Surgical and Orthodontic Management of Central Permanent Incisor Impacted in Ectopic Position: a Case Report

Abstract

The incidence of impacted incisor teeth is 4%. This article presents the case of a 9-year-old female patient who was referred to the postdoctoral pediatric dentistry clinic at the University El Bosque for extraction of an upper central incisor with a history of dentoalveolar trauma at age seven and surgical window to allow eruption of tooth 21. The retention of tooth 11 was confirmed through clinical examination, X-ray analysis, and computerized axial tomography scan. The treatment included performing surgical-orthodontic procedures through surgical window to expose tooth 11, orthodontic tooth traction and pendulum movement to regain space for 16 months, and 4×2 orthodontic technique to align upper incisors. The report includes a three-year follow-up of the case with analysis of possible risks and complications. A comprehensive management is important to achieve the goals, minimize possible complications that may arise in the treatment of impacted teeth.KEYWORDSimpacted tooth; ectopic tooth eruption; incisor; computerized axial tomography; orthodontictraction