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Impacted post-traumatic maxillary central incisor: A multidisciplinary approach
M M Attardo Parrinello1, D Lucarelli1, S Colombo2
1Department of Biomedical, Surgical and Dental Sciences, University of Milan, Fondazione IRCCS Cà Granda, Ospedale Maggiore Policlinico, Milano, Italy.
Aim:
The aim of this paper is to provide clinicians useful information for the management of impacted central incisor due to early childhood trauma.
Case Report:
It is reported the case of an impacted right maxillary central incisor in an 8-year-old male patient who had an intrusive luxation trauma of primary tooth at the age of 4. After clinical and radiographic evaluation, a multidisciplinary treatment plan was planned. Therapy involved a surgical and orthodontic approach in order to expose the tooth and move the incisor in the normal position with a self-ligating appliance system.
Results:
Through a multidisciplinary approach it was possible to move the impacted incisor in the occlusal plane, preserving periodontal tissues and tooth vitality.
Conclusion:
When a permanent tooth is impacted, the multidisciplinary approach of surgery and orthodontic treatment is the best way to obtain a suitable outcome in terms of gingival contour, occlusal plane and aesthetics, when compared with other treatment options.
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