Orthodontic Treatment with Surgical Intervention of Impacted UpperCentral Incisor - A Case Report

Abstract

Introduction: This case report involves the interdisciplinary treatment of an impacted central incisor. Case Report: An 11-year-old patient came to Hasanuddin University Dental and Oral Hospital along with his parents with a chief complaint of nonerupting anterior teeth. Intraoral examination revealed that the right central incisor was not erupted and the left lower central incisor was missing. The panoramic radiograph showed that the right central incisor was impacted and the lower left central incisor was agenized. The patient's parents also complained that the lower front teeth were not neat. Lateral cephalometric analysis showed class I skeletal. Orthodontic treatment was performed with 0.022 inch Roth system brackets. Initial alignment was performed with leveling and alignment of teeth with the aim of creating space for impacted teeth and eliminating crowding on the mandibular anterior teeth. The second stage was surgical intervention by windowing the impacted right upper central incisor. Traction was performed for 5 months of treatment and stabilization for 6 months. The result of the treatment was that the impacted central incisor was restored to its proper position in the normal dental arch so that normal aesthetics and function were achieved. Conclusion : Impaction treatment of incisive tooth 11 using fixed orthodontic appliance and open window surgery successfully retracted tooth 11 to the occlusal plateau, tooth 11 remained vital, periodontal tissues were normal, the patient and her parents were very satisfied with the facial aesthetics achieved