Surgical and orthodontic treatment of an impacted permanent incisor: case report

Abstract

This case report presented a combined surgical/orthodontic treatment of an impacted permanent incisor of a 10-year-old boy. Trauma to the primary dentition caused the impaction of the maxillary left permanent central incisor. Application of push coil spring between the adjacent teeth created space for the impacted tooth. A button with an extension of ligature wire was bonded to the maxillary left permanent central incisor to bring it into the arch. The maxillary left permanent central incisor was brought to its proper position after 16 months of active orthodontic treatment.

Surgical Exposure and Orthodontic Treatment of Impacted Maxillary Central Incisors. A Case Report

“…After thorough clinical and radiographic examination, it was decided that the present case required a combination approach comprising of both surgical and orthodontic treatment to bring an un erupted maxillary central incisor into position as done by various authors like Cangialosi, (16) Kamakura et al, (5) Kocadereli and Turgut. (17) Surgical exposures of impacted incisors or surgical repositioning have also been used to bring impacted teeth into occlusion ,this method cited by Kamakura et al, (5) Kocadereli and Turgut (17) and Shetty et al (18) Combination approach using conservative surgical treatment and careful orthodontic management to bring tooth into good position in the dental arch has also been reported with success by Cangialosi, (16) Hemalatha and Balasubramaniam, (19) Chew and Ong. (20) Hence, extraction of the impacted supernumerary tooth was done and was followed by an innovative orthodontic traction of the unerupted permanent central incisor to bring the tooth into proper position in the arch.…”

Impacted Mandibular Permanent Incisors Associated With a Supernumerary Tooth: A Case Report

“…3,16 Surgical exposures of impacted incisors or surgical repositioning have been used to bring impacted teeth into occlusion. 20,21 The disadvantage of the combined surgical/orthodontic therapy is required a longer treatment period and some complication including ankylosis, non-vital pulps and root resorptions may be encountered. When an extensive amount of bone is removed or an open approach method is used to expose the impacted teeth, surgically, periodontal complication can be occurred such as gingival recession, delay in periodontal healing, gingivitis, bone loss and decrease in the width of keratinized gingiva.…”

“…When an extensive amount of bone is removed or an open approach method is used to expose the impacted teeth, surgically, periodontal complication can be occurred such as gingival recession, delay in periodontal healing, gingivitis, bone loss and decrease in the width of keratinized gingiva. 20 In this case we prefer extraction of all impacted teeth because of presence an associated cyst.…”

Characteristic features of orthodontic treatment of tooth retention caused by hyperdontia

“…15 To bring retained teeth into the dental arch, surgical exposure or surgical repositioning can be used in some cases. 16,17 The authors' experience providing comprehensive care to patients with retained teeth due to supernumerary teeth led to the development of algorithms of orthodontic treatment for such cases (Fig. 13).…”