Abstract
This case report outlines the effective treatment of a multifaceted orthodontic case involving multiple impacted and supernumerary teeth and complete transposition in a 10-year-old girl. She presented with missing anterior teeth, an Angle’s class I molar relation on the left, Angle’s class II molar relation on the right, and various dental anomalies. On cone-beam computed tomography (CBCT) evaluation, the patient had vertically impacted four teeth (central incisors, right lateral incisors, and canine) and four supernumerary teeth. The treatment plan included surgical extraction of impacted teeth, orthodontically guided eruption, extraction of supernumerary teeth, and atypical extraction of #12, #24, #34, and #44 due to arch length tooth material discrepancy. #12 was extracted as there was palatal fenestration and had an open root apex. The spatial position and orientation of the impacted teeth were assessed using CBCT. The orthodontic treatment employed a rigid metal framework with NiTi coil springs for guided eruption. Interdisciplinary collaboration among orthodontists, dental surgeons, and other specialists, along with meticulous planning and controlled force application, was crucial. Satisfactory aesthetics, functional occlusion, and stability were obtained at the end of the treatment, demonstrating the effectiveness of orthodontic intervention in complex cases.
Published Version
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call