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Interdisciplinary management of an impacted dilacerated maxillary central incisor
Singh, Harpreet; Kapoor, Pranav; Sharma, Poonam; Dudeja, Pooja; Maurya, Raj Kumar; Thakkar, Surbhi.
  • Singh, Harpreet; ESIC Dental College and Hospital. Department of Orthodontics and Craniofacial Orthopedics. New Delhi. IN
  • Kapoor, Pranav; ESIC Dental College and Hospital. Department of Orthodontics and Craniofacial Orthopedics. New Delhi. IN
  • Sharma, Poonam; ESIC Dental College and Hospital. Department of Orthodontics and Craniofacial Orthopedics. New Delhi. IN
  • Dudeja, Pooja; ESIC Dental College and Hospital. Department of Conservative Dentistry and Endodontics. New Delhi. IN
  • Maurya, Raj Kumar; Army Dental Centre. New Delhi. IN
  • Thakkar, Surbhi; s.af
Dental press j. orthod. (Impr.) ; 23(3): 37-46, May-June 2018. graf
Article in English | LILACS | ID: biblio-953031
ABSTRACT
ABSTRACT

Introduction:

Tooth dilacerations are dental anomalies characterized by an abrupt deviation in the longitudinal axis of a tooth. They may occur either in the crown, between the crown and root, or in the root. Although not so common, impacted maxillary incisors exhibiting root dilaceration pose a diagnostic and treatment challenge to the clinician. Description This case report describes the management of a horizontally impacted and dilacerated maxillary central incisor in a 12-year-old girl. Cone-beam computed tomographic scans were used to accurately localize the position of the dilacerated tooth, and to assess the extent of root formation and degree of dilaceration present in the root. Treatment included surgical exposure and orthodontic traction, followed by root canal treatment and apicoectomy.

Results:

Through a meticulously planned interdisciplinary approach, the impacted dilacerated central incisor was properly aligned and demonstrated good stability after the long-term follow-up.

Conclusion:

Taking into consideration the concerns and expectations of the patient, communicative feedback between the oral surgeon, orthodontist and endodontist helped achieving successful esthetic, structural and functional outcome in the present case.
RESUMO
RESUMO

Introdução:

as dilacerações dentárias são anomalias caracterizadas por desvio acentuado no eixo longitudinal de um dente. Elas podem ocorrer na coroa, entre a coroa e a raiz, ou na raiz. Apesar de não serem muito comuns, os incisivos superiores impactados apresentando dilaceração radicular representam um desafio para o clínico, quanto ao diagnóstico e tratamento. Descrição o presente relato de caso descreve o tratamento de um incisivo central superior impactado horizontalmente e com dilaceração, em uma menina com 12 anos de idade. Tomografias computadorizadas de feixe cônico foram utilizadas para localizar com precisão a posição do dente dilacerado e avaliar o grau de formação e de dilaceração da raiz. O tratamento incluiu exposição cirúrgica e tração ortodôntica, seguida de tratamento do canal radicular e apicectomia.

Resultados:

por meio de uma abordagem interdisciplinar meticulosamente planejada, o incisivo central impactado com dilaceração foi devidamente alinhado e demonstrou boa estabilidade em acompanhamento de longo prazo.

Conclusão:

levando-se em consideração as preocupações e expectativas da paciente, a comunicação interativa adotada entre o cirurgião oral, ortodontista e o endodontista ajudou na obtenção de resultados estéticos, estruturais e funcionais satisfatórios no presente caso.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Patient Care Team / Tooth, Impacted / Incisor Limits: Child / Female / Humans Language: English Journal: Dental press j. orthod. (Impr.) Journal subject: Orthodontics Year: 2018 Type: Article Affiliation country: India Institution/Affiliation country: Army Dental Centre/IN / ESIC Dental College and Hospital/IN

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Full text: Available Index: LILACS (Americas) Main subject: Patient Care Team / Tooth, Impacted / Incisor Limits: Child / Female / Humans Language: English Journal: Dental press j. orthod. (Impr.) Journal subject: Orthodontics Year: 2018 Type: Article Affiliation country: India Institution/Affiliation country: Army Dental Centre/IN / ESIC Dental College and Hospital/IN