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J Dent Child (Chic) ; 83(3): 167-172, 2016 Sep 15.
Article in English | MEDLINE | ID: mdl-28327268

ABSTRACT

Impaction of permanent maxillary central incisors is a rare condition that can affect esthetics and oral function. The etiology of impaction is multifactorial and may be related to embryologic reasons, hereditary factors, mechanical obstacles, and pathologic elements, such as the presence of supernumerary teeth. The purpose of this report is to discuss the case of a 10-year-old patient who presented an impacted permanent maxillary right central incisor due to a supernumerary tooth. Surgical removal of the supernumerary tooth and orthodontic traction of the impacted central incisor by the closed eruption technique were performed. After 12 months, the permanent maxillary right central incisor was adequately positioned in the arch. The multidisciplinary treatment allowed the functional and esthetic rehabilitation to happen in a short period of time, thus reducing the patient's psychological impact caused by the lack of an anterior tooth.


Subject(s)
Incisor/surgery , Maxilla/surgery , Orthodontic Extrusion/methods , Tooth, Impacted/surgery , Tooth, Impacted/therapy , Tooth, Supernumerary/surgery , Tooth, Supernumerary/therapy , Brazil , Child , Extraoral Traction Appliances , Humans , Incisor/abnormalities , Incisor/diagnostic imaging , Incisor/pathology , Male , Maxilla/pathology , Orthodontic Appliances , Orthodontic Brackets , Orthodontic Extrusion/instrumentation , Orthodontic Wires , Radiography, Dental , Surgical Flaps/surgery , Tooth Eruption/physiology , Tooth Movement Techniques/methods , Tooth, Impacted/diagnostic imaging , Tooth, Impacted/etiology , Tooth, Supernumerary/complications , Tooth, Supernumerary/diagnostic imaging
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