ABSTRACT
Impactions of maxillary central incisors occur uncommonly. Treatment of such impactions is challenging, as they interfere with facial esthetics and other clinical problems. Early detection of such teeth is most important if complications are to be avoided. We report a case of 13 year old female patient with impacted maxillary central incisor located high in the vestibule, parallel to the occlusal plane at the level of adjacent teeth root tips, with rotated right central incisor and mesially tipped left lateral incisor towards midline with barely 4-5 mm space left between the right central incisor and the left lateral incisor. The impacted tooth was surgically exposed and traction was done with orthodontic intervention.
ABSTRACT
Impaction of maxillary permanent incisor is not a frequently case in dental practice, but its treatment is challenging because of its importance to facial esthetics. Supernumerary teeth are the main cause of impaction of upper incisor. Supernumerary teeth when present can cause both esthetic and pathologic problems. Supernumerary teeth in the maxillary midline are common. Early detection of such teeth is most important if complications are to be avoided. We report a case of 12 year old male with an impacted supernumerary tooth in the maxillary anterior region, which was interfering with the eruption of the permanent, left central incisor. The impacted supernumerary tooth was surgically removed. With the application of an orthodontic traction, impacted left maxillary central incisor was brought down to its proper position in the dental arch.