Journal of South Asian Association of Pediatric Dentistry

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VOLUME 4 , ISSUE 3 ( October-December, 2021 ) > List of Articles


Orthodontic Extrusion of an Impacted Maxillary Incisor due to Compound Odontome in an 11-year-old Male Child: A Case Report

Sanjeev Singh, Ashima Goyal, Gauba Krishan, Mrinalini Rathore

Keywords : Extrusion, Forced eruption, Impacted, Incisors, Odontome, Orthodontic, Tooth

Citation Information : Singh S, Goyal A, Krishan G, Rathore M. Orthodontic Extrusion of an Impacted Maxillary Incisor due to Compound Odontome in an 11-year-old Male Child: A Case Report. J South Asian Assoc Pediatr Dent 2021; 4 (3):193-196.

DOI: 10.5005/jp-journals-10077-3089

License: CC BY-NC 4.0

Published Online: 07-01-2022

Copyright Statement:  Copyright © 2021; The Author(s).


Odontomes are hamartomous lesions or malformations rather than true neoplasms. They frequently cause impaction, delay in eruption of permanent teeth or even at times deciduous teeth retention. This case report describes treatment for compound odontome in an 11-year-old male who had presented with the chief complaint of excessive space with respect to upper front teeth on left side. Radiographically, a calcified mass was apparent in association with the impacted permanent left maxillary central incisor, which led to failure of permanent upper left central incisor eruption and provisional diagnosis of odontome was made. A sequential surgical approach, odontome removal and exposure followed by orthodontic traction of the impacted tooth with closed eruption technique was followed to achieve proper incisor positioning. Management and close monitoring resulted in successful esthetics, good periodontal health and functional occlusion.

  1. Becker A. Early treatment for impacted maxillary incisors. Am J Orthod Dentofacial Orthop 2002; 121:586–587. DOI: 10.1067/mod.2002.124171
  2. Pavlidis D, Daratsianos N, Jäger A. Treatment of an impacted dilacerated maxillary central incisor. Am J Orthod Dentofacial Orthop 2011; 139: 378–387. DOI: 10.1016/j.ajodo.2009.10.040
  3. Jacoby H. The “ballista spring” system for impacted teeth. Am J Orthod 1979; 75:143–151. DOI: 10.1016/0002-9416(79)90183-0
  4. Kocadereli I, Turgut MD. Surgical and orthodontic treatment of an impacted permanent incisor: case report. Dent Traumatol 2005; 21:234–239. DOI: 10.1111/j.1600-9657.2005.00304.x
  5. Nakandakari C, Gonçalves JR, Cassano DS, et al. Orthodontic traction of impacted canine using cantilever. Case Rep Dent 2016; 2016: 438–464. DOI: 10.1155/2016/4386464
  6. Huber K, Suri L, Taneja P. Eruption disturbances of the maxillary incisors: a literature review. J Clin Pediatr Dent 2008(Apr 1);32(3):221–230. DOI: 10.17796/jcpd.32.3.m175g328l100x745
  7. Yaqoob O, O'Neill J, Gregg T, et al. Management of unerupted maxillary incisors. Available from: www http://www. rcseng. ac. uk/fds/publications-clinical-guidelines/clinical_guidelines/docu-ments/ManMaxIncisors2010. pdf. [Accessed June 2012]. 2010 Apr.
  8. Chiara P. et al. Impacted maxillary incisors: diagnosis and predictive measurements. Ann Stomatol 2012; III ((3/4)): 100-105. PMID: 23386930
  9. Uematsu S, Uematsu T, Furusawa K, et al. Orthodontic treatment of an impacted dilacerated maxillary central incisor combined with surgical exposure and apicoectomy. Angle Orthodont 2004 (Feb);74(1):132–136. DOI: 10.1043/0003-3219(2004)074<0132:OTOAID>2.0.CO;2
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