Korean J Orthod.  2007 Apr;37(2):159-163.

Orthodontic treatment of an impacted maxillary central incisor with dilacerations

Affiliations
  • 1Division of Orthodontics, Department of Dentistry, College of Medicine, Ewha Womans University, Seoul, South Korea. yschun@ewha.ac.kr.

Abstract

Impaction with a severely dilacerated root is seldom reported, especially in the maxillary incisor. It is probably because of the high clinical difficulty associated with bringing the dilacerated tooth into proper position, and the high chance of failure due to ankylosis, external root resorption, and root exposure after orthodontic traction. Even the successful cases may need periodontal surgery to improve the unesthetic gingival shape. However, it has previously been reported that an impacted maxillary central incisor was successfully treated by proper crown exposure and orthodontic traction. This article presents a case of an invertedly impacted maxillary right central incisor with a developing dilacerated root, which was aligned into proper position after orthodontic traction composed of two stages of a closed eruption technique.

Keyword

Impacted maxillary central incisor; Dilacerated tooth; Closed eruption technique

MeSH Terms

Ankylosis
Crowns
Incisor*
Root Resorption
Tooth
Traction
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