Orthodontic Management of Multiple Dilacerations

Area of Science:

• Dentistry
• Orthodontics
• Pediatric Dentistry

Background:

• Orthodontic alignment of unerupted, dilacerated teeth presents significant challenges due to root angulation resisting bone movement.
• Alternative treatments like extraction or apicoectomy exist but may compromise alveolar bone height, particularly in the anterior segment.

Observation:

• A 9-year-old boy presented with unerupted and dilacerated teeth.
• The case required a prolonged orthodontic treatment duration to achieve tooth movement through the bone.

Findings:

• Successful orthodontic alignment of the unerupted, dilacerated teeth was achieved.
• The treatment strategy prioritized maintaining the alveolar bone in the affected area.

Implications:

• Orthodontic management is a viable option for unerupted, dilacerated teeth, offering an alternative to extraction or apicoectomy.
• This approach can enhance both the functional occlusion and the esthetic appearance of the dentition.
• Long-term patient compliance and consistent force application are crucial for successful outcomes in complex orthodontic cases.