors and Its Surgical Management: A Case Report.

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