Combined Surgical Removal of a Supernumerary Tooth and Orthodontic Traction of an Impacted Maxillary Central Incisor.
Impaction of permanent maxillary central incisors is a rare condition that can affect esthetics and oral function. The etiology of impaction is multifactorial and may be related to embryologic reasons, hereditary factors, mechanical obstacles, and pathologic elements, such as the presence of supernumerary teeth. The purpose of this report is to discuss the case of a 10-year-old patient who presented an impacted permanent maxillary right central incisor due to a supernumerary tooth. Surgical removal of the supernumerary tooth and orthodontic traction of the impacted central incisor by the closed eruption technique were performed. After 12 months, the permanent maxillary right central incisor was adequately positioned in the arch. The multidisciplinary treatment allowed the functional and esthetic rehabilitation to happen in a short period of time, thus reducing the patient's psychological impact caused by the lack of an anterior tooth.
Department of Clinics and Surgery, School of Dentistry, Federal University of Alfenas, Alfenas, Minas Gerais, Brazil.
Leopoldo
L
Cosme-Silva
Department of Clinics and Surgery, School of Dentistry, Federal University of Alfenas, Alfenas, Minas Gerais, Brazil.
Lidiane Lucas
LL
Costa E Silva
Department of Clinics and Surgery, School of Dentistry, Federal University of Alfenas, Alfenas, Minas Gerais, Brazil.
Marina Azevedo
MA
Junqueira
Department of Clinics and Surgery, School of Dentistry, Federal University of Alfenas, Alfenas, Minas Gerais, Brazil.
Nayara Nery
NN
de Oliveira Dias
Department of Clinics and Surgery, School of Dentistry, Federal University of Alfenas, Alfenas, Minas Gerais, Brazil.
Ana Beatriz
AB
da Silveira Moretti
Department of Clinics and Surgery, School of Dentistry, Federal University of Alfenas, Alfenas, Minas Gerais, Brazil. vivienodonto@yahoo.com.
Vivien Thiemy
VT
Sakai
D001938:Brazil; D002648:Child; D005115:Extraoral Traction Appliances; D006801:Humans; D007180:Incisor / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D008297:Male; D008437:Maxilla / Q000473:pathology / Q000601:surgery*; D009967:Orthodontic Appliances; D016910:Orthodontic Brackets; D050793:Orthodontic Extrusion / Q000295:instrumentation / Q000379:methods*; D009969:Orthodontic Wires; D011861:Radiography, Dental; D013524:Surgical Flaps / Q000601:surgery; D014078:Tooth Eruption / Q000502:physiology; D014087:Tooth Movement Techniques / Q000379:methods; D014095:Tooth, Impacted / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery* / Q000628:therapy*; D014096:Tooth, Supernumerary / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery* / Q000628:therapy*