ABSTRACT
Concurrent impaction and transposition of maxillary anterior teeth is uncommon and poses a challenge for dentists. Early diagnosis and management of eruption disturbances benefits esthetic and functional outcomes. This article describes the treatment of a teenager who had impactions of the left maxillary central incisor and canine as well as ipsilateral canine-lateral incisor transposition. Treatment alternatives and effective orthodontic techniques are delineated. To optimize the treatment results, the impacted maxillary canine was surgically exposed and orthodontically distalized with an innovative cantilever. Subsequently, the deeply impacted maxillary central incisor was uncovered and orthodontically mesialized into the arch. Finally, the displaced maxillary lateral incisor was brought into its normal position. The combined surgical-orthodontic approach resolved a difficult clinical issue and avoided additional restorations. An esthetic, functional outcome was achieved and satisfied the patient.
The angulation of the maxillary central incisor crown to its root has been measured in 191 patients representing the four classes of incisor malocclusion. Significant differences were only found between Class II Division 1 and Class II Division 2 groups.
ABSTRACT
This case report describes orthodontic space closure for managing an avulsed maxillary central incisor and a lateral incisor in a growing girl with a Class I deep bite malocclusion with moderate lower and mild upper crowding. The treatment approach moved a central incisor across the midline and substituted a lateral incisor for a central incisor, in combination with canine substitution. Veneers on all maxillary anterior teeth attained acceptable esthetics. The right central incisor was moved to serve as the avulsed left central incisor. The right lateral incisor was moved to the position of the right central incisor and restored. The canines on both sides were substituted as lateral incisors; the posterior occlusion was left in Class II. Mesialization of central and lateral incisors with prosthetic rehabilitation is an acceptable treatment option.
This case report describe the management of a 22 years old male patient having class II div 2 malocclusion with traumatic deep bite. Intraoral examination revealed that patient had lingually inclined maxillary central incisor, labially flared maxillary lateral incisors, exaggerated lower curve of spee, and moderate crowding in lower jaw. Patient also tend to exhibit deep mentolabial sulcus and unaesthetic smile. Anterior flat bite plane was treatment plan for improving deep bite and also Mandibular downward backward rotation and Camouflage nonextraction treatment was decided for this patient because presence of lower crowding which is easy to correction and flare lower incisor for improving overjet and interincisal angle.Ban J Orthod & Dentofac Orthop, April 2015; Vol-5 (1-2), P.33-36
Esthetic Improvement of the Maxillary Anterior Teeth during the Ten Years after Single-Implant Restoration Replacing an Ankylosed Maxillary Central Incisor in a Class II Malocclusion