1. Unilaterally impacted maxillary central incisor and canine with ipsilateral transposed canine-lateral incisor.
- Author
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Fu PS, Wang JC, Wu YM, Huang TK, Chen WC, Tseng YC, Tseng CH, and Hung CC
- Subjects
- Adolescent, Cephalometry, Cone-Beam Computed Tomography, Female, Humans, Tooth, Impacted diagnostic imaging, Tooth, Impacted rehabilitation, Cuspid abnormalities, Incisor abnormalities, Malocclusion, Angle Class I rehabilitation, Maxilla abnormalities, Tooth, Impacted surgery
- Abstract
Concurrent impaction and transposition of maxillary anterior teeth is uncommon and poses a challenge for dentists. Early diagnosis and management of eruption disturbances benefits esthetic and functional outcomes. This article describes the treatment of a teenager who had impactions of the left maxillary central incisor and canine as well as ipsilateral canine-lateral incisor transposition. Treatment alternatives and effective orthodontic techniques are delineated. To optimize the treatment results, the impacted maxillary canine was surgically exposed and orthodontically distalized with an innovative cantilever. Subsequently, the deeply impacted maxillary central incisor was uncovered and orthodontically mesialized into the arch. Finally, the displaced maxillary lateral incisor was brought into its normal position. The combined surgical-orthodontic approach resolved a difficult clinical issue and avoided additional restorations. An esthetic, functional outcome was achieved and satisfied the patient.
- Published
- 2013
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