Orthodontic-surgical treatment of an impacted central incisor. Case report

Abstract

Impacted teeth are present in 1 to 5% of orthodontic patients. The most common causes are: lack of space for the eruption, prolonged bone retention barrier or early loss of deciduous teeth, abnormal position of the tooth to erupt, presence of alveolar cleft, anchylosis, neoplasias, dental or alveolar trauma and root dilaceration. The central incisor is the most frequently impacted incisor; the frequency varies between 0.06 and 0.2%. Surgical-orthodontic treatment is an option for the correction of dental impactation. This article shows the case of a patient of nine years of age who presented the clinical absence of the upper right central incisor. By using radiographic and tomographic examination the impaction was confirmed. Method: Surgical-orthodontic management, surgical exposure and orthodontic traction of the upper right central incisor. Conclusion: It is important to perform comprehensive treatments, taking into consideration the risks and benefi ts for the patient thus minimizing treatment complications of impacted teeth.