Impaction and apical root angulation of the maxillary central incisors due to supernumerary teeth: combined surgical and orthodontic treatment.
This case report describes the treatment of a boy with both central maxillary incisors impacted because of 2 supernumerary teeth. Therapeutic management of the impacted teeth was combined with orthodontic treatment of a Class II Division 1 malocclusion. A sequential approach of surgical removal of the supernumerary teeth with 2 stages of surgical exposure and orthodontic traction of the impacted teeth resulted in proper incisor positioning. Close monitoring and multidisciplinary cooperation during the various treatment phases led to a successful esthetic result, with good periodontal health and functional occlusion.
Kolokitha
Olga-Elpis G
OE
Department of Orthodontics, School of Dentistry, Aristotle University of Thessaloniki, Thessaloniki, Greece. okolok@dent.auth.gr
Papadopoulou
Alexandra K
AK
D002508:Cephalometry; D002648:Child; D003481:Cuspid / Q000473:pathology; D005115:Extraoral Traction Appliances; D005500:Follow-Up Studies; D006801:Humans; D007180:Incisor / Q000473:pathology* / Q000601:surgery; D008297:Male; D008312:Malocclusion, Angle Class II / Q000601:surgery / Q000628:therapy; D008963:Molar / Q000473:pathology; D016910:Orthodontic Brackets; D010347:Patient Care Planning; D063173:Retrognathia / Q000628:therapy; D019227:Tooth Apex / Q000473:pathology*; D014087:Tooth Movement Techniques / Q000379:methods; D014095:Tooth, Impacted / Q000601:surgery* / Q000628:therapy; D014096:Tooth, Supernumerary / Q000150:complications* / Q000601:surgery; D016896:Treatment Outcome