Impacted Central Incisors in the Upper Jaw in an Adolescent Patient: Orthodontic-Surgical Treatment—A Case Report

The inclusion of both maxillary permanent central incisors is uncommon. This condition compromises face aesthetics, phonation and masticatory function. Therefore, early diagnosis is essential to avoid complications and failures. There are various reasons for inclusion, but supernumerary teeth are th...

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Published in:Applied sciences 2022-03, Vol.12 (5), p.2657
Main Authors: Malcangi, Giuseppina, Inchingolo, Alessio Danilo, Patano, Assunta, Coloccia, Giovanni, Ceci, Sabino, Garibaldi, Mariagrazia, Inchingolo, Angelo Michele, Piras, Fabio, Cardarelli, Filippo, Settanni, Vito, Rapone, Biagio, Corriero, Alberto, Mancini, Antonio, Corsalini, Massimo, Nucci, Ludovica, Bordea, Ioana Roxana, Lorusso, Felice, Scarano, Antonio, Giovanniello, Delia, Dipalma, Gianna, Posa, Vito Marino, Di Venere, Daniela, Inchingolo, Francesco
Format: Article
Language:English
Subjects:
Age
Biomedical materials
Case reports
closed-eruption surgical technique
Complications
dental inclusion
Eruptions
guided eruption
impacted incisors
Incisors
Mastication
Maxilla
orthodontic treatment
Orthodontics
Osteoprotegerin
Palate
Phonation
Prostheses
supernumeraries
Supernumerary
Teeth
X-rays
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Summary:The inclusion of both maxillary permanent central incisors is uncommon. This condition compromises face aesthetics, phonation and masticatory function. Therefore, early diagnosis is essential to avoid complications and failures. There are various reasons for inclusion, but supernumerary teeth are the leading cause. Early causes of removal and rapid expansion of the palate determine a high probability of success with the spontaneous eruption of the impacted elements. However, it is often necessary to proceed with a surgical–orthodontic treatment. The inclination of teeth in relation to the midline and the root maturation degree determine prognosis and therapeutic timing. In this case report, the orthopantomogram (OPG) X-ray of a 9-year-old boy revealed two impacted supernumerary teeth in the anterior maxillary region, preventing the eruption of the permanent upper central incisors. The impacted supernumerary teeth were surgically removed at different times. A straight wire multibrackets technique associated with a fixed palatal appliance was used. The palatal appliance featured an osteomucous resin support at the level of the retroincisal papilla. Subsequently, surgical exposure was carried out using the closed eruption technique and elastic traction, bringing 11 and 21 back into the arch.
ISSN:2076-3417
2076-3417
DOI:10.3390/app12052657