Orthodontic movement of a dilacerated maxillary incisor in mixed dentition treatment

Dilaceration is a dental deformity characterized by an angulation between crown and root causing non-eruption of the tooth. It generally occurs following trauma to the deciduous dentition the apices of which lie close to the permanent tooth buds. Surgical extraction used to be the first choice in treating the severely dilacerated teeth. In this case report, it is described how a dilacerated central incisor was successfully moved into alignment in a young patient with proper surgical and orthodontic management avoiding use of prosthetic/implant devices. The panoramic radiograph after the traumatic injury is compared with the one at the end of treatment. The results were sustainable over long-term in both periodontal and aesthetic terms.