Suffocated Maxillary Central Incisors (Surgical and Orthodontic Management): A Report of Two Cases

2021 ◽  
Vol 11 (1) ◽  
pp. 55-60
Author(s):  
Barun Kumar Sah ◽  
Jamal Giri ◽  
Bandana Koirala ◽  
Mamta Dali ◽  
Sneha Shrestha
Keyword(s):  
Orthodontic Treatment ◽  
Treatment Options ◽  
Self Esteem ◽  
Permanent Tooth ◽  
Mixed Dentition ◽  
Dental Practice ◽  
Central Incisor ◽  
Supernumerary Teeth ◽  
Multiple Treatment ◽  
Maxillary Incisors

Clinically, supernumerary teeth are able to cause different local disorders and the most common one is impaction of maxillary incisors. Impacted maxillary incisors substantially affect esthetics, function, and self‑esteem of patients. Impaction of maxillary permanent incisor is a rare clinical entity in dental practice. Although impaction of a permanent tooth is rarely diagnosed during the mixed dentition period, an impacted central incisor is usually diagnosed accurately when there is delay in the eruption of tooth. Multiple treatment options are available for impacted incisors. Surgical-orthodontic treatment is one of the alternative option for the correction. Early diagnosis and management of supernumer¬ary teeth is important to prevent the need for more complex surgical and orthodontic treatment. Here, we present a report of two cases of impacted maxillary incisors and its management

scholarly journals Surgical and Orthodontic Treatment of Impaction Maxillary Central Incisor Associated With Supernumerary

2021 ◽  
pp. 1-5
Author(s):  
Abu-Hussein Muhamad ◽  
◽  
Alsaghee Maria ◽  
Ali Watted ◽  
◽  
...  
Keyword(s):  
Orthodontic Treatment ◽  
Anterior Region ◽  
Dental Arch ◽  
Dental Practice ◽  
Central Incisor ◽  
Supernumerary Teeth ◽  
Supernumerary Tooth ◽  
Proper Position ◽  
Dental Anomaly ◽  
Maxillary Central Incisor

Impaction of maxillary central incisors is frequent in dental practice. However its management is challenging because of its importance in aesthetics. Supernumerary teeth are the most common dental anomaly that can cause impaction of adjacent teeth, crowding, diastema, rotation and displacement of teeth. We report a case of 13 year old male with an impacted supernumerary tooth in the maxillary anterior region, which was interfering with the eruption of the permanent, left central incisor. The impacted supernumerary tooth was surgically removed. With the application of an orthodontic traction, impacted left maxillary central incisor was brought down to its proper position in the dental arch.

Maxillary Canine Impactions Related to Impacted Central Incisors: Two Case Reports

2007 ◽  
Vol 8 (6) ◽  
pp. 72-81 ◽  
Author(s):  
Mete Özer ◽  
Ismail Şener ◽  
Mehmet Bayram
Keyword(s):  
Orthodontic Treatment ◽  
Case Reports ◽  
Chief Complaint ◽  
Mixed Dentition ◽  
Central Incisor ◽  
Supernumerary Teeth ◽  
Maxillary Canine ◽  
Maxillary Central Incisor ◽  
Anterior Teeth ◽  
Skeletal Pattern

Abstract Aim The purpose of this case report is to describe the combined surgical and orthodontic treatment of two cases with an impacted maxillary central incisor and canine in the same quadrant and to discuss the causal relationship between them. Background The most common causes of canine impactions are usually the result of one or more factors such as a long path of eruption, tooth size-arch length discrepancies, abnormal position of the tooth bud, prolonged retention or early loss of the deciduous canine, trauma, the presence of an alveolar cleft, ankylosis, cystic or neoplastic formation, dilaceration of the root, supernumerary teeth, and odontomas. Although impaction of the maxillary central incisor is almost as prevalent as impacted canines its etiology is different. The principal factors involved in causing the anomaly are supernumerary teeth, odontomas, and trauma. Reports Case #1 A 10.5-year-old girl in the early mixed dentition stage presented with a chief complaint of the appearance of her anterior teeth. She had a Class I skeletal pattern and a history of trauma to the maxillary central incisors at age five with premature exfoliation. Radiographs revealed an impacted upper right central incisor in the region of the nasal floor, delayed eruption of the maxillary permanent central incisor, and the adjacent lateral incisor was inclined toward the edentulous space. Treatment was done in two stages consisting of surgical exposure and traction of the impacted central incisor and fixed orthodontic treatment. Case #2 An 11.5-year-old girl presented for orthodontic treatment with the chief complaint of an unerupted tooth and the appearance of her upper anterior teeth. She was in the late mixed dentition period with a Class III skeletal pattern along with an anterior cross-bite with some maxillary transverse deficiency. The maxillary right canine and central incisor were absent, but the maxillary right deciduous canine was still present. Treatment included arch expansion followed by surgical exposure and traction of the impacted teeth and fixed orthodontic treatment. Summary This case report provides some evidence of a significant environmental influence of an impacted maxillary central incisor on the path of eruption of the ipsilateral maxillary canine. When an impacted maxillary central incisor exists, the maxillary lateral incisor's root might be positioned distally into the path of eruption of the maxillary canine preventing its normal eruption. Ongoing assessment and early intervention might help to prevent such adverse situations from occurring. Citation Bayram M, Özer M, Sener I. Maxillary Canine Impactions Related to Impacted Central Incisors: Two Case Reports. J Contemp Dent Pract 2007 September; (8)6:072-081.

scholarly journals Management of the Two Dental Developmental Anomalies in Two Maxillary Incisors for Improved Esthetic Appearance: A Case Report

2021 ◽  
Vol 15 (1) ◽  
pp. 698-702
Author(s):  
Thiyezen A. AlDhelai
Keyword(s):  
Orthodontic Treatment ◽  
Anterior Segment ◽  
Clinical Report ◽  
Central Incisor ◽  
Dental Anomalies ◽  
Supernumerary Teeth ◽  
Comprehensive Diagnosis ◽  
Maxillary Incisors ◽  
Normal Shape ◽  
The Right

Introduction: The presence of a developmental dental anomaly in maxillary incisors usually affects esthetic appearance. Therefore, gemination and supernumerary teeth are considered anomalies and need a careful and comprehensive diagnosis and treatment. Case Description: This clinical report presents a 10-year-old girl complaining of the esthetic appearance of her anterior maxillary teeth. Clinical and radiographical examinations revealed a maxillary geminated permanent left central incisor and a supplemental supernumerary permanent right lateral incisor. The treatment has been performed in different stages, including preventive, conservative, surgical, and orthodontic treatments. Thus, the large geminated incisor has been restored to its normal shape, and the problem of anterior incisor crowding resolved through alignment. Conclusion: Dental anomalies in the anterior segment are common and need time during treatment. Selective grinding for the large geminated incisor and the extraction of the supplemental tooth followed by orthodontic treatment may be the right decisions that a dental practitioner may consider during the management of such cases.

Adjunctive orthodontic management of a missing upper right central incisor in a 12-year-old male using a fixed orthodontic appliance

2021 ◽  
Vol 5 ◽  
pp. 31-34
Author(s):  
Monica Ndudi Adekoya
Keyword(s):  
Orthodontic Treatment ◽  
Self Esteem ◽  
Central Incisor ◽  
Midline Shift ◽  
Orthodontic Appliance ◽  
Vertical Relationships ◽  
Straight Wire ◽  
Fixed Orthodontic Appliance ◽  
Artificial Tooth

This article presents a successful orthodontic management of a 12-year-old male using a fixed orthodontic appliance (straight wire technique). His orthodontic treatment was hinged on creating enough space to accept an artificial tooth, correcting the horizontal and vertical relationships of the upper incisors to the lower and the midline shift. Ultimately, an esthetic smile was achieved; function and self-esteem were improved when the artificial tooth was finally fixed.

scholarly journals Impacted Upper Central Incisors – Frequency and Factors Complicating the Treatment Protocol

Folia Medica ◽  
2021 ◽  
Vol 63 (3) ◽  
pp. 405-412
Author(s):  
Greta Yordanova ◽  
Gergana Gurgurova
Keyword(s):  
Medical Records ◽  
Treatment Protocol ◽  
Mixed Dentition ◽  
Successful Outcome ◽  
Central Incisor ◽  
Supernumerary Teeth ◽  
Impacted Tooth ◽  
Female Patients ◽  
Male Patients ◽  
Bone Coverage

Introduction: Eruption of central incisors occurs at a time when the mixed dentition starts to develop and their impaction is mostly a severe esthetic problem.Aim: Our aim was to assess the frequency of impaction of an upper central incisor and to analyse the factors which affect the successful outcome and the protocols for orthodontic treatment in cases of impacted upper central incisors.Materials and methods: In the present study, we used all medical records of 651 patients treated in our private practice over the last 3 years and also the medical records of 18 patients we diagnosed and treated for this problem over the last 8 years.Results: We found the ratio of impacted upper central incisors to be 1.4% as there were more male than female patients affected. There were 2.8% male patients and 0.7% female patients. The most frequent cause of impaction of the upper central incisor was the presence of mesiodentes and supernumerary teeth (55.5%), followed by presence of follicular cysts (44.4%) and odontoma collections (22.2%) or a combination of these.Several approaches have been used in treating the different positions of impacted incisors. It is necessary first to rotate the axle of the incisor and assure its root full bone coverage. We used directly TPA for support. In other patients, we waited for the spontaneous eruption after removal of the etiological factor and in another patient, we used conventional fixed techniques.Conclusions: It is important that dental doctors should monitor the formation of the dentition so that they detect the impacted tooth early in its development.

scholarly journals Permanent maxillary central incisor and first molar rotations in the mixed dentition in repaired complete unilateral cleft lip and palate and their relationship with absence of teeth in their vicinity

2018 ◽  
Vol 88 (5) ◽  
pp. 567-574
Author(s):  
Sunjay Suri ◽  
Suteeta Disthaporn ◽  
Bruce Ross ◽  
Bryan Tompson ◽  
Diogenes Baena ◽  
...  
Keyword(s):  
Bone Grafting ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Alveolar Bone ◽  
Permanent Tooth ◽  
Mixed Dentition ◽  
Central Incisor ◽  
Maxillary Central Incisor ◽  
Anterior Teeth ◽  
Alveolar Bone Grafting

ABSTRACT Objectives: To describe qualitatively and quantitatively the directions and magnitudes of rotations of permanent maxillary central incisors and first molars in the mixed dentition in repaired complete unilateral cleft lip and palate (UCLP) and study their associations with absence of teeth in their vicinity. Materials and Methods: Dental casts and orthodontic records taken prior to orthodontic preparation for alveolar bone grafting of 74 children with repaired UCLP (53 male, 21 female; aged 8.9 ± 1.0 years) were studied. Directions and magnitudes of permanent maxillary central incisor and first molar rotations were recorded. Tooth absence was confirmed from longitudinal radiographic records. Incisor and molar rotations were analyzed in relation to the absence of teeth in their vicinity. Results: Distolabial rotation of the permanent maxillary central incisor was noted in 77.14% on the cleft side, while distopalatal rotation was noted in 82.19% on the noncleft side. Incisor rotation was greater when a permanent tooth was present distal to the cleft side central incisor, in the greater segment. The permanent maxillary first molar showed mesiopalatal rotation, which was greater on the cleft side and when there was absence of one or more teeth in the buccal segment. Conclusions: Presence and absence of teeth were associated with the severity of incisor and molar rotations in UCLP. Crowding of anterior teeth in the greater segment was associated with a greater magnitude of rotation of the cleft side permanent central incisor. Absence of one or more buccal segment teeth was associated with greater magnitude of rotation of the molar.

scholarly journals Early treatment of anterior cross bite. A literature review

2017 ◽  
Vol 19 (2) ◽  
Author(s):  
Jesús Hernández ◽  
Margarita Padilla
Keyword(s):  
Early Treatment ◽  
Treatment Options ◽  
Permanent Tooth ◽  
Growth Potential ◽  
Mixed Dentition ◽  
Occlusal Plane ◽  
Class Iii ◽  
Psychological Benefits ◽  
Stomatognathic System ◽  
Craniofacial Complex

Nowadays, it is widely accepted the importance of treating early occlusal abnormalities of clinical significance for the development of the stomatognathic system. An early treatment would restore the harmony and the functionality of the craniofacial complex, it simplifies the corrective procedures, reduces the need for permanent tooth extractions and brings psychological benefits to patients, to name a few. The presence of malocclusions should intervene early to restore proper neural excitation in the craniofacial complex and provide the conditions necessary for each patient to receive their growth potential. The anterior cross bite (MCA) should be treated early to prevent harmful effects on growth and, the development of the maxilla and mandible, to avoid traumatic occlusal forces and restore proper muscle contraction patterns in the patient. This article shows some of the early treatment options for the MCA in primary and mixed dentition after an accurate diagnosis.   Key words: Anterior cross bite, early treatment, class III malocclusion, occlusal plane. Periodontitis, microbiology, transmission, Aggregatibacter actinomycetemcomitans.  

Impacted Maxillary Central Incisors: Surgical Exposure and Orthodontic Treatment: A Case Report

2019 ◽  
pp. 31-37
Author(s):  
Md Sayeedul Islam ◽  
Md Zakir Hossain
Keyword(s):  
Case Report ◽  
Orthodontic Treatment ◽  
Central Incisor ◽  
Supernumerary Teeth ◽  
Impacted Teeth ◽  
Maxillary Central Incisor ◽  
Surgical Exposure ◽  
Radiological Examinations

Maxillary central incisor impactions occur infrequently.Their origins include various local causes, such as odontoma, supernumerary teeth, and space loss. Supernumerary and ectopically impacted teeth are asymptomatic and found during routine clinical or radiological examinations. The surgical exposure and orthodontic traction of impacted right central incisor after removal of odontomas is presented in this report. Ban J Orthod & Dentofac Orthop, April 2017; Vol-7 (1-2), P.31-37

Management of Mesiodens and ectopically Erupted Central Incisor

2016 ◽  
Vol 8 (1) ◽  
pp. 49-53
Author(s):  
Mebin George Mathew
Keyword(s):  
Central Region ◽  
Orthodontic Treatment ◽  
Early Recognition ◽  
Permanent Teeth ◽  
Central Incisor ◽  
Supernumerary Teeth ◽  
Supernumerary Tooth ◽  
Ectopic Eruption ◽  
Pediatric Dentists

ABSTRACT Pediatric dentists come across children and developing malocclusion at the earliest, early recognition and interception could avoid long-term laborious orthodontic treatment. Mesiodens are the most common supernumerary teeth, in the central region of the premaxilla, between the two central incisors, which may be the cause for a variety of irregularities in the developing occlusion, in particular, can lead to the impaction or ectopic eruption of adjacent permanent teeth, in the most esthetically important zone. Presented here is a case of management of ectopically erupted right permanent central incisor caused due to supernumerary tooth. How to cite this article Nagaveni NB, Poornima P, Valsan A, Mathew MG. Management of Mesiodens and ectopically Erupted Central Incisor. CODS J Dent 2016;8(1):49-53.

scholarly journals NONSYNDROMIC CONCOMITANT HYPO-HYPERDONTIA: REPORT OF A RARE CASE

2019 ◽  
Author(s):  
Niharika Pandey ◽  
Parthsarthi Gautam ◽  
Satabdi Saha ◽  
Subrata Saha
Keyword(s):  
Genetic Factors ◽  
Rare Condition ◽  
Mixed Dentition ◽  
Permanent Teeth ◽  
Radiographic Examination ◽  
Routine Practice ◽  
Unknown Aetiology ◽  
Central Incisor ◽  
Supernumerary Teeth ◽  
Supernumerary Tooth

Odontogenic anomalies are frequently observed by pedodontists in their routine practice. Concomitant hypodontia and hyperdontia is a rare condition of unknown aetiology. CHH may occur in both the jaws and is more common in the permanent and mixed dentition. This article, describes a case of non-syndromic CHH in the mixed dentition. Genetic factors probably play an important etiological role in the co-occurrence of partial anodontia and supernumerary teeth. A 7 year old boy showed a conical mesiodens and missing right primary central incisor. Radiographic examination of the patient revealed presence of succedaneous permanent teeth. Key Words: Concomitant hypohyperdontia, hypodontia, supernumerary tooth, mesiodens

Sign in / Sign up

Export Citation Format

Share Document