Repositioning an inverted maxillary central incisor using a combination of replantation and orthodontic movement: a clinical case report.
In some patients, the permanent central incisors fail to erupt and become impacted within the alveolus. In individuals with unfavorable impactions, surgical replantation may be considered to be a reasonable solution before orthodontic repositioning. In this clinical case report, a 9-year-old male patient presented with the permanent maxillary left central incisor in an inverted position high in the vestibule. He was treated with replantation and orthodontic repositioning with fixed appliances. Radiographic review 2 years post-treatment showed an intact lamina dura consistent with a healthy tooth. It is concluded that orthodontic repositioning in combination with surgical replantation can be an optimal treatment choice for impacted teeth, assuming the anatomic location of the tooth is favorable.
Department of Pediatric Dentistry, Graduate Program, School of Dentistry, University of Puerto Rico, San Juan, Puerto Rico, USA. eagrait@prtc.net
Emilio M
EM
Agrait
Daniel
D
Levy
Mariane
M
Gil
G D
GD
Singh
D002648:Child; D006801:Humans; D007180:Incisor / Q000503:physiopathology*; D008297:Male; D008437:Maxilla; D014079:Tooth Eruption, Ectopic / Q000628:therapy*; D014087:Tooth Movement Techniques / Q000295:instrumentation; D014090:Tooth Replantation; D014095:Tooth, Impacted / Q000601:surgery*