Journal of South Asian Association of Pediatric Dentistry

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VOLUME 2 , ISSUE 1 ( January-June, 2019 ) > List of Articles


From Disharmony to Harmony: Management of Impacted Central Incisor with the Combined Surgical and Orthodontic Approach

Shagun Agarwal, Saumya N Pandey, Suleman A Khan

Keywords : Impacted incisor, Orthodontic traction, Surgical exposure, Supernumerary tooth

Citation Information : Agarwal S, Pandey SN, Khan SA. From Disharmony to Harmony: Management of Impacted Central Incisor with the Combined Surgical and Orthodontic Approach. J South Asian Assoc Pediatr Dent 2019; 2 (1):1-4.

DOI: 10.5005/jp-journals-10077-3020

License: CC BY-NC 4.0

Published Online: 01-06-2019

Copyright Statement:  Copyright © 2019; The Author(s).


Introduction: Supernumerary teeth in the maxillary midline are common. Early detection of such teeth is important if pathological complications are to be avoided. Supernumerary teeth are the main cause of impaction of maxillary incisors. Impacted maxillary incisors can have a major impact leading to dentofacial malocclusion in an individual. Case report: In this reported case, the occlusal radiographic view of a 10-year-old boy revealed 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, and the impacted maxillary left central incisor was moved into its proper position with surgical exposure and orthodontic traction force, after which it showed excellent stability. Conclusion: Impaction of the maxillary permanent incisor is not a frequent case in pediatric dentistry, but its treatment is challenging because of the importance of these teeth in facial esthetics and developing child psychology.

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