Abstract
The purpose of this paper was to present the surgical exposure and orthodontic treatment of an 11-year-old boy with horizontally impacted permanent maxillary central incisors associated with bilateral mesiodentes. Panaromic and upper anterior occlusal radiographs showed horizontally impacted maxillary central incisors, vertically impacted molariform mesiodens, and rotated mesiodens located at the site of the maxillary right central incisor. The treatment plan included extraction of the erupted mesiodens, surgical extraction of the impacted mesiodens, surgical exposure of the permanent central incisors, and orthodontic traction and alignment to achieve a normal occlusion. After 14 months of treatment, the central incisors erupted into the oral cavity. The impacted maxillary central incisors were successfully positioned to their proper alignment via surgical crown exposure and orthodontic traction. Ideal overjet, overbite, and Class I molar and canine relationships were also achieved. At the completion of treatment, the exposed incisors exhibited an acceptable gingival contour and attached gingiva. After 2 years of follow-up, a stable occlusion was maintained with only minor relapse at the right central incisor.
Highlights
Tooth impaction refers to the failure of teeth to erupt into the mouth within the normal time, where the failure of eruption appears to originate from mechanical blocking
The presence of mesiodens generally results in clinical and aesthetic problems, including failure to erupt, displacement of a permanent tooth, and dentigerous cyst formation and bilateral mesiodens has been found to result in significantly more problems than unilateral mesiodens, in previous studies
The purpose of this report is to present the case of an 11-year-old boy with horizontally impacted permanent maxillary central incisors associated with bilateral mesiodens who underwent surgical exposure followed by orthodontic treatment
Summary
Tooth impaction refers to the failure of teeth to erupt into the mouth within the normal time, where the failure of eruption appears to originate from mechanical blocking. The purpose of this report is to present the case of an 11-year-old boy with horizontally impacted permanent maxillary central incisors associated with bilateral mesiodens who underwent surgical exposure followed by orthodontic treatment. To determine the localization of the mesiodens and impacted teeth, upper occlusal radiography was performed, which showed the presence of teeth on the palatal side (Figure 3). On the basis of clinical and radiographic findings, the treatment plan included the following steps: Extraction of the erupted mesiodens Surgical extraction of the impacted mesiodens Surgical exposure of the permanent central incisors Orthodontic traction and alignment to obtain a normal occlusion. The impacted maxillary central incisors were successfully positioned into their proper alignments via surgical crown exposure and orthodontic traction. The periodontium and root structure showed good integrity (Figure 9)
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
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 callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
