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Innovative treatment strategies for impacted maxillary central incisor and case comparisons: Case report
Wei Chen1, Jingyao Bai1, Wei Zhang2
1The First People's Hospital of Linping District, Hangzhou, Zhejiang, China.
Background:
The present article compares innovative treatment strategies for impacted maxillary central incisors, emphasizing the critical importance of prioritizing root development over rapid crown alignment.
Methods:
Two case reports using distinct clinical approaches are presented. Case 1 utilized a traditional combination of closed-eruption surgical exposure and conventional orthodontic traction, while Case 2 utilized a novel root-oriented traction technique, which ensures the development of tooth roots and utilizes the natural eruption power.
Results:
Both techniques achieved successful eruption and alignment. However, the root-oriented method demonstrated superior outcomes in promoting continued root formation, manifested as a larger volume and surface area of tooth roots, reducing the risk of premature apical closure.
Conclusion:
The primary objective in managing an impacted maxillary central incisor should be to reduce root developmental resistance and ensure substantial root development, rather than to achieve rapid crown alignment.