AN IMPACTED, INVERTED AND ROTATED MAXILLARY CENTRAL INCISORS AND ITS SURGICAL MANAGEMENT: A CASE REPORT.

Abstract

A female patient aged 13 years was referred to the Department of Oral and Maxillofacial Surgery, CSMSS Dental College, Aurangabad, Maharashtra, India with a complaint of a missing tooth in the upper anterior region of the jaw. The patient was apparently healthy with no relevant family, medical and dental history. This case is peculiar due to the fact that the impacted maxillary central incisors are not frequently reported in our routine dental practice. Here, a case of impacted maxillary left permanent central incisors, with only a few reported cases in the literature, is presented. On radio diagnosis, it was observed that the tooth was sprawling in an inverted position in the anterior region of the maxilla with mild dilaceration. Moreover, the tooth was located beneath the remnants of the root stumps of the deciduous maxillary central incisors and lateral incisors. The treatment for this case was planned with mutual efforts of the orthodontists, the oral surgeon, and the patient with his parents. The most appropriate treatment of choice for this case was the Surgical extraction of the impacted maxillary central incisor along with the root stumps of deciduous teeth that were performed under local anaesthesia without any hindrance to the nasal floor