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Managing morphologically atypical impacted teeth orthodontically.

Puneet Batra1, Ritu Duggal, Hari Parkash

  • 1Division of Orthodontics, Department of Dental Surgery, All India Institute of Medical Sciences, New Delhi.

The Journal of Clinical Pediatric Dentistry
|February 22, 2005
PubMed
Summary
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Severely dilacerated impacted teeth, especially maxillary incisors, can be successfully treated with orthodontic traction. This approach offers an alternative to extraction and prosthesis, improving function and aesthetics.

Area of Science:

  • Dentistry
  • Orthodontics
  • Oral Surgery

Background:

  • Tooth impaction with severe root dilaceration is rare, particularly in maxillary incisors.
  • Clinical management is challenging, often leading to extraction and prosthetic replacement.

Observation:

  • Two cases are presented: one impacted central incisor and one impacted premolar.
  • Both impacted teeth were successfully brought into the dental arch using orthodontic traction.

Findings:

  • The impacted maxillary central incisor was aligned within the arch.
  • The impacted mandibular premolar was shaped into a functional mandibular canine, achieving good occlusion.

Implications:

  • Orthodontic traction is a viable treatment for severely dilacerated impacted teeth.

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  • This approach preserves the natural dentition and improves functional occlusion.
  • It challenges the traditional approach of extraction for such complex cases.