Combined orthodontic-restorative management of maxillary central incisors lost following traumatic injury: a case report.
A history of traumatic dental injury to the maxillary central incisors during preadolescence or adolescence is common and may result in premature loss. Treatment options include prosthetic implant replacement, autotransplantation, and orthodontic space closure with direct composite recontouring. This case report describes the treatment of an adolescent girl who presented with a crowded Class I malocclusion complicated by a history of trauma to the maxillary central incisors. The treatment plan consisted of orthodontic space closure following loss of both maxillary central incisors and mandibular premolars. This case highlights that orthodontic space closure can be a valuable treatment option in selected Class I crowded and Class II uncrowded malocclusions, producing predictable and efficient results.
Kent and Canterbury Hospital, Canterbury, UK. padhraigfleming@hotmail.com
Padhraig S
PS
Fleming
Jadbinder
J
Seehra
Andrew T
AT
Dibiase
D000293:Adolescent; D002508:Cephalometry; D005260:Female; D006801:Humans; D007180:Incisor / Q000293:injuries* / Q000601:surgery; D008311:Malocclusion, Angle Class I / Q000150:complications / Q000628:therapy; D008437:Maxilla; D019516:Orthodontic Space Closure; D014084:Tooth Avulsion / Q000150:complications / Q000534:rehabilitation* / Q000601:surgery; D014081:Tooth Extraction; D014090:Tooth Replantation