Surgical and Orthodontic Management of Impacted Dilacerated Maxillary Incisor in a 12-Year-Old: A Case Study

Annisa Khairani, Heriandi Sutadi, Eva Fauziah

Abstract


Background: At age six, the mixed dentition phase begins, typically marked by the emergence of the lower permanent central incisors and first molars. It initiates a sequence of tooth eruptions. If one upper permanent central incisor remains unerupted by the age of nine while its counterpart has appeared, this may indicate an impacted tooth. Case Reports: Diagnostic serial radiographs often reveal nearly complete root formation without clinical emergence, leading to the diagnosis of tooth impaction. One common cause of impaction is trauma to the baby teeth and alterations in the front segment of the mouth due to the early loss of these primary teeth and the subsequent emergence of their permanent successors. Such trauma can influence the growth and development of the successor permanent teeth, including causing dilaceration. Disorders in tooth eruption can significantly affect aesthetics, speech, self-esteem, and social interactions, making treatment imperative. Conclusion: For impacted teeth, options like extraction with prosthetic replacement, orthodontic adjustment, or surgical exposure with traction are tailored to the patient's situation. Surgical exposure and traction were used on a 12-year-old with missing front teeth, extended by the complexity of the dilacerated root and fibrous tissue.


Keywords


Impaksi, dilaserasi, eksposur, traksi, ortodontik

References


Proffit WR, Fields HW, Larson BE, Sarver DM. Contemporary Orthodontics 6th Edition William Proffit.; 2019.

Malik NA. Textbook of Oral & Maxillofacial Surgery.; 2008. doi:10.5005/jp/books/10932

Miloro M, Ghali GE, Larsen PE, Waite P. Peterson's Principles of Oral and Maxillofacial Surgery, Fourth Edition.; 2022. doi:10.1007/978-3-030-91920-7

Do Espirito Santo Jacomo DR, Campos V. Prevalence of sequelae in the permanent anterior teeth after trauma in their predecessors: A longitudinal study of 8 years. Dental Traumatology. 2009;25(3). doi:10.1111/j.1600-9657.2009.00764.x

Küchler EC, Tannure PN, De Castro Costa M, Gleiser R. Management of an unerupted dilacerated maxillary central incisor after trauma to the primary predecessor. J Dent Child. 2012;79(1).

Tuna EB, Kurklu E, Gencay K, Ak G. Clinical and radiological evaluation of inverse impaction of supernumerary teeth. Med Oral Patol Oral Cir Bucal. 2013;18(4). doi:10.4317/medoral.18877

Ming TC, Ong MMA. Orthodontic-surgical management of an impacted dilacerated maxillary central incisor: A clinical case report. Pediatr Dent. 2004;26(4).

Pinho T, Neves M, Alves C. Impacted maxillary central incisor: Surgical exposure and orthodontic treatment. American Journal of Orthodontics and Dentofacial Orthopedics. 2011;140(2):256-265. doi:10.1016/j.ajodo.2009.11.018

Uematsu S, Uematsu T, Furusawa K, Deguchi T, Kurihara S. Orthodontic treatment of an impacted dilacerated maxillary central incisor combined with surgical exposure and apicoectomy. Angle Orthodontist. 2004;74(1).

Becker A. Orthodontic Treatment of Impacted Teeth: Third Edition.; 2013. doi:10.1002/9781118709641

Sabuncuoglu FA, Ölmez H, Esenlik E. Orthodontic approach to dilacerated central incisor localized horizontally on the anterior nasal spine: A case report. J Dent Child. 2011;78(3).




DOI: https://doi.org/10.24815/jds.v8i2.34025

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