Abstract
Multiple impacted teeth are a rare eruption disturbance that increases the case complexity. In this article, we described a 13-year-old boy whose 5 permanent maxillary teeth were not erupted although their root formation was complete. The orthodontic treatment with traction and asymmetric extraction was performed to achieve a significantly improved functional and esthetic result.
Highlights
Tooth impaction can be defined as the infra-osseous position of the tooth after expected time of eruption
Multiple impacted teeth might be related to genetic syndromes such as cleidocranial dysplasia (CCD) or endocrine disorders
A single impacted tooth can increase the difficulty of orthodontic treatment significantly, and multiple impactions certainly complicate the treatment and lengthen the overall treatment time considerably
Summary
Tooth impaction can be defined as the infra-osseous position of the tooth after expected time of eruption. It needs coordinated management to guide eruption of as many teeth as possible [3] In such a case, open communication between the orthodontist and oral surgeon is essential, as it will allow for the appropriate surgical and orthodontic techniques to be used. Open communication between the orthodontist and oral surgeon is essential, as it will allow for the appropriate surgical and orthodontic techniques to be used This case report shows a patient with multiple impacted teeth in the maxilla. The principal objectives were to create spaces for the impacted teeth to a functional, esthetic and stable occlusion, relieve the crowding, level and align the arches, obtain an ideal overjet and overbite, and achieve a bilateral Class I canine and molar relationship. In order to relieve the crowding, the mandible first premolars and maxillary right lateral incisor and left first premolar were extracted
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