Orthodontic treatment of an impacted dilacerated maxillary incisor: A case report

Cozza, Paola; Marino, Angela; Condò, Roberta

doi:10.17796/jcpd.30.2.n4uk8x7g8t42k38k

Cited by 14 publications

(7 citation statements)

References 15 publications

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“…10,13 In Case 2, the patient's history prior to tooth impaction, in association with a traumatic episode involving the MCI's predecessor, demonstrates that traumatology is an important etiological factor of this pathology and is usually responsible for the dilaceration of MCIs that prompts impaction. 14,15 Dilaceration refers to the displacement of a tooth's root in relation to its normal alignment with the crown. 16 Such deformity can pose complications for impacted tooth treatment since the curved root can affect the adjacent teeth or enter the labial cortical bone, which causes pulp and periapical problems.…”

Section: Discussionmentioning

confidence: 99%

Interceptive orthodontic traction of impacted maxillary incisors: clinical cases

Pinho¹,

Carvalho²

2018

j.rpemd

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Impaction is a tooth's partial or total lack of eruption once the normal age for eruption has passed. It has a multifactorial etiology, and the most common factors are trauma, supernumerary teeth, and odontomas. In particular, the absence of a maxillary central incisor (MCI) due to impaction can pose several consequences for a person's facial aesthetics, chewing ability, and phonetics, thereby making the diagnosis and early treatment of MCI impaction are imperative. A primary approach to such treatment involves surgical exposure, orthodontic space opening, and the posterior traction of the incisor to its normal position, all of which benefits tooth maintenance and possibly even alveolar bone maintenance. As a contribution to clarifying those benefits, this article analyzes three clinical cases of individuals with impacted MCIs due to different causes-supernumerary teeth, root dilaceration, and eruption deviation-all of whom were submitted to treatment emphasizing orthodontic traction. (Rev Port Estomatol Med Dent Cir Maxi

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Section: Discussionmentioning

confidence: 99%

Interceptive orthodontic traction of impacted maxillary incisors: clinical cases

Pinho¹,

Carvalho²

2018

j.rpemd

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“…Leyland et al (2006) concluded that in the majority of cases, spontaneous eruption of an impacted MPCI occurs, after removal of associated supernumerary teeth, if sufficient space is available. On the other hand, several authors have reported the need for supernumerary tooth removal and orthodontic traction for an impacted MPCI (Cozza et al, 2003; Thosar and Vibhute, 2006). Due to the lack of conclusive evidence towards either treatment modality, a bonded attachment is often placed at the same time as removal of any obstruction to prevent a second procedure under general anaesthetic in the event the MCPI does not spontaneously erupt (Seehra et al, 2018).…”

Section: Managementmentioning

confidence: 99%

Cleft complications: Severely rotated maxillary permanent central incisors

Hameed

Good

2022

J Orthod

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The maxillary permanent central incisor (MPCI) has been reported to be rotated in up to 96% of cleft patients. A severely rotated MPCI is highly visible when smiling, drawing attention to a repaired cleft lip, and is often the main presenting complaint of a patient with cleft lip and palate attending for orthodontic treatment. The benefit of interceptive orthodontic treatment to alleviate these concerns must be weighed up against the consequences of adding to the already substantial orthodontic burden likely to be faced by these patients. Despite the high prevalence of this dental abnormality among cleft patients, there is little published in the literature regarding this type of malocclusion. This paper explores the aetiology, presentation and management of this condition, using examples from cases treated within our department. In addition, the commonly found pre-existing anomaly of a short root length is discussed, in combination with the implications this may have upon orthodontic treatment planning for a rotated MPCI.

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“…3,7 El tratamiento que involucra la tracción trae consigo un alto riesgo de anquilosis, posible reabsorción o dilaceración radicular, decoloración del diente y compromiso periodontal; por ello en casos muy complejos, se prefiere la exodoncia con subsecuente colocación de un implante. 8,9 Para disminuir los riesgos de la tracción, se recomienda que se use la técnica cerrada, esta ayudará a mejorar la estética y la salud periodontal con un margen gingival adecuado al final del tratamiento; 7 en el presente caso se seleccionó esta técnica para el abordaje quirúrgico.…”

Section: Relato Del Casounclassified

Manejo clínico de un diente impactado en posición vertical invertida: Reporte de Caso

Gutiérrez

Espinoza

Yabar

et al. 2020

spor

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Se presenta el caso de un paciente de sexo femenino, de 8 años 9 meses de edad, que acude al Centro Odontológico de la Universidad Científica del Sur por ausencia de un incisivo central, madre refiere como antecedente trauma en la dentición decidua. Fue evaluada clínicamente y se le solicitaron radiografías panorámica y cefalométrica, las cuales evidenciaron la presencia de un mesiodens el cual ocasionaba la impactación del incisivo central superior. Dadas las condiciones de la pieza se optó por un tratamiento quirúrgico en dos pasos acompañado de tracción ortodóntica progresiva, seguido de la técnica 4x2.

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Orthodontic treatment of an impacted dilacerated maxillary incisor: A case report

Cited by 14 publications

References 15 publications

Interceptive orthodontic traction of impacted maxillary incisors: clinical cases

Interceptive orthodontic traction of impacted maxillary incisors: clinical cases

Cleft complications: Severely rotated maxillary permanent central incisors

Manejo clínico de un diente impactado en posición vertical invertida: Reporte de Caso

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