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This case report details managing an impacted central incisor caused by an odontoma in a young patient. Treatment involved odontoma removal, rapid maxillary expansion (RME), and orthodontic traction, achieving stable results.

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Area of Science:

  • Dentistry
  • Orthodontics
  • Oral Surgery

Background:

  • Odontomas can cause impaction of adjacent teeth, particularly in the maxillary anterior region.
  • Early diagnosis and intervention are crucial for managing complex dental anomalies in children.

Observation:

  • A 9-year-old patient presented with an impacted maxillary right central incisor.
  • Radiographic analysis revealed the impaction was caused by an odontoma located near the nasal floor.
  • Two mesiodentes were also noted in the same region.

Findings:

  • A three-stage treatment approach was implemented: odontoma removal, rapid maxillary expansion (RME), and surgical exposure with orthodontic traction.
  • The patient achieved stable occlusal, functional, and periodontal outcomes post-treatment.
  • A three-year follow-up confirmed the maintained esthetics and function of the repositioned incisor.

Implications:

  • Rapid maxillary expansion (RME) can be a valuable adjunct in improving the intraosseous position of impacted teeth.
  • This approach may minimize space loss and reduce the extent of surgical intervention required for tooth recovery.
  • Successful management highlights the importance of a multidisciplinary approach in treating complex odontogenic tumors and dental impactions.