title: An efficient biomechanical approach for the management of an impacted maxillary central incisor.
abstract: Treatment of an impacted maxillary central incisor poses a unique challenge to the orthodontist because of its position within the esthetic zone, requiring careful management of the soft tissues and an effective biomechanical setup for alignment. This article describes a novel method of extending an extrusion wire from cross tubes attached on the base archwire for forced eruption of impacted central incisors. The effectiveness and versatility of this method are demonstrated with 2 patients.
authors.affiliation: Assistant professor, Division of Orthodontics, Department of Craniofacial Sciences, School of Dental Medicine, University of Connecticut, Farmington, Conn. Electronic address: chandhoke@uchc.edu.
authors.forename: Taranpreet K
authors.initials: TK
authors.lastname: Chandhoke
authors.affiliation: Resident, Division of Orthodontics, Department of Craniofacial Sciences, School of Dental Medicine, University of Connecticut, Farmington, Conn.
authors.forename: Sachin
authors.initials: S
authors.lastname: Agarwal
authors.affiliation: Assistant professor, Division of Orthodontics, Department of Craniofacial Sciences, School of Dental Medicine, University of Connecticut, Farmington, Conn.
authors.forename: Jonathan
authors.initials: J
authors.lastname: Feldman
authors.affiliation: Private practice, Albuquerque, NM.
authors.forename: Raja A
authors.initials: RA
authors.lastname: Shah
authors.affiliation: Assistant professor, Division of Orthodontics, Department of Craniofacial Sciences, School of Dental Medicine, University of Connecticut, Farmington, Conn.
authors.forename: Madhur
authors.initials: M
authors.lastname: Upadhyay
authors.affiliation: Professor and head, Department of Craniofacial Sciences, Alumni Endowed Chair, School of Dental Medicine, University of Connecticut, Farmington, Conn.
authors.forename: Ravindra
authors.initials: R
authors.lastname: Nanda
mesh_terms: D000293:Adolescent; D001696:Biomechanical Phenomena; D002648:Child; D005260:Female; D006801:Humans; D007180:Incisor / Q000002:abnormalities / Q000473:pathology*; D008313:Malocclusion, Angle Class III / Q000628:therapy; D008437:Maxilla / Q000473:pathology; D008441:Maxillary Neoplasms / Q000000981:diagnostic imaging; D009810:Odontoma / Q000000981:diagnostic imaging; D016382:Orthodontic Appliance Design; D050793:Orthodontic Extrusion / Q000295:instrumentation / Q000379:methods*; D009969:Orthodontic Wires; D010155:Palatal Expansion Technique / Q000295:instrumentation; D011378:Prognathism / Q000628:therapy; D016300:Radiography, Bitewing; D014092:Tooth Root / Q000002:abnormalities; D014095:Tooth, Impacted / Q000628:therapy*; D014097:Tooth, Unerupted / Q000628:therapy